ISP Nerve Block for Postoperative Pain

This trial explores a new method for managing pain after neck surgery. Participants will receive either standard pain medications or standard medications plus a nerve block, specifically the Inter-semispinalis Plane Block. This procedure numbs certain nerves and may reduce pain. The goal is to determine if the nerve block can decrease medication use, lessen pain, and shorten hospital stays. Individuals undergoing neck surgery from C2 to T3 who can provide consent might be suitable candidates. As an unphased trial, this study offers a unique opportunity to contribute to innovative pain management strategies.

The trial does not specify if you need to stop taking your current medications, but you cannot participate if you are on medication-assisted treatments like buprenorphine, naltrexone, or methadone.

Research has shown that the Inter-semispinalis Plane (ISP) Block is generally safe for patients and effectively reduces pain after neck surgery, potentially decreasing the need for strong painkillers like opioids.

One study highlighted that the ISP Block provides pain relief and is safe to use. Another study noted that patients experienced less pain and required fewer pain medications after receiving the ISP Block.

Researchers are excited about the inter-semispinalis plane (ISP) block for managing postoperative pain because it offers a novel way to target nerves directly in the back of the neck using ultrasound guidance. Unlike traditional methods that rely heavily on medications like opioids, acetaminophen, and anti-inflammatories, this technique uses a precise injection of Bupivacaine, a local anesthetic, combined with Dexamethasone, an anti-inflammatory steroid, to potentially reduce pain more effectively and with fewer side effects. This direct nerve block approach could lead to quicker pain relief and a reduction in the need for systemic medications, which often come with a host of unwanted side effects.

This trial will compare Routine Pain Management with and without the addition of an Inter-semispinalis Plane (ISP) Block for postoperative pain. Research has shown that the ISP Block effectively manages pain after neck surgery. Studies have found that this method can reduce the need for opioids, which are strong painkillers. Patients who received the ISP block reported feeling less pain and required fewer medications after their surgery. The ISP block also aids in faster recovery and is considered safe. Overall, it appears to provide better pain relief compared to standard pain management alone.¹²⁶⁷⁸