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.

Makale bilim dalı: Anesteziyoloji ve ReanimasyonMakale başlığı: Supraklaviküler brakial pleksus sinir bloğu sonrası gelişen ipsilateral frenik sinir hasarı.Kısa başlık: Brakial pleksus sinir bloğu sonrası gelişen ipsilateral frenik sinir hasarı. ÖzSupraklaviküler brakial pleksus sinir bloğu (SBPB) hem anestezi hem de analjezi amacıyla anestezi pratiğinde kullanılmaktadır. Operasyon süresince hastanın bilincinin açık olması, solunum fonksiyonlarında değişimin olmaması, havayolu reflekslerinin korunması ve postoperatif analjezi özelliği ile genel anesteziye kıyasla daha üstündür.Bununla beraber komplikasyonları da mevcuttur. Son yıllarda ultrasonografi (Usg) eşliğinde komplikasyon oranı oldukça azalmıştır. Bu olgumuzda SBPB sonrası gelişen ipsilateral frenik sinir hasarını tartışacağız.

Background: Interspace between the popliteal artery and the capsule of the posterior knee (IPACK) block is block, which is done by infiltration of local anesthetic to block terminal branches of genicular nerves and popliteal plexus that innervate the posterior capsule of the knee joint. In this study, we retrospectively reviewed our patient’s data to which IPACK block was applied for arthroscopic knee surgery. Our aim was to evaluate the effectiveness of IPACK block on postoperative analgesia, effects on additional analgesic consumption and patient satisfaction. Material and Method: The data of 60 patients who underwent arthroscopic knee surgery under spinal anesthesia with or without applied preemptive IPACK block for postoperative analgesia were collected between October 2019 and December 2020. Group I consisted of 30 patients with preemptive IPACK block, while 30 patients without block were classified as the control group (Group II). Postoperative 0-1-2-6-12 and 24th hour VAS scores, additional analgesic needs, patient satisfaction scores, were compared in groups as primary outcome. Results: As a result of the comparison between the groups, it was seen that there was a significant difference between the groups in favor of the IPACK Block group in terms of postoperative VAS scores after 1st hour, postoperative analgesic needs and patient satisfaction (p