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Comparison Between 2 Techniques for Lumbar-ESPB
Sponsor: Papa Giovanni XXIII Hospital
Summary
Diffusion of local anesthetics after a lumbar ESPB within fascial planes towards nerve structures is a matter of debate. The main objective of the study is to compare the incidence of sensory block between two techniques of needle placement (superficial or translaminar) during lumbar ESPB block. Patients are treated with lumbar ESPB (randomized to superficial or translaminar), spinal anesthesia and multimodal analgesia. The primary endpoint will be the incidence of numbness/reduced skin sensitivity to cold (ice test) in the area innervated by the lumbar plexus. Secondary outcomes are pain and analgesic's consumption, motor block, quality of recovery and discharge ability.
Official title: Regional Anesthesia in Hip Arthroplasty- Comparison Between Two Techniques for Erector Spinae Plane Block
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
44
Start Date
2025-08-11
Completion Date
2026-06-20
Last Updated
2025-08-11
Healthy Volunteers
No
Conditions
Interventions
spinal anesthesia
spinal anesthesia at L3-L4 plain bupivacaine 0.5% 2.2 ml
superficial erector spinal plane block (ESPB)
Lidocaine 1% + ropivacaine 0.25% 30 ml with adrenaline 1:200.000 on top of L3 transverse process, between bone and erector spinae muscle
deep (inter laminar) erector spinal plane block (ESPB)
Lidocaine 1% + ropivacaine 0.25% 30 ml with adrenaline 1:200.000 between L3 and L4 transverse process, between erector spinae muscle and deep muscles
Dexamethasone
8 mg iv preoperatively
Ibuprofen 400 mg
preoperatively and postoperatively (every 8 hours)
Paracetamol
1000 mg preoperatively and postoperatively (every 8 hours)
Morphine
Patient Controlled Analgesia
Locations (1)
Aast Papa Giovanni Xxiii
Bergamo, Italy