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Erector Spinae Plane Block: For Pain Control in Patients Undergoing Flank Incision

Sponsor:
Collaborators:
Information provided by (Responsible Party):
Suzanne Merrill,Milton S. Hershey Medical Center
March 28, 2018
October 2, 2018
October 2, 2018
October 2018
February 28, 2020   (Final data collection date for primary outcome measure)
Pain scores using the Visual Analogue Pain Scale from zero pain to level ten pain[ Time Frame: Aggregate pain scores for average length of hospital stay which is 3 days ]
Data will be collected via the electronic medical record and begin following patient randomization. The Visual Analogue Scale pain scales will be administered and collected on Post Operative Days 1, 2 and 3.

Same as current
  • Patient Satisfaction Survey of Pain Control Over Time[ Time Frame: Post Operative Day One, date of discharge and clinic follow up visit 14 days postoperatively. ]
    Written questionnaire measuring impact of pain upon patient
 

Erector Spinae Plane Block: For Pain Control in Patients Undergoing Flank Incision

Erector Spinae Plane Block (ESPB): A New Technique for Perioperative Pain Control in Patients Undergoing Surgery Through a Flank Incision.

Using a randomized double-blinded study design, the study goal is to evaluate the superiority of Erector Spinae Plane block (ESPB) in the peri-operative pain management of patients undergoing surgery through a flank incision as compared to the standard of care of using IV and oral opiates.

40 subjects will be randomized in to 2 groups, with 20 in each group. - Group 1. Erector spinae plane block (ESPB) (containing Ropivacaine) - Group 2. Sham Erector spinae plane block. (SESPB) (with normal saline)
Interventional
Phase 4
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description:
Masking: Interventional
Masking Description:
Primary Purpose: Treatment
  • Drug: Ropivacaine
    Erector Spinae Block with ropivacaine infusion with standard of care analgesics for perioperative pain control
  • Drug: Normal saline
    Erector Spinae Block with saline infusion with standard of care analgesics for for perioperative pain control
  • Experimental: Ropivicaine
    Erector Spinae Block of 20ml 0.5% ropivicaine bolus, connected to a pump containing 0.2% ropivicaine receiving 15ml every 3 hrs.
  • Sham Comparator: Normal Saline
    Erector Spinae Block of 20ml normal saline placebo bolus, then connected to pump of normal saline receiving 15ml every 3 hrs.
 
Not yet recruiting
40
Same as current
February 28, 2020
February 28, 2020   (Final data collection date for primary outcome measure)
Inclusion Criteria: - Consenting adults age 18-85 - American Society of Anesthesiologists (ASA) Physical Status classification I to III - Planned to be hospitalized for at least 24 hours post-op - Cognitive capacity to use the visual analogic scale (VAS) and complete the patient satisfaction survey Exclusion Criteria: - Patient refusal - Patients with allergies to local anesthetics or opiates (hydromorphone or oxycodone) - Scoliosis - Patients with chronic pain syndromes or who are on chronic pain medications/other neurologic medication of more than 3 months or whom have neuromodulators/stimulators - Concurrent surgeries requiring additional incisions on the body
Sexes Eligible for Study: All
18 Years and older   (Adult, Older Adult)
No
United States
 
 
Yes
Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Plan to Share IPD: No
Suzanne Merrill,Milton S. Hershey Medical Center
Milton S. Hershey Medical Center
Principal Investigator: Suzanne B Merrill, M.D. Milton S. Hershey Medical Center
Principal Investigator: Sanjib Adhikary, M.D. Milton S. Hershey Medical Center
Milton S. Hershey Medical Center
September 2018

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP
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