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Trial registered on ANZCTR
Registration number
ACTRN12619001763134p
Ethics application status
Submitted, not yet approved
Date submitted
16/11/2019
Date registered
11/12/2019
Date last updated
11/12/2019
Date data sharing statement initially provided
11/12/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
Analgesic effect of Erector spinae plane block (ESPB) for the operation of lumbar disc herniation
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Scientific title
Assessment of ultrasound-guided erector spinae plane block for intraoperative and postoperative analgesia in lumbar disc hernia surgery
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Secondary ID [1]
295666
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
surgical wound pain relief
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lumbar disc hernia surgery
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Condition category
Condition code
Anaesthesiology
313537
313537
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0
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Pain management
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Musculoskeletal
313829
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0
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Erector spinae plane (ESP) block Technique: It is a single shot technique performed by an anesthetist ( one of the investigators) at the beginning of the surgical procedure in the operation room. An in-plane approach in the prone position will be attempted under the ultrasound guidance. Using a 6- to 15-MHz high-frequency linear probe, Erector spinae (ES) muscles will be visualized at the L3 transverse process 22g needle will be used to locate ES, after saline test dose 0.25% bupivacaine (20 mL per side) will be administered. This ESP block is monitored in the recovery room and assessed how effective in providing postoperative pain relief in lumbar disc hernia surgery.
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Intervention code [1]
316092
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Prevention
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Comparator / control treatment
The erector spinae plane (ESP) block will not be applied to the control group. Remifentanil (0.25 â 0.5 mcg kg-1 min) will be used for intraoperative analgesia. Tramadol (1 mg kg-1) and paracetamol (1g) will be used for postoperative analgesia.
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Control group
Active
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Outcomes
Primary outcome [1]
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The primary aim of this study is to assess the pain scores at either rest or motion are assessed by 10-point VAS.
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Assessment method [1]
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Timepoint [1]
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Post anesthesia care unit and at 24 hours are assessed by 10-point VAS
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Secondary outcome [1]
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The secondary aim of this study is to assess the effect of ESP block on postoperative opioid consumtion by checking patient controlled analgesia
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Assessment method [1]
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Timepoint [1]
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Postanesthesia care unit and at 24 hours is by patient-controlled analgesia device
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Eligibility
Key inclusion criteria
ASA 1-2 for lumbar disc hernia surgery under general anesthesia between the age of 18-75 yrs.
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Minimum age
18
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
The patient does not want to participate in the study
Under 18 and over 75
People with coagulopathy
Antiaggregant and anticoagulant drug users
Pregnancy
Breast-feeding
Prior to having had spine surgery
Diagnosed with malignancy
Metastasis in the spine
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
The data will be analysed using the following methods: differences between the
continuous variables by the âtâ-test; categorical variables by Fisher's exact test. For data without normal distribution, Mann Whitney U test was performed. Ratios were compared using Chi Square. Categorical variables were compared using Fisher exact test. A p-value of<0.05 was considered statistically significant.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
2/01/2020
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Actual
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Date of last participant enrolment
Anticipated
2/06/2020
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Actual
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Date of last data collection
Anticipated
30/06/2020
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
22120
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Turkey
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State/province [1]
22120
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Erzurum
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Funding & Sponsors
Funding source category [1]
300246
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Hospital
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Name [1]
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University Of Health Sciences Erzurum Regional Education and Research Hospital
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Address [1]
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Atatürk neighborhood, Çat yolu Street, Palandöken/Yakutiye/Erzurum, 25070
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Country [1]
300246
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Turkey
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Primary sponsor type
Hospital
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Name
University Of Health Sciences Erzurum Regional Education and Research Hospital
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Address
Atatürk neighborhood, Çat yolu Street, Palandöken/Yakutiye/Erzurum, 25070
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Country
Turkey
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
304541
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
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University of Health Sciences Erzurum Regional Education and Research Hospital Ethics Committee
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Ethics committee address [1]
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Atatürk neighborhood, Çat yolu Street, Palandöken/Yakutiye/Erzurum, 25070
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Ethics committee country [1]
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Turkey
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Date submitted for ethics approval [1]
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12/11/2019
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Approval date [1]
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Ethics approval number [1]
301069
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Summary
Brief summary
The study will be conducted at the University of Health Sciences Erzurum Regional Education and Research Hospital with patients who are scheduled for elective lumbar disc hernia surgery. This study aimed to evaluate the effect of erector spinae plane (ESP) block on postoperative pain levels. Efficiency is assessed by pain score, analgesic use, and other outcomes.
We hypothesize; that ultrasound-guided ESP block in lumbar disc hernia operation will reduce postoperative pain level.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Mr yasin taskaldiran
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Address
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Health Sciences University Erzurum Regional Training and Research Hospital, Çat yolu Street/Yakutiye, Erzurum, 25070
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Country
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Turkey
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Phone
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+0905342525487
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Fax
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Email
85774
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[email protected]
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Contact person for public queries
Name
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Mr yasin taskaldiran
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Address
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Health Sciences University Erzurum Regional Training and Research Hospital, Çat yolu Street/Yakutiye, Erzurum, 25070
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Country
85775
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Turkey
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Phone
85775
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+0905342525487
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Fax
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Email
85775
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[email protected]
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Contact person for scientific queries
Name
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Mr yasin taskaldiran
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Address
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Health Sciences University Erzurum Regional Training and Research Hospital, Çat yolu Street/Yakutiye, Erzurum, 25070
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Country
85776
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Turkey
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Phone
85776
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+0905342525487
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Fax
85776
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Email
85776
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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