Bilateral ultrasound-guided erector spinae plane block for postoperative analgesia in choledochal cyst resection surgery

Singh, Swati; Pandey, Ravikant; Chowdhary, Neeraj Kumar

doi:10.4103/sja.sja_188_18

Cited by 4 publications

(6 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A study by Hacibeyoglu et al also suggests that the ESPB may serve as an innovative, safe, and effective analgesia technique for patients undergoing hepatic surgery, which corresponds to our study findings [ 15 ]. Singh et al also described USG ESPB as effective for postoperative analgesia in choledochal cyst resection surgery, which corresponds to our study findings [ 16 ]. The ESPB showed truly effective pain relief and highly variable sensory blockade [ 17 , 18 ].…”

Section: Discussionsupporting

confidence: 92%

Comparison of Continuous Thoracic Epidural With Erector Spinae Block for Postoperative Analgesia in Adult Living Donor Hepatectomy

Zubair¹,

Khan²,

Khan³

et al. 2022

Cureus

View full text Add to dashboard Cite

Background: Thoracic epidural analgesia (TEA) is commonly used for pain management in donor hepatectomy. Erector spinae plane block (ESPB) is a newer ultrasound-guided block described for the management of thoracic and abdominal pain. There is limited literature available comparing the two techniques. The objective of this study was to compare the postoperative analgesic efficacy and adverse effects of continuous ESPB to continuous TEA in donor hepatectomy.Methodology: The randomized controlled trial (RCT) was registered on ClinicalTrials.gov (NCT04151511). A total of 82 patients undergoing donor hepatectomy between January 2020 and December 2020 were recruited, of whom 41 received TEA and 41 received ESPB. Randomization was done by the sealed opaque envelope method.Results: The mean visual analog scale (VAS) scores in donors who received TEA and ESPB in post-anesthesia care unit (PACU) (2.7 + 0.9 vs. 2.4 + 0.5; P = 0.02) at one hour (2.7 + 0.9 vs. 2.2 + 0.6; P = 0.008), six hours (1.8 + 0.9 vs. 0.8 + 0.5; P < 0.001), 12 hours (0.9 + 0.7 vs. 0.2 + 0.7; P < 0.001), and 24 hours (0.48 + 0.5 vs. 0.08 + 0.3; P < 0.001) were significantly different. Mean opioid consumption was 3.38 ± 6.24 mg in the ESPB group and 10.75 ± 9.64 mg in the TEA group (P < 0.001). Mean lung volume (MLV) at 24 hours in the TEA group and ESPB group was 1543 ml and 1815 ml (P < 0.001). MLV was 2545 ml in the TEA group and 2820 ml in the ESPB group at 48 hours (P < 0.001). Mean nausea and vomiting score at six hours was 0.1 vs. 0.03 (P = 0.02).Conclusion: ESPB improves pain control after donor hepatectomy with an enhanced safety profile and reduced opioid consumption.

show abstract

Section: Discussionsupporting

confidence: 92%

Comparison of Continuous Thoracic Epidural With Erector Spinae Block for Postoperative Analgesia in Adult Living Donor Hepatectomy

Zubair¹,

Khan²,

Khan³

et al. 2022

Cureus

View full text Add to dashboard Cite

show abstract

“…29,30 A case series of catheter use in bilateral ESPB in children with programmed intermittent bolus application, as well as continuous or intermittent bolus applications of local anesthesia via catheter for thoracotomy-esophagectomy, laparoscopic gastric surgeries, open abdominal surgeries, radical prostatectomy, and lumbosacral surgeries leading to effective postoperative analgesia, have been reported in the literature. 6,[31][32][33][34][35][36][37] While single-sided lumbar catheterization has been reported, to our knowledge there have been no reports of bilateral lumbar catheterization. 38 Reports of catheterization and features associated with it, such as local anesthetic concentration, infusion speed, or time between boluses and initial dosage, are all based on the authors' personal experience.…”

Section: Needle Length and Gaugementioning

confidence: 99%

“…While there have not been any clinical studies comparing the effect of bilateral ESPB with other modalities, case reports of bilateral ESPB used for successful postoperative analgesia are available for gastric surgeries, incisional and ventral hernias, living-donor liver transplantations, pancreas and gallbladder-choleduct surgeries, open colon surgeries, emergency ileus surgeries, radical prostatectomy and cystoprostatectomy, pyeloplasty, and many other upper or lower abdominal surgical procedures. [33][34][35][36][37][54][55][56][57][58] Its effectiveness for postoperative analgesia has also been reported in cesarean sections. 28,59,60 Laparoscopic abdominal surgeries…”

