Comparison of Ultrasound-guided Bilateral ESP Block and Wound Infiltration for Spinal Surgical Analgesia

Study Overview
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Brief Summary
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The aim of our study is to determine the superior procedure in analgesia management by comparing the traditional wound infiltration technique with the ultrasound-guided bilateral erector spina plan block technique in spinal surgery patients.

Detailed Description
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Patients in ASA I-II-III risk group aged 18-80 who will undergo spinal surgery by Trakya University Faculty of Medicine, Brain and Nerve Surgery will be included. In this study, patient data will be collected in the form of file scanning. Intra-operative; hemodynamic data of patients; heart rate, blood pressure values, anesthetic and other drugs applied, surgery and anesthesia durations will be written from the anesthesia document after the operation is over. In the study, the application preferred by the anesthesiologist for the patient will not be intervened. The patients will be divided into three groups; wound infiltration technique was applied, ultrasound-guided bilateral erector spina plan block technique was applied and both techniques were applied together. After the operation; pain values will be calculated by VAS at the 1st, 2nd, 4th, 6th, 12th and 24th hours of the patients. The patient's length of stay, satisfaction (excellent, good, moderate, poor) and methods used for analgesia will be recorded. With the results collected in our study, it will be determined which procedure is superior in pain management for spine surgery.

Official Title
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Comparison of Ultrasound-guided Bilateral Erector Spinae Plane Block and Wound Infiltration for Spinal Surgical Analgesia

Conditions
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Pain, Postoperative, Spinal Disease, Anesthesia, Local, Anesthesia, Regional

Intervention / Treatment
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* Other: Visual Analog Score
* Other: patient satisfaction


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Undergoing elective spine surgery No contraindication to the technique to be applied Not pregnant Being over the age of 18 Exclusion Criteria: Undergoing emergency spine surgery There is an obstacle to the technical process to be applied Pregnant patients Patients younger than 18 years old

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| wound infiltration analgesia<br>25 patients who underwent wound infiltration analgesia | Other: Visual Analog Score<br>* The VAS is a widely used tool in research and clinical practice, and its reliability and validity in pain assessment has been clearly demonstrated. It consists of a 100 mm line. 0 cm no pain, 10 cm is associated with 'worst possible pain'. The patient is asked to mark the line to 'score' the pain. VAS values of 1cm - 3cm weak, 4cm - 6cm moderate, and >7cm are the indicators of severe pain.<br>* Other names: VAS;Other: patient satisfaction<br>* The patient's satisfaction with postoperative pain treatment will be recorded. 4 options; excellent, good, medium and bad.<br>|
| ultrasound-guided bilateral erector spina plan block analgesia<br>25 patients who underwent ultrasound-guided bilateral erector spina plan block analgesia | Other: Visual Analog Score<br>* The VAS is a widely used tool in research and clinical practice, and its reliability and validity in pain assessment has been clearly demonstrated. It consists of a 100 mm line. 0 cm no pain, 10 cm is associated with 'worst possible pain'. The patient is asked to mark the line to 'score' the pain. VAS values of 1cm - 3cm weak, 4cm - 6cm moderate, and >7cm are the indicators of severe pain.<br>* Other names: VAS;Other: patient satisfaction<br>* The patient's satisfaction with postoperative pain treatment will be recorded. 4 options; excellent, good, medium and bad.<br>|
| wound infiltration and ultrasound-guided bilateral erector spina plan block analgesia both together<br>25 patients who underwent wound infiltration and ultrasound-guided bilateral erector spina plan block analgesia | Other: Visual Analog Score<br>* The VAS is a widely used tool in research and clinical practice, and its reliability and validity in pain assessment has been clearly demonstrated. It consists of a 100 mm line. 0 cm no pain, 10 cm is associated with 'worst possible pain'. The patient is asked to mark the line to 'score' the pain. VAS values of 1cm - 3cm weak, 4cm - 6cm moderate, and >7cm are the indicators of severe pain.<br>* Other names: VAS;Other: patient satisfaction<br>* The patient's satisfaction with postoperative pain treatment will be recorded. 4 options; excellent, good, medium and bad.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual Analog Score | It consists of a 100mm line. 0cm no pain, 10cm is associated with 'worst possible pain'. The patient is asked to mark a line to 'score' the pain. VAS values of 1cm-3cm weak, 4cm-6cm moderate, and >7cm are the indicators of severe pain.After the operation; pain values will be calculated by VAS at the 1st, 2nd, 4th, 6th, 12th and 24th hours of the patients. | postoperative 24 hours score change | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| patient satisfaction | The patient's satisfaction with postoperative pain treatment will be recorded. 4 options; excellent, good, medium and bad. | postoperative 24 hours score change | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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ultrasound-guided bilateral erector spina plane block, wound infiltration analgesia, spinal surgery