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Efficacy of the Erector Spinae Plane Block for Lumbar Spinal Surgery: A Retrospective Study

STUDY DESIGN: A retrospective study. PURPOSE: The first research on the erector spinae plane (ESP) block was published in 2016. To our knowledge, no cohort studies or randomized controlled trials of the ESP block were performed in 2016 and 2017. OVERVIEW OF LITERATURE: This study retrospectively inv...

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Autores principales: Ueshima, Hironobu, Inagaki, Mayumi, Toyone, Tomoaki, Otake, Hiroshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Spine Surgery 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454283/
https://www.ncbi.nlm.nih.gov/pubmed/30424594
http://dx.doi.org/10.31616/asj.2018.0114
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author Ueshima, Hironobu
Inagaki, Mayumi
Toyone, Tomoaki
Otake, Hiroshi
author_facet Ueshima, Hironobu
Inagaki, Mayumi
Toyone, Tomoaki
Otake, Hiroshi
author_sort Ueshima, Hironobu
collection PubMed
description STUDY DESIGN: A retrospective study. PURPOSE: The first research on the erector spinae plane (ESP) block was published in 2016. To our knowledge, no cohort studies or randomized controlled trials of the ESP block were performed in 2016 and 2017. OVERVIEW OF LITERATURE: This study retrospectively investigated the efficacy of the ESP block in pain management after lumbar spinal surgery. METHODS: Patients who underwent lumbar spinal surgery in 2017 were enrolled in the study. Those who underwent secondary surgery with local anesthesia other than the ESP block were excluded. The primary outcome was the Numerical Rating Scale (NRS) pain score at various time points until the morning of postoperative day 2. The secondary outcomes were the amount of intravenous fentanyl administered during the first 24 hours following the surgery and the number of patients with complaints of complications such as nausea and vomiting until the morning of postoperative day 2. RESULTS: The data of 41 patients undergoing lumbar spinal surgery were retrospectively analyzed. Of these, 23 received only general anesthesia (G group), whereas the other 18 patients received the ESP block in addition to general anesthesia (E group). The NRS pain scores and the amount of fentanyl administered were lower in the G group than in the E group at all measured time points (all data were less than p<0.05). There was no significant difference in the incidence of complications between the two groups (p=0.11). CONCLUSIONS: The ESP block provides effective postoperative analgesic effect for 24 hours in patients undergoing lumbar spinal surgery.
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spelling pubmed-64542832019-04-19 Efficacy of the Erector Spinae Plane Block for Lumbar Spinal Surgery: A Retrospective Study Ueshima, Hironobu Inagaki, Mayumi Toyone, Tomoaki Otake, Hiroshi Asian Spine J Clinical Study STUDY DESIGN: A retrospective study. PURPOSE: The first research on the erector spinae plane (ESP) block was published in 2016. To our knowledge, no cohort studies or randomized controlled trials of the ESP block were performed in 2016 and 2017. OVERVIEW OF LITERATURE: This study retrospectively investigated the efficacy of the ESP block in pain management after lumbar spinal surgery. METHODS: Patients who underwent lumbar spinal surgery in 2017 were enrolled in the study. Those who underwent secondary surgery with local anesthesia other than the ESP block were excluded. The primary outcome was the Numerical Rating Scale (NRS) pain score at various time points until the morning of postoperative day 2. The secondary outcomes were the amount of intravenous fentanyl administered during the first 24 hours following the surgery and the number of patients with complaints of complications such as nausea and vomiting until the morning of postoperative day 2. RESULTS: The data of 41 patients undergoing lumbar spinal surgery were retrospectively analyzed. Of these, 23 received only general anesthesia (G group), whereas the other 18 patients received the ESP block in addition to general anesthesia (E group). The NRS pain scores and the amount of fentanyl administered were lower in the G group than in the E group at all measured time points (all data were less than p<0.05). There was no significant difference in the incidence of complications between the two groups (p=0.11). CONCLUSIONS: The ESP block provides effective postoperative analgesic effect for 24 hours in patients undergoing lumbar spinal surgery. Korean Society of Spine Surgery 2019-04 2018-11-15 /pmc/articles/PMC6454283/ /pubmed/30424594 http://dx.doi.org/10.31616/asj.2018.0114 Text en Copyright © 2019 by Korean Society of Spine Surgery This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Ueshima, Hironobu
Inagaki, Mayumi
Toyone, Tomoaki
Otake, Hiroshi
Efficacy of the Erector Spinae Plane Block for Lumbar Spinal Surgery: A Retrospective Study
title Efficacy of the Erector Spinae Plane Block for Lumbar Spinal Surgery: A Retrospective Study
title_full Efficacy of the Erector Spinae Plane Block for Lumbar Spinal Surgery: A Retrospective Study
title_fullStr Efficacy of the Erector Spinae Plane Block for Lumbar Spinal Surgery: A Retrospective Study
title_full_unstemmed Efficacy of the Erector Spinae Plane Block for Lumbar Spinal Surgery: A Retrospective Study
title_short Efficacy of the Erector Spinae Plane Block for Lumbar Spinal Surgery: A Retrospective Study
title_sort efficacy of the erector spinae plane block for lumbar spinal surgery: a retrospective study
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454283/
https://www.ncbi.nlm.nih.gov/pubmed/30424594
http://dx.doi.org/10.31616/asj.2018.0114
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