The Comparison of Analgesia Methods Used for Spinal Surgery

• Status: Recruiting
• Trial end date: 2022-02-04
• Target enrollment: 0
• Participant gender: All

Summary

In this study ; Two randomized groups will be created. Iv magnesium will be given to one of the blindly designated groups. The other group will be given only isotonic. All patients will be awakened after the analgesic agents (0,1mg / kg morphine, 15mg / kg paracetamol, nsaid) are used in routine practice and will be followed up for intensive care.

The use of PCA (patient controlled analgesia) device is available in both groups.In post-operative period, magnesium infusion will be continued for 12 h. Only 100cc isotonic will be given without using magnesium to the other group. VAS (visual analog scale) score will be recorded at postoperative 30. minutes and 2,6,12,18,24 hours. In routine administration, the patient should be given 2 mg of morphine if vas>4 and the maximum dose will be increased to 10 mg.

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Istanbul University

Criteria

Inclusion Criteria:

• 18 -75 years old

• Patients with posterior instrumentation surgery of 3 or more levels under general anesthesia with a cobb angle of 40 degrees and above

• Patients who will be awakened after the surgery is completed and intensive care follow-up

• Patients with ASA classification 1-3

• Patients with creatine value <1.3 g / dl

Exclusion Criteria:

• Having a history of chronic neuropathic pain

• Having a psychiatric illness

• Patients who should not be awakened after surgery but should be followed up intubated and sedated

• Patients who cannot provide adequate cooperation for scoring

• Patients with chronic opioid use and / or substance use

• Patients with ASA classification> 3

• Patients with a creatinine value of 1.3 g / dl and higher