NCT05982483

Erector Spinae Plane Block vs. Usual Care for ED Patients With Mechanical Back Pain

Erector Spinae Plane Block vs. Usual Care for ED Patients With Mechanical Back Pain: A Randomized Controlled Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 30 (actual)
• Sponsor: Island Health · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

The goal of this clinical trial is to compare the Erector Spinae plane (ESP) block, a nerve block, to usual care in emergency department patients with back pain. The main question it aims to answer: Is the ESP block superior to usual care in the treatment of back pain in the emergency department? Participants will be randomly assigned to the ESP or the usual care group. Pain improvement at the time of emergency department discharge will be compared.

Conditions

• Back Pain

Interventions

Type	Name	Description
PROCEDURE	Erector Spinae plane block using 20 ml of bupivicaine 0.25%	Utilizing the in line approach, a 22 gauge 3.5" spinal needle was guided the the tip of the transverse process corresponding to the area of maximal tenderness or central to the reported area of spasm. 1% lidocaine with epinephrine was used for skin anaesthesia and for hydro-localization of the needle tip on approach to the tip of the transverse process. Once the needle tip made contact with the transverse process, 2-3 ml of 1% lidocaine with epinephrine was injected to open the ESP plane. If there was no reported tachycardia after approximately 45 seconds, 20 ml of 0.25% bupivicaine was injected into the ESP plane.
DRUG	Usual care	Analgesia as dictated by the treating emergency physician

Timeline

• Start date: 2019-09-08
• Primary completion: 2023-01-16
• Completion: 2023-01-16
• First posted: 2023-08-08
• Last updated: 2023-08-08

Locations

1 site across 1 country: Canada