The Effect of Erector Spina Plan Block Application Time on Postoperative Anxiety

Study Overview
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Brief Summary
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we aimed to compare the effect of preoperative awake or post-induction erector spina plane block on patient anxiety and recovery quality in patients who will undergo elective lumbar disc hernioplasty.

Detailed Description
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Postoperative recovery quality can be tested with the Quality of Recovery-40 (QoR-40) questionnaire. Preoperative anxiety can be detected through structured and standardized screening with the State-Trait Anxiety Inventory (STAI) I and II. In our study, 108 patients between the ages of 18-70 who were planned for lumbar disc hernioplasty will be included. Preoperative Quality of Recovery-40 (QoR40), STAI I and II scores (anxiety questionnaire) will be administered to each patient.The patients will be divided into two groups as preoperative ve intraoperative group. Erector spina plane block will be applied to preoperative group patients in the preoperative period. In the intraoperative group, erector spina plane block will be applied after anesthesia induction. The STAI and Quality of Recovery-40 (QoR40) questionnaire will be repeated postoperatively, the Numerical Rating Scale (NRS) and postoperative patient satisfaction will be measured.

Official Title
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The Effect of Erector Spina Plan Block Application Time on Postoperative Anxiety in Cases of Lumbar Disc Hernioplasty

Conditions
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Recovery of Postoperative

Intervention / Treatment
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* Other: preoperative erector spina plane block
* Other: intraoperative erector spina plane block


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18-70 years old American Society of Anesthesiologists score I-II-III Patients who can read and write Can speak Turkish language clearly Exclusion Criteria: Visual and hearing impaired Those with dementia Known serious heart, kidney and liver diseases Life-threatening hematological diseases Central and peripheral neurological diseases Psychiatric disorders History of allergy to amide type local anesthetics Infection in the block area Bleeding diathesis Morbidly obese (patients with BMI 40 and above) A history of narcotic drug use within 24 hours before the operation Those with narcotic substance and alcohol addiction related to chronic pain Patients who refused to participate in the study

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: preoperative group<br>Erector spina plane block will be applied to preoperative group patients in the preoperative period. | Other: preoperative erector spina plane block<br>* Erector spina plane block will be applied to preoperative group patients in the preoperative period.<br>|
| Active Comparator: intraoperative group<br>In the intraoperative group, erector spina plane block will be applied after anesthesia induction. | Other: intraoperative erector spina plane block<br>* In the intraoperative group, erector spina plane block will be applied after anesthesia induction.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The quality of postoperative functional recovery (QoR-40) score | The quality of postoperative functional recovery will assess using the QoR-40, which assesses physical comfort (12 items), emotional state (9 items), physical independence (5 items), psychological support (7 items), and pain (7 items). Each item is rated on a 5-point Likert scale: none of the time, some of the time, usually, most of the time, and all the time. The total score ranges from 40 (poorest quality of recovery) to 200 (the best quality of recovery). The QoR-40 will administer one day before surgery in outpatient clinics of anesthesiology, and before discharge from hospital on the first postoperative day. | 24 hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Spielberg State-Trait Anxiety Inventory (STAI) score | The test scores between 20 and 80, with higher scores indicating more generalized and stronger anxiety. Preoperative and postoperative STAI I score questions will be asked. | 4 hours | 
| Numerical Rating Scale (NRS) | 11-point numerical rating scale for pain (0='no pain' and 10='worst pain possible pain') were explained. | 24 hours | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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block timing, quality of recovery, erector spina plan block