Clinical trial NCT06962085: Sacral Erector Spinae Plane Block in Transurethral Prostate Resection Surgery
Official title: Effect of Sacral Erector Spinae Plane Block on Postoperative Pain in Transurethral Prostate Resection Surgery
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: TURP(Transurethral Resection of Prostate)
Keywords: bilateral sacral intermedian crest block
hemodynamics
numerical pain scores
Quality of Recovery-15 (QoR-15T)
Lead sponsor: Adiyaman University
Sponsor class: OTHER
First posted: 2025-05-08
Enrollment: 60
Sex: MALE
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Two groups as Control and Block groups
Primary purpose: PREVENTION

Brief summary: The aim of this study is to investigate the effects of bilateral sacral erector spinae plane block on hemodynamic values, postoperative pain, analgesic use and patient satisfaction during operative period in Transurethral Prostate Resection surgeries under general anesthesia.

Detailed description: The study included patients who were planned to undergo transurethral prostate resection, were informed about the study, and agreed to participate in the study with their written consent, were over 18 years of age, and were in the ASA I-II risk group. Those who did not agree to participate in the study, patients under 18 years of age, and those in the ASA III-IV risk group were excluded from the study. Patients who agreed to participate in the study were divided into two groups using the sealed envelope method, and general anesthesia was applied to both groups. In the group where the block was to be applied, bilateral sacral erector spinae plane block was performed with local anesthetic (10 mL 0.25% bupivacaine + 5 mL 1% lidocaine) after the 3rd sacral intermedian crest was visualized with preoperative ultrasound. No additional intervention was performed on the patients in the control group other than the surgical procedure and general anesthesia. The hemodynamic values (noninvasive blood pressure, heart rate, peripheral oxygen saturation) of all patients during the operation, total opioid use (remifentanil) during the surgery, and NRS, nausea/vomiting and tramadol amounts at 0, 2, 4, 6, 12, and 24 hours postoperatively were recorded and the values were compared in both groups. Thus, it was aimed to evaluate the effects of sacral erector spinae plane block in transurethral prostate resection operations.

Eligibility criteria: Inclusion Criteria:

* Patients who were scheduled for transurethral prostate resection,
* Who agreed to participate in the study,
* Who were over 18 years old
* ASA I-II risk group

Exclusion Criteria:

* Patients who did not agree to participate in the study,
* Those under 18 years old
* ASA III-IV risk group

Primary outcomes:
measure: numerical pain score
timeFrame: 24 hours
measure: QoR-15T (Turkish) quality of recovery scale
timeFrame: 24 hours
Secondary outcomes:
measure: intraoperative opioid use
timeFrame: intraoperative
measure: Heart rate
timeFrame: During surgery
measure: postoperative opioid use
timeFrame: 24 hours
measure: Peripheral oxygen saturation
timeFrame: During surgery
measure: Mean arterial pressure
timeFrame: During surgery
Other outcomes:
Locations:
city: Merkez
country: Turkey
facility: Adıyaman University Faculty of Medicine Anesthesiology and Reanimation
state: Adiyaman
Study officials:
References: