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Erector Spinae Plane Block for Perioperative Analgesia after Percutaneous Nephrolithotomy

Erector spinae plane block was recently introduced as an alternative to postoperative analgesia in surgical procedures including thoracoscopies and mastectomies. There are no clinical trials regarding erector spinae plane block in percutaneous nephrolithotomy. The aim of our study was to test the ef...

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Autores principales: Bryniarski, Piotr, Bialka, Szymon, Kepinski, Michal, Szelka-Urbanczyk, Anna, Paradysz, Andrzej, Misiolek, Hanna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8036507/
https://www.ncbi.nlm.nih.gov/pubmed/33807296
http://dx.doi.org/10.3390/ijerph18073625
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author Bryniarski, Piotr
Bialka, Szymon
Kepinski, Michal
Szelka-Urbanczyk, Anna
Paradysz, Andrzej
Misiolek, Hanna
author_facet Bryniarski, Piotr
Bialka, Szymon
Kepinski, Michal
Szelka-Urbanczyk, Anna
Paradysz, Andrzej
Misiolek, Hanna
author_sort Bryniarski, Piotr
collection PubMed
description Erector spinae plane block was recently introduced as an alternative to postoperative analgesia in surgical procedures including thoracoscopies and mastectomies. There are no clinical trials regarding erector spinae plane block in percutaneous nephrolithotomy. The aim of our study was to test the efficacy and safety of erector spinae plane block after percutaneous nephrolithotomy. We analyzed 68 patients, 34 of whom received erector spinae plane block. The average visual analogue scale score 24 h postoperatively was the primary endpoint. The secondary endpoints were nalbuphine consumption and the need for rescue analgesia. Safety measures included the mean arterial pressure, Ramsey scale score, and rate of nausea and vomiting. The visual analogue scale, blood pressure, and Ramsey scale were assessed simultaneously at 1, 2, 4, 6, 12, and 24 h postoperatively. The average visual analogue scale was 2.9 and 3 (p = 0.65) in groups 1 (experimental) and 2 (control), respectively. The visual analogue scale after 1 h postoperatively was significantly lower in the erector spinae plane block group (2.3 vs. 3.3; p = 0.01). The average nalbuphine consumption was the same in both groups (46 mL vs. 47.2 mL, p = 0.69). The need for rescue analgesia was insignificantly different in both groups (group 1, 29.4; group 2, 26.4%; p = 1). The mean arterial pressure was similar in both groups postoperatively (91.8 vs. 92.5 mmHg; p = 0.63). The rate of nausea and vomiting was insignificantly different between the groups (group 1, 17.6%; group 2, 14.7%; p = 1). The median Ramsey scale in all the measurements was two. Erector spinae plane block is an effective pain treatment after percutaneous nephrolithotomy but only for a very short postoperative period.
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spelling pubmed-80365072021-04-12 Erector Spinae Plane Block for Perioperative Analgesia after Percutaneous Nephrolithotomy Bryniarski, Piotr Bialka, Szymon Kepinski, Michal Szelka-Urbanczyk, Anna Paradysz, Andrzej Misiolek, Hanna Int J Environ Res Public Health Article Erector spinae plane block was recently introduced as an alternative to postoperative analgesia in surgical procedures including thoracoscopies and mastectomies. There are no clinical trials regarding erector spinae plane block in percutaneous nephrolithotomy. The aim of our study was to test the efficacy and safety of erector spinae plane block after percutaneous nephrolithotomy. We analyzed 68 patients, 34 of whom received erector spinae plane block. The average visual analogue scale score 24 h postoperatively was the primary endpoint. The secondary endpoints were nalbuphine consumption and the need for rescue analgesia. Safety measures included the mean arterial pressure, Ramsey scale score, and rate of nausea and vomiting. The visual analogue scale, blood pressure, and Ramsey scale were assessed simultaneously at 1, 2, 4, 6, 12, and 24 h postoperatively. The average visual analogue scale was 2.9 and 3 (p = 0.65) in groups 1 (experimental) and 2 (control), respectively. The visual analogue scale after 1 h postoperatively was significantly lower in the erector spinae plane block group (2.3 vs. 3.3; p = 0.01). The average nalbuphine consumption was the same in both groups (46 mL vs. 47.2 mL, p = 0.69). The need for rescue analgesia was insignificantly different in both groups (group 1, 29.4; group 2, 26.4%; p = 1). The mean arterial pressure was similar in both groups postoperatively (91.8 vs. 92.5 mmHg; p = 0.63). The rate of nausea and vomiting was insignificantly different between the groups (group 1, 17.6%; group 2, 14.7%; p = 1). The median Ramsey scale in all the measurements was two. Erector spinae plane block is an effective pain treatment after percutaneous nephrolithotomy but only for a very short postoperative period. MDPI 2021-03-31 /pmc/articles/PMC8036507/ /pubmed/33807296 http://dx.doi.org/10.3390/ijerph18073625 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Bryniarski, Piotr
Bialka, Szymon
Kepinski, Michal
Szelka-Urbanczyk, Anna
Paradysz, Andrzej
Misiolek, Hanna
Erector Spinae Plane Block for Perioperative Analgesia after Percutaneous Nephrolithotomy
title Erector Spinae Plane Block for Perioperative Analgesia after Percutaneous Nephrolithotomy
title_full Erector Spinae Plane Block for Perioperative Analgesia after Percutaneous Nephrolithotomy
title_fullStr Erector Spinae Plane Block for Perioperative Analgesia after Percutaneous Nephrolithotomy
title_full_unstemmed Erector Spinae Plane Block for Perioperative Analgesia after Percutaneous Nephrolithotomy
title_short Erector Spinae Plane Block for Perioperative Analgesia after Percutaneous Nephrolithotomy
title_sort erector spinae plane block for perioperative analgesia after percutaneous nephrolithotomy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8036507/
https://www.ncbi.nlm.nih.gov/pubmed/33807296
http://dx.doi.org/10.3390/ijerph18073625
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