Efficacy of Ultrasound-Guided Erector Spinae ID Plane Block for Postoperative Analgesia in Laparoscopic Cholecystectomy: A Retrospective Cohort Study

Objective: Laparoscopic cholecystectomy (LC) causes moderate to severe pain. Although it is a minimal invazive surgery, evaluation of the efficacy and safety of ultrasound guided-bilateral erector spinae plane block (ESPB) in the the present study Method: A total of 234 patients who underwent LCs between April 2017 and November 2018 were retrospectively analyzed. Two hundred patients were divided into two groups: The Control Group (Group