Comparing ESP Block and Wound Infiltration for Pain Control After Laminectomy Surgery

What this Trial Is About

Researchers are evaluating the effectiveness of the Erector Spinae Plane Block ESPB compared to wound infiltration for managing pain in patients undergoing laminectomy surgery. This study focuses on improving perioperative pain control, which is often challenging in spinal surgery, as inadequate pain relief can delay recovery and increase complications. The ESPB targets nerves near the spine to provide localized pain relief and may enhance overall surgical outcomes. Participants are randomly assigned to one of two groups. One group receives an ESPB with a local anesthetic called ropivacaine before surgery, along with a saline wound infiltration. The other group receives an ESPB with saline and wound infiltration with ropivacaine. Both treatments are delivered using ultrasound guidance to ensure precise administration near the spine or surgical site. During the study, researchers will monitor participants pain levels at various times after surgery, including immediately at extubation and at 6, 12, and 24 hours post-surgery. They will also track the amount of tramadol pain medication used during the first 24 hours after surgery, time to first additional pain medication, and side effects such as nausea, respiratory depression, itching, and motor block. Patient satisfaction and opioid use during surgery will be evaluated. The study participation lasts through the first 24 hours after surgery for these assessments.

ESP Block Versus Wound Infiltration for Laminectomy