Multifidus Cervicis versus Inter-Semispinal Blocks for Pain Relief
Multifidus Cervicis and Inter-Semispinal Plane Blocks in Analgesia After Cervical Spine Surgery
Recruiting
N/AInterventional Study
Cervical Spine Surgery
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At a Glance
Age
21 – 60
Sex
Any
Study type
Interventional
Purpose
Treatment
Participants needed
105 (estimated)
Sponsor
Zagazig University · Government
Who this trial is looking for
This trial is looking for adults aged 21 to 60 who are having elective surgery on their neck. Participants will receive two different types of pain relief to see which one works better after the surgery.
Are You a Good Fit for This Trial?
You may be able to join if
I am between 21 and 60 years old.
I have a BMI of 30 or less.
I am in ASA physical status I or II.
I am undergoing elective posterior cervical spine surgery.
I accept to take part in this trial.
You may not be able to join if
I am allergic to the local anesthetic agents used in this study.
I have a skin lesion where the needle would be inserted.
I have a bleeding disorder.
I have sepsis.
I have liver disease.
I have a psychiatric disorder.
I have a history of chronic pain or regularly take analgesics.
I have a history of cognitive dysfunction or mental illness.
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
Think this trial could be right for you?
Answer a few quick questions to see if you may meet the eligibility requirements.
Major spine surgery with multilevel instrumentation is followed by a large amount of opioid consumption, significant pain, and difficult mobilization Pain is one of the main factors limiting ambulation, increasing the risk of thromboembolism by immobility, and causing metabolic changes that affect other systems. Therefore, individualized pain management with the use of appropriate analgesic techni…
Major spine surgery with multilevel instrumentation is followed by a large amount of opioid consumption, significant pain, and difficult mobilization Pain is one of the main factors limiting ambulation, increasing the risk of thromboembolism by immobility, and causing metabolic changes that affect other systems. Therefore, individualized pain management with the use of appropriate analgesic techniques is of paramount importance. Moreover, early intervention in rehabilitation aiming at a better postoperative recovery may reduce the length of hospital stay and return to daily activity. Effective pain management is one of the crucial components in enhanced recovery after surgery (ERAS).
Numerous regional anesthetic techniques have been used to provide analgesia following cervical spine surgery, including patient-controlled epidural analgesia, cervical paravertebral block, cervical plexus block, cervical erector spinae plane blocks, and local infiltration analgesia, however, each of these techniques has specific limitations that prevent them from being the analgesic technique of choice for such surgeries.
Up to the author's knowledge, there is no study done to compare multifidus cervicis plane block versus inter-semispinal plane block in a randomized controlled clinical trial as preemptive analgesia in patients undergoing cervical spine surgery.
Trial Locations
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Eligibility Criteria
Inclusion Criteria:
* Patient acceptance.
* Age 21-60 years old.
* BMI ≤ 30 kg/m2
* ASA I - II.
* Elective posterior cervical spine surgery under general anesthesia.
Exclusion Criteria:
* History of allergy to the LA agents used in this study
* Skin lesion at the needle insertion site…
Inclusion Criteria:
* Patient acceptance.
* Age 21-60 years old.
* BMI ≤ 30 kg/m2
* ASA I - II.
* Elective posterior cervical spine surgery under general anesthesia.
Exclusion Criteria:
* History of allergy to the LA agents used in this study
* Skin lesion at the needle insertion site,
* Those with bleeding disorders, sepsis, liver disease, and psychiatric disorders
* History of chronic pain and taking analgesics
* History of cognitive dysfunction or mental illness
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