Bilateral Erector Spinal Plan Block in Postoperative Analgesia After Total Abdominal Hysterectomy

NCT05513196 | Completed

• 1 other identifier: 2021-ESP
• Study Type: observational
• Target: 160
• Locations: 1 country
• Sites: 1

Brief Summary

The importance of effective postoperative pain management is well known. Overall, for total abdominal hysterectomy operations are related with severe postoperative pain. The undesired effects of pain can be prevented with multimodal analgesia for the patient. Many regional anesthesia techniques can be preferred for total abdominal hysterectomy. The aim of this study is to investigate postoperative analgesia effect of erector spina plane block for total abdominal hysterectomy.

Conditions

Postoperative Pain

Keywords

postoperative pain; total abdominal hysterectomy; erector spinae plan block; morphine; visuel analog scale

Outcome Measures

Primary Outcomes (2)

• Morphine consumption

  Morphine consumption (mg) of patients with patient controlled analgesia device

  Postoperative 24th hour

• Visuel analog scale

  visuel analog scale of patients

  Postoperative 24th hour

Study Arms (2)

ESPB Group

Erector spinae plane block performed group.

Procedure: Erector spinae plane block (ESPB)

Control Group

Control group.

Interventions

Erector spinae plane block (ESPB) PROCEDURE

Bilateral erector spinae plane block will be performed with 20 mL, 0.25% bupivacaine at T9 level preoperatively.

ESPB Group

Eligibility Criteria

• Age: 40 Years - 70 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

patients who undergo elective total abdominal hysterectomy surgery

You may qualify if:

• ASA 1-2 patients
• patients undergo elective total abdominal hysterectomy

You may not qualify if:

• patient refusal
• ASA 3-4
• obesity (body mass index \>35 kg/m2)
• infection of the skin at the site of needle puncture area patients
• with known allergies to any of the study drugs
• coagulopathy

Sponsors & Collaborators

• Kocaeli University: lead

Study Sites (1)

Kocaeli University

Kocaeli, Izmit, 41350, Turkey (Türkiye)

Location

Related Publications (3)

• Ivanusic J, Konishi Y, Barrington MJ. A Cadaveric Study Investigating the Mechanism of Action of Erector Spinae Blockade. Reg Anesth Pain Med. 2018 Aug;43(6):567-571. doi: 10.1097/AAP.0000000000000789.

  PMID: 29746445 BACKGROUND

• Hamed MA, Goda AS, Basiony MM, Fargaly OS, Abdelhady MA. Erector spinae plane block for postoperative analgesia in patients undergoing total abdominal hysterectomy: a randomized controlled study original study. J Pain Res. 2019 Apr 30;12:1393-1398. doi: 10.2147/JPR.S196501. eCollection 2019.

  PMID: 31118757 BACKGROUND

• De Cassai A, Geraldini F, Carere A, Sergi M, Munari M. Complications Rate Estimation After Thoracic Erector Spinae Plane Block. J Cardiothorac Vasc Anesth. 2021 Oct;35(10):3142-3143. doi: 10.1053/j.jvca.2021.02.043. Epub 2021 Feb 20. No abstract available.

  PMID: 33731296 RESULT

Related Links

• erector spinae plane block images

MeSH Terms

Conditions

Pain, Postoperative

Condition Hierarchy (Ancestors)

Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms

Study Officials

• engin MD çetin

  Kocaeli Universty

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: CROSS SECTIONAL
• Target Duration: 6 Months
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principal investigator

Study Record Dates

• First Submitted: November 23, 2021
• First Posted: August 24, 2022
• Study Start: January 1, 2022
• Primary Completion: July 1, 2022
• Study Completion: July 1, 2022
• Last Updated: November 10, 2022

Record last verified: 2022-11

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)