Erector Spinae Block Vs Ketamine-based Multimodal Analgesia Protocol in Lumber Decompressive Surgery

Launched by KASR EL AINI HOSPITAL · Jun 2, 2025

Keywords

ClinConnect Summary

This clinical trial is looking at two different methods to help manage pain after spine surgery, specifically lumbar decompression surgery. The study will compare the effectiveness of a technique called the erector spinae plane block (ESPB) with a pain relief approach that includes ketamine and other medications. The goal is to see which method helps patients recover better after their surgery.

To be eligible for this trial, participants should be between the ages of 18 and older and scheduled for open lumbar decompression surgery for conditions like spinal stenosis or trauma affecting one or two levels of the spine. Some people may not qualify if they have certain health problems, a history of opioid abuse, or allergies to the study medications. If someone joins the study, they will receive either the ESPB or the ketamine-based treatment and will be monitored for their recovery and pain levels to help determine which option is more effective.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • American Society of Anesthesiologists (ASA) status of I-III
• • scheduled for open lumber decompression surgery for degenerative stenosis or trauma involving 1or 2 levels without fusion.
• Exclusion Criteria:
• • Refusal to participate
• • Contraindication for peripheral regional anesthesia such as infection and coagulopathy.
• • Inability to comprehend the Numeric Rating Scale (NRS) or Patients who has cognitive function impairment
• • Preoperative renal or hepatic insufficiency
• • History of Opioid abuse.
• • Allergy to any of the study drugs