Section: Open Abdominal Surgeriesmentioning

confidence: 99%

“…Most cases have involved abdominal procedures, with some reports of ESPB in thoracic, cardiac, and urological procedures, reporting effective postoperative analgesia with a decrease in rescue-analgesia requirements. 8,19,33,37,42,48,56,64,67,75 In all cases, ESPB was performed under general anesthesia and preoperatively. While single-shot doses were used in day-surgery cases, catheterization and intermittent boluses have been reported for thoracic and cardiac procedures for postoperative analgesia.…”

Section: Pediatric Surgeriesmentioning

confidence: 99%

See 1 more Smart Citation

<p>Efficacy of bilateral erector spinae plane block in the management of pain: current insights</p>

Tulgar¹,

Ahıskalıoğlu²,

Cassai³

et al. 2019

JPR

119

View full text Add to dashboard Cite

Erector spinae plane block (ESPB) is a newly described interfascial plane block, and the number of articles on the bilateral application of ESPB is increasing in the literature. In this paper, in addition to analyzing bilateral ESPB cases and studies published so far, we aimed to review the relevant anatomy, describe the mechanism of spread of the injectant, demonstrate varying approaches to ESPB, and summarize case reports and clinical trials, as well as provide current insight on this emerging and popular block. Randomized controlled studies, comparative studies of ESPB versus other methods, and pharmacokinetic studies of bilateral applications must be the next step in clearly understanding bilateral ESPB.

show abstract

“…This is an approach which was used earlier for performing this block when used in a paediatric patient under general anaesthesia. [ 26 ] This position is also useful when this block is being used for lower limb surgery, hip surgery, spine surgery, etc., when sitting position is difficult to attain. The most common orientation of probe is longitudinal to the spine but we found that in lateral position probe should be held in transverse orientation to the spine and needle should be approached in-plane from lateral to medial.…”

Section: Discussionmentioning

confidence: 99%

The analgesic effect of bilateral ultrasound-guided erector spinae plane block in paediatric lower abdominal surgeries: A randomised, prospective trial

2020

Self Cite

View full text Add to dashboard Cite

Background and Aims: This study aims to evaluate the analgesic effect of ultrasound-guided erector spinae plane block (ESPB) in paediatric lower abdominal surgeries. Methods: Randomised, prospective trial. Forty patients, aged 2–10 years with the American Society of Anesthesiologists Score of I and II scheduled for elective lower abdominal surgery were included in the study. Interventions: Patients were randomised into two groups as control group and ESPB group. Ultrasound-guided erector spinae plane block at L1 vertebral level was performed preoperatively using 0.5 ml/kg 0.25% bupivacaine (max 20 ml) for the patients in ESPB group. Analgesic requirements and time to first analgesic requirement were recorded and Face, Legs, Activity, Cry and Consolability (FLACC) scores for pain were recorded at 0, 1, 2, 3, 6, 12 and 24 h postoperatively. Results: Forty patients were included in the final analyses. Significant difference was determined between the groups on post-operative morphine requirement and FLACC scores at 3 h and 6 h postoperatively ( P < 0.05). Significant difference was also determined in time to first dose of rescue analgesia between the groups ( P < 0.05). Conclusions: This study shows that the ESPB provides adequate post-operative analgesia in paediatric patients undergoing lower abdominal surgery.

show abstract

Bilateral ultrasound-guided erector spinae plane block for postoperative analgesia in choledochal cyst resection surgery

Cited by 4 publications

References 4 publications

Comparison of Continuous Thoracic Epidural With Erector Spinae Block for Postoperative Analgesia in Adult Living Donor Hepatectomy

Comparison of Continuous Thoracic Epidural With Erector Spinae Block for Postoperative Analgesia in Adult Living Donor Hepatectomy

<p>Efficacy of bilateral erector spinae plane block in the management of pain: current insights</p>

The analgesic effect of bilateral ultrasound-guided erector spinae plane block in paediatric lower abdominal surgeries: A randomised, prospective trial

Contact Info

Product

Resources

About