The Erector Spinae Plane Block for Postoperative Analgesia after Percutaneous Nephrolithotomy

Kim, EungDon; Kwon, Woojin; Oh, Saecheol; Bang, Seunguk

doi:10.4103/0366-6999.237408

Cited by 46 publications

(27 citation statements)

References 5 publications

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“…Case reports showed significant pain relief after ESPB for postoperative PCNL pain or renal colic. 23,24 Randomized controlled trials evaluating ESPB for PCNL found lower VAS, opioid and additional analgesic consumptions, and longer time to rescue analgesia compared to control groups. 25,26 Quadratus lumborum block (QLB) is another abdominal wall block investigated for postoperative PCNL pain control.…”

Section: Discussionmentioning

confidence: 99%

Perioperative Analgesic Effects of Preemptive Ultrasound-Guided Subcostal Transversus Abdominis Plane Block for Percutaneous Nephrolithotomy: A Prospective, Randomized Trial

Özdilek

Beyoglu

Demirdağ

et al. 2020

Journal of Endourology

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Background and Objectives: Percutaneous nephrolithotomy (PCNL) is a minimally invasive procedure for removing kidney stones, but patients still suffer from moderate postoperative pain. The aim of this study is to evaluate the perioperative analgesic effect of ultrasound-guided subcostal transversus abdominis plane (TAP) block performed before PCNL procedure. Materials and Methods: Patients scheduled for elective PCNL were randomized into two groups: Group TAP and Group IV. General anesthesia was induced with propofol, fentanyl, and rocuronium and maintained with sevoflurane, fentanyl, and rocuronium. Unilateral ultrasound-guided TAP block was performed with total of 30 mL volume of local anesthetic solution (20 mL bupivacaine 0.125% plus 10 mL lidocaine 1%) after intubation but before surgery to the Group TAP patients. Paracetamol 1 g was given to the Group IV. Tramadol 100 mg and morphine IV-patient-controlled analgesia were applied to both groups. Perioperative fentanyl consumption, postoperative verbal analog scale (VAS), morphine consumption, and additional analgesic drug requirement were assessed. Chi square with Yates correction and Mann-Whitney U tests were used for statistical analysis. Results: Eighty patients were assessed for enrollment. One patient developed septicemia at the recovery room so data of 79 patients were collected for statistical analysis. Total morphine consumption at 48th hour after the surgery was lower at Group TAP (p = 0.022). Perioperative fentanyl consumption was lower at Group TAP (p < 0.001). Additional analgesic requirement and VAS were comparable between groups. Conclusions: Preemptive unilateral ultrasound-guided subcostal TAP block decreases perioperative fentanyl and postoperative total morphine consumption in PCNL patients compared to IV analgesic management.

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Section: Discussionmentioning

confidence: 99%

Perioperative Analgesic Effects of Preemptive Ultrasound-Guided Subcostal Transversus Abdominis Plane Block for Percutaneous Nephrolithotomy: A Prospective, Randomized Trial

Özdilek

Beyoglu

Demirdağ

et al. 2020

Journal of Endourology

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“…e first publications on ESP block described thoraciclevel treatment of neuropathic pain, rib fractures, thoracic vertebral surgery, and thoracic surgery [1,14,[18][19][20]. Later, ESP block use was also reported in abdominal surgery for ventral hernia repair, bariatric surgery, nephrectomy, and hepatobiliary surgery [3,12,[21][22][23].…”

Section: Discussionmentioning

confidence: 99%

Multimodal Anesthesia via Opioid-Free Analgesia and Erector Spinae Plane Block

Luis-Navarro

Fornés-Rumbao

DeLaCalle-Gil

et al. 2020

Case Reports in Anesthesiology

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Multimodal anesthesia, which combines general and epidural anesthesia, is used in surgical cases in which a large or painful incision is anticipated. However, both epidural blocks and opioid-based analgesia have limitations in application. Here, we present a case of supra-infraumbilical laparotomy in a patient whose history of neurostimulator use and marked scoliosis discouraged the placement of an epidural catheter and whose prior adverse response to opioids prohibited their use. e intraoperative and postoperative management of this patient consisted of a combination of analgesia without opioids and erector spinae plane block. Adequate analgesia was achieved, and intraoperative or postoperative opioids were not required. is case illustrates the importance of mastering alternative and multimodal analgesia techniques that can be used in place of classical analgesia techniques when classical analgesia techniques are not appropriate.

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“…Placement of an epidural catheter is not always possible because of anatomic difficulties or anticoagulation that contraindicates insertion. 22 Erector spinae plane block via catheter placement for continuous infusion may be warranted given that many patients are anticoagulated as a component of conservative management.…”

Section: Discussionmentioning

confidence: 99%

Anesthetic Management and 30-Day Outcomes After Renal Autotransplantation

Babazade

Devarajan

Bonavia³

et al. 2020

TOJ

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Background: Renal autotransplantation is a complex procedure performed for various indications such as treatment of renal vascular and urologic lesions and loin pain hematuria syndrome (LPHS). Because of the rarity of the procedure, few reports have been published, and little is known about anesthetic management and postoperative outcomes of patients with LPHS. The goal of this study was to review and describe all cases of renal autotransplantation performed at Cleveland Clinic during a specified period, focusing on anesthetic management and postoperative 30-day outcomes. Methods: We performed a retrospective review of the records of all patients who underwent renal autotransplantation from 2005 to 2014 at the Cleveland Clinic and collected demographic, anesthetic, surgical, and postoperative data. Results: A total of 64 patients underwent renal autotransplantation from 2005 to 2014. The most frequent indications were nephrolithiasis and LPHS. General endotracheal anesthesia with epidural for pain control was used in 47% of cases. Median duration of anesthesia was 528 minutes. Most patients were sent to a regular nursing floor postoperatively, but 28% of patients required intensive care unit admission. Two patients developed graft ischemia, and 1 patient developed graft failure requiring nephrectomy. No anesthetic-related complications and no mortality were associated with this procedure during the study. Conclusion: Renal autotransplantation is a safe option for patients with LPHS. Additional studies are needed to assess the effect of intraoperative anesthetic management on outcomes in this patient population.

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The Erector Spinae Plane Block for Postoperative Analgesia after Percutaneous Nephrolithotomy

Cited by 46 publications

References 5 publications

Perioperative Analgesic Effects of Preemptive Ultrasound-Guided Subcostal Transversus Abdominis Plane Block for Percutaneous Nephrolithotomy: A Prospective, Randomized Trial

Perioperative Analgesic Effects of Preemptive Ultrasound-Guided Subcostal Transversus Abdominis Plane Block for Percutaneous Nephrolithotomy: A Prospective, Randomized Trial

Multimodal Anesthesia via Opioid-Free Analgesia and Erector Spinae Plane Block

Anesthetic Management and 30-Day Outcomes After Renal Autotransplantation

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