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NCT Number: NCT06815146

The Effects of ESP Block and Mid-Transverse Process to Pleura Block on Postoperative Opioid Consumption and Quality of Recovery

Erector Spinae Area (ESP) Block and Mid-Transverse Process to Pleura Block(MTP) have recently been described for the treatment of pain after lumbar spinal surgery. Although these blocks have been shown to be effective in the treatment of pain after lumbar spinal surgery when compared with postoperative pain, they have not been compared in terms of the quality of recovery and opioid consumption after lumbar spinal surgery.

The aim of this clinical trial is to compare the effects of Erector Spinae Area (ESP) Block and Mid-Transverse Process to Pleura Block(MTP) on quality of recovery and opioid consumption in patients scheduled for lumbar spinal surgery. The effects of the 2 blocks on postoperative pain will also be compared and recorded.

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Key information

Conditions

Opioid Consumption Quality of Recovery(QoR-40), Preoperative and Postoperative

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Elective Lumbar Spinal surgery performed
ASA I-III
18-75 years old

Exclusion criteria

Refusal at enrollment
Request for withdrawal from the study
Inability to give informed consent
Emergency surgery
Bleeding diathesis
Presence of contraindications to the LA agents used in this study
Use of chronic opioids
Psychiatric disorders
Presence of infection at the injection site

Treatment and study plan

Numeretic rating scale (NRS)

Diagnostic Test

NRS is a pain intensity determination system based on the person being asked to describe their pain on a scale of 0 (none), 10 (unbearable pain) and a point between.

Quality of Results (QoR-40)

Diagnostic Test

Several rating scales have been developed to measure quality of recovery after surgery and anaesthesia, but the most extensively used is the QoR-40, a 40-item questionnaire that provides a global score and subscores across five dimensions: patient support, comfort, emotions, physical independence, and pain.

Opioid consuption

Other

Opioid consuption will be recorded from PCA

Primary outcomes

postoperative opioid consumption

Time frame: PCA results will be recorded at the 1st, 6th, 12th, 24th hours postoperatively.

The patient will be administered tramadol PCA every eight hours and recorded.

Secondary outcomes

quality of recovery

Time frame: 24 hours

The quality of recovery (QoR-40) of patients who underwent both ESP block and MTP block at the 24th hour postoperatively will be evaluated with a scoring system.

Study contacts

Contact information is provided by the study sponsor or research team.

Sinem Sarı, Prof Dr

CONTACT

[email protected]

90 256 220 2108

Sponsors and collaborators

Lead sponsor

Aydin Adnan Menderes University

Other

Registry information

Official study title

Comparison of the Effects of Erector Spinae Area (ESP) Block and Mid-Transverse Process to Pleura Block(MTP) on Postoperative Opioid Consumption and Quality of Recovery in Lumbar Spinal Surgery

Important dates

Study start: 2025
Primary completion: 2026
Study completion: 2026
First posted: Feb 7, 2025
Registry last updated: Feb 7, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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