Ultrasound-Guided Superficial Cervical Plexus Block or Cervical Erector Spinae Block for Anterior Cervical Spine Surgery
Study Details
Study Description
Brief Summary
• Neck pain and stiffness or sore throat, are common after anterior cervical spine surgery. Complications are rare but can be serious and even potentially life-threatening if they do occur. Rapid recovery and emergence from general anesthesia are important in cases of anterior cervical spine surgery.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
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Null hypothesis (H0): No difference between the regional analgesia effects of bilateral ultrasound-guided superficial cervical plexus block and bilateral cervical erector spinae block in patients undergoing anterior cervical spine surgery under general anesthesia.
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Alternative hypothesis (H1): There are differences between the regional analgesia effects of bilateral ultrasound-guided superficial cervical plexus block and bilateral cervical erector spinae block in
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Active Comparator: Superficial cervical group patients will receive bilateral ultrasound guided superficial cervical plexus block using 15 ml of bupivacaine 0.25% for each side. |
Procedure: Superficial cervical plexus block
patients will receive bilateral ultrasound guided superficial cervical plexus block using 15 ml of bupivacaine 0.25% for each side.
|
| Active Comparator: Erector spinae group patients will receive bilateral ultrasound guided cervical erector spinae plane block using 15 ml of bupivacaine 0.25% for each side at the level of C6. |
Procedure: Cervical Erector spinae block
patients will receive bilateral ultrasound guided cervical erector spinae plane block using 15 ml of bupivacaine 0.25% for each side at the level of C6.
|
Outcome Measures
Primary Outcome Measures
- Total intra-operative fentanyl consumption [intra-operative]
Total intra-operative fentanyl consumption by ug excluding induction dose.
Secondary Outcome Measures
- The time to first call to rescue analgesia [24 hour postoperative]
The time to first call to rescue analgesia (nalbuphine) the time between the end of surgery to first report of postoperative pain. will be recorded.
- The total amount of nalbuphine [24 hour postoperative]
The total amount of nalbuphine given to each patient during the first 24h of postoperative period will be recorded
- Pain intensity [up to 24hs postoperative]
2. Pain intensity using Visual Analouge Scale (VAS) (11). A commonly used visual analog scale is a 10-cm line labeled with "worst pain imaginable" on the right border and "no pain" on the left border. The patient is instructed to make a mark along the line to represent the intensity of pain currently being experienced. VAS score will be assessed at 30 minutes, 2hs, 4hs, 6hs, 12hs, and 24hs postoperative and IV increment of 15mg nalbuphine (rescue analgesic) will be given if VAS≥4.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patient acceptance.
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Age (21-60) years old.
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Both sex
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American Society of Anesthesiologist physical status I / II
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Elective anterior cervical spine surgery under general anesthesia.
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patient With Body Mass Index (BMI) (25-35kg/m²)
Exclusion Criteria:
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Local infection at site of puncture.
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Altered mental status.
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History of allergy to study drugs ( bupivacaine, fentanyl).
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Patients with chronic pain.
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Patients with severe hepatic or kidney impairment.
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Patients having a history of hematological disorders, including coagulation abnormality.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Faculty of Human Medicine, Zagazig University | Zagazig | Egypt |
Sponsors and Collaborators
- Zagazig University
Investigators
- Principal Investigator: Alshaimaa Kamel, MD., Zagazig University, Faculty of Human Medicine
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 9790