Using Erector Spinae Plane Block for Pain Management in Lumbar Surgery
Management of Perioperative Pain Using Erector Spinae Plane Block in Open Microscopic Lumbar Surgery
This study is testing if a new pain management technique using a specific nerve block can help patients have less pain and recover faster after lumbar surgery compared to standard care.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 40 (estimated) |
| Ages | 18 Years to 75 Years |
| Sex | All |
| Sponsor | University of Malaya Academic / other |
| Locations | 1 site (Kuala Lumpur, Wilayah Persekutuan) |
| Trial ID | NCT06270654 on ClinicalTrials.gov |
What this trial studies
This study aims to compare the effectiveness of bilateral erector spinae plane block with ropivacaine against a control group in managing pain for patients undergoing open microscopic lumbar surgery. It focuses on various outcomes including pain scores, opioid consumption, hemodynamic changes during surgery, length of hospital stay, time to ambulation post-surgery, and overall quality of recovery. The erector spinae plane block is an innovative technique that may enhance postoperative pain control and facilitate quicker recovery, potentially reducing the need for opioids and improving patient outcomes.
Who should consider this trial
Good fit: Ideal candidates for this study are adults aged 18-75 scheduled for elective open microscopic lumbar surgery with a Glasgow Coma Scale of 15 and classified as ASA Physical Status I-II.
Not a fit: Patients with cognitive impairments, chronic pain requiring opioid use, or those with significant comorbidities such as renal or liver failure may not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could significantly improve pain management and recovery times for patients undergoing lumbar spine surgery.
How similar studies have performed: Previous studies have shown promising results with erector spinae plane blocks in various surgical settings, indicating potential for success in this application.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age 18-75 * Patients with Glasgow Coma Scale of 15. * American Society of Anaesthesiologists (ASA) Physical Status Classification I - II patients * Scheduled for elective, open microscopic lumbar surgery (less than 3 levels) under general anesthesia. Exclusion Criteria: * Cognitive impairment * Patient refusal * Weight\<50kg, \>120kg * Allergy to local anesthesia * Alcohol/ drug abuse * Renal failure or liver failure * Coagulopathy/thrombocytopenia * Chronic pain with chronic opioid usage * Ischemic heart disease
Where this trial is running
Kuala Lumpur, Wilayah Persekutuan
- Universiti Malaya Medical Centre — Kuala Lumpur, Wilayah Persekutuan, Malaysia (Recruiting)
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.