No abstract

No abstract

Aims: This study aimed to evaluate the effect of erector spinae block (ESPB) applied preoperatively under ultrasonography guidance in percutaneous nephrolithotomy (PNL) operations in terms of the intraoperative need for opioids, postoperative analgesia, and patient satisfaction. Methods: Of 60 patients who were 18 to 65-year-old and evaluated as American Society of Anesthesiologists (ASA) risk I-II-III were planned to undergo elective PNL. The patients were randomly separated into two groups as the Block group-administered ESPB under sedation in the preoperative period and the Control group-administered no ESPB. All the operations were performed under general anesthesia. The study data were analyzed using Mann-Whitney U-test and the Independent Samples t-test. Results: Demographic data of the patients were not different between the groups (p>0.05). Neither intraoperative opioids nor analgesics were required for any of the patients in the ESPB group whereas intraoperative opioids and analgesic drugs had to be administered to all of the patients in the control group (p<0.001). The postoperative patient satisfaction scores in the ESPB group were found statistically higher than that of the control group (p<0.001). Conclusion: The results demonstrated that ESPB applied preoperatively under USG guidance reduced the need for intraoperative opioids and postoperative analgesia in PNL operations. This, in turn, increased patient satisfaction by maintaining patient comfort after surgery.

Zor hava yolu anestezistler tarafından zor yüz maske ventilasyonu ve zor trakeal entübasyonu kapsayan bir durum olarak tanımlanır. Entübasyon girişimlerinin %0.5-2.5'inde zorlukla karşılaşılır. Başarısız girişimler perioperatif dönemde

The management of general anesthesia is very difficult in patients with Duchenne muscular dystrophy (DMD) due to the potential for difficult airway problems, malignant hyperthermia, and cardiorespiratory complications. Therefore, peripheral nerve and plane blocks may be a good choice in DMD patients. In this case, we aimed to show the anesthetic efficiency of erector spinae plane (ESP) block in an 18-year-old male patient with DMD scheduled for video-assisted thoracoscopy surgery (VATS) exploration due to prolonged air leak. On surgery day, ultrasound (US)-guided one-sided ESP block (ESPB) was performed under sedation. Decortication surgery was performed in 3 hours. The patient’s intraoperative hemodynamic parameters were stable, and no pain or complications were recorded. The patients’ visual analog scale (VAS) scores were recorded at postoperative hour 0, 2, 6, and 12 as 0, 0, 2, and 2, respectively. In conclusion, safe and effective anesthesia can be provided by ESPB with US guidance in thoracic surgery.