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Novel use of erector spinae plane block in laparoscopic surgery
BACKGROUND AND AIMS: Thoracic epidural and paravertebral blocks are gold standard analgesic techniques but they are associated with complications. Erector spinae plane (ESP) block is safer with comparable pain relief. ESP block is an established technique for postoperative pain relief. Its intraoper...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9580591/ https://www.ncbi.nlm.nih.gov/pubmed/36274803 http://dx.doi.org/10.4103/ija.ija_815_21 |
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author | Baheti, Sandip Kaushik, Cherukuri Biswas, Sumedha |
author_facet | Baheti, Sandip Kaushik, Cherukuri Biswas, Sumedha |
author_sort | Baheti, Sandip |
collection | PubMed |
description | BACKGROUND AND AIMS: Thoracic epidural and paravertebral blocks are gold standard analgesic techniques but they are associated with complications. Erector spinae plane (ESP) block is safer with comparable pain relief. ESP block is an established technique for postoperative pain relief. Its intraoperative use as an adjuvant to general anaesthesia (GA) is not yet known. The aim of this study was to assess the efficacy of ESP as an adjuvant to GA during laparoscopic surgery. METHODS: This was a randomised controlled trial. Using a computer generated random number table, 50 patients were randomly allocated into two groups. Group G (n = 25) received GA and group GE (n = 25) received bilateral ESP (ultrasonography guided) block using 20 ml of 0.25% bupivacaine at the level of the transverse process of T6 before the induction of GA. RESULTS: Group GE showed reduced requirement of fentanyl (P < 0.0001) and inhalational agents (P < 0.0001) with significant reduction in systolic blood pressure (P < 0.0001), diastolic blood pressure (P < 0.0001) and mean heart rate as compared to group G. CONCLUSION: ESP block is an easy, safe, excellent adjuvant to GA which reduces the requirement of analgesics and inhalational agents. |
format | Online Article Text |
id | pubmed-9580591 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-95805912022-10-20 Novel use of erector spinae plane block in laparoscopic surgery Baheti, Sandip Kaushik, Cherukuri Biswas, Sumedha Indian J Anaesth Original Article BACKGROUND AND AIMS: Thoracic epidural and paravertebral blocks are gold standard analgesic techniques but they are associated with complications. Erector spinae plane (ESP) block is safer with comparable pain relief. ESP block is an established technique for postoperative pain relief. Its intraoperative use as an adjuvant to general anaesthesia (GA) is not yet known. The aim of this study was to assess the efficacy of ESP as an adjuvant to GA during laparoscopic surgery. METHODS: This was a randomised controlled trial. Using a computer generated random number table, 50 patients were randomly allocated into two groups. Group G (n = 25) received GA and group GE (n = 25) received bilateral ESP (ultrasonography guided) block using 20 ml of 0.25% bupivacaine at the level of the transverse process of T6 before the induction of GA. RESULTS: Group GE showed reduced requirement of fentanyl (P < 0.0001) and inhalational agents (P < 0.0001) with significant reduction in systolic blood pressure (P < 0.0001), diastolic blood pressure (P < 0.0001) and mean heart rate as compared to group G. CONCLUSION: ESP block is an easy, safe, excellent adjuvant to GA which reduces the requirement of analgesics and inhalational agents. Wolters Kluwer - Medknow 2022-08 2022-08-22 /pmc/articles/PMC9580591/ /pubmed/36274803 http://dx.doi.org/10.4103/ija.ija_815_21 Text en Copyright: © 2022 Indian Journal of Anaesthesia https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Baheti, Sandip Kaushik, Cherukuri Biswas, Sumedha Novel use of erector spinae plane block in laparoscopic surgery |
title | Novel use of erector spinae plane block in laparoscopic surgery |
title_full | Novel use of erector spinae plane block in laparoscopic surgery |
title_fullStr | Novel use of erector spinae plane block in laparoscopic surgery |
title_full_unstemmed | Novel use of erector spinae plane block in laparoscopic surgery |
title_short | Novel use of erector spinae plane block in laparoscopic surgery |
title_sort | novel use of erector spinae plane block in laparoscopic surgery |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9580591/ https://www.ncbi.nlm.nih.gov/pubmed/36274803 http://dx.doi.org/10.4103/ija.ija_815_21 |
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