NCT06580704

Lumbosacral Erector Spinae Plane Block Versus Psoas Muscle Compartment With Sciatic Nerve Block for Anesthesia for Unilateral Lower Limb Operations in Critically Ill Patients

Lumbosacral Erector Spinae Plane Block Versus Psoas Muscle Compartment With Sciatic Nerve Block for Anesthesia for Unilateral Lower Limb Operations in Critically Ill Patients: A Randomized Clinical Study

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 130 (actual)
• Sponsor: Tanta University · Academic / Other
• Sex: All
• Age: 18 Years – 65 Years
• Healthy volunteers: Not accepted

Summary

This study aims to compare lumbosacral erector spinae plane block and psoas muscle compartment with sciatic nerve block in unilateral lower limb operations in critically ill patients.

Detailed description

The lower limb surgeries are associated with acute postoperative pain and require long-term analgesia. Regional anesthesia is often used to prevent postoperative pain. Ultrasound-guided regional anesthetic approaches provide a simple intraoperative pathway that lowers pain scores with less impact on the respiratory or cardiovascular system. Psoas compartment block (PCB) is a peripheral regional technique of anesthesia, which provides a block of the main components of the lumbar plexus - the femoral, lateral cutaneous nerve of the femur and sciatic nerve. In combination with the sciatic nerve block, the psoas compartment block provides effective anesthesia of the entire lower extremity, with better hemodynamic stability. The erector Spinae plane block (ESPB) is a novel regional block technique primarily introduced in 2016 for managing severe neuropathic pain.

Conditions

• Lumbosacral
• Erector Spinae Plane Block
• Psoas Muscle Compartment Block
• Sciatic Nerve Block
• Anesthesia
• Unilateral
• Lower Limb
• Critically Ill Patients

Interventions

Type	Name	Description
DRUG	Lumbosacral Erector Spinae Plane Block	Patients will receive ultrasound-guided lumbosacral erector spinae plane block.
DRUG	Psoas Muscle Compartment With Sciatic Nerve Block	Patients will receive ultrasound-guided psoas muscle compartment with sciatic nerve block.

Timeline

• Start date: 2024-08-31
• Primary completion: 2025-03-26
• Completion: 2025-03-26
• First posted: 2024-08-30
• Last updated: 2025-04-15

Locations

1 site across 1 country: Egypt