Clinical trial NCT05674006: Ultrasound Guided Sacral Erector Spina Plane Block as a Main Anesthetic Method
Official title: Ultrasound Guided Sacral Erector Spina Plane Block as a Main Anesthetic Method: Single Center Experience
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Anesthesia, Local
Keywords: Anesthesia
ESP
Sacral
Lead sponsor: Samsun University
Sponsor class: OTHER
First posted: 2023-01-06
Enrollment: 10
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: All ASA1-4 patients of age older than18 going for a sacral surgery

Brief summary: The goal of this retrospective observational study is to demonstrate investigators' experience of Ultrasound guided Sacral Erector Spina Plane Block as an anesthetic technique in patients underwent sacral plastic and reconstructive surgeries.

The main question\[s\] it aims to answer are:

* block indication, level
* results, side effects and complications

Detailed description: Erector Spina Plane Block is an interfascial plane block that is performed by injecting the local anesthetic solution between transverse process of the vertebra and erector spina muscle. It is found to be an inexpensive,easily applied, effective and safe technique for chronic pain.(1) Ultrasound guided Erector Spina Plane Block(ESP) is getting more and more widely used for analgesia and as an anesthetic technique.(2,3) Regional anesthesia techniques provide safer, more stable and advantageous anesthetic management, especially in high-risk patients. Ultrasound guided Sacral ESP is described by Tulgar et all.in 2019 and can be used either for analgesia or as an anesthetic technique. (4) In this retrospective study investigators planed to demonstrate one year of experience of this block for sacral plastic and reconstructive surgery. Demographic data of patients who underwent sacral surgery with sacral ESP block, indication of block, level of block, drug dose concentration, effect, side effect and results that were recorded will be analyzed.

Eligibility criteria: Inclusion Criteria:

* being going for a sacral surgery
* American Society of Anesthesiology status (ASA) 1 - 4

Exclusion Criteria:

* emergency
* ASA-5

Primary outcomes:
measure: Block success
timeFrame: up to 1 year
Secondary outcomes:
measure: Number and amount of required perioperative analgesic/anesthetic drugs
timeFrame: up to 2 hours
Other outcomes:
Locations:
city: Samsun
country: Turkey
facility: Samsun University
Study officials:
affiliation: Samsun University
name: Serkan Tulgar
role: STUDY_CHAIR
References:
citation: Unal Artik HA, Gulpinar TO, Halis A, Celebi N. Erector spinae plane block in chronic pain: a retrospective study. Turk J Med Sci. 2022 Aug;52(4):1408-1410. doi: 10.55730/1300-0144.5449. Epub 2022 Aug 10.
citation: Kaya C, Dost B, Tulgar S. Sacral Erector Spinae Plane Block Provides Surgical Anesthesia in Ambulatory Anorectal Surgery: Two Case Reports. Cureus. 2021 Jan 9;13(1):e12598. doi: 10.7759/cureus.12598.
citation: Ahiskalioglu A, Tulgar S, Celik M, Ozer Z, Alici HA, Aydin ME. Lumbar Erector Spinae Plane Block as a Main Anesthetic Method for Hip Surgery in High Risk Elderly Patients: Initial Experience with a Magnetic Resonance Imaging. Eurasian J Med. 2020 Feb;52(1):16-20. doi: 10.5152/eurasianjmed.2020.19224.
citation: Tulgar S, Senturk O, Thomas DT, Deveci U, Ozer Z. A new technique for sensory blockage of posterior branches of sacral nerves: Ultrasound guided sacral erector spinae plane block. J Clin Anesth. 2019 Nov;57:129-130. doi: 10.1016/j.jclinane.2019.04.014. Epub 2019 Apr 15. No abstract available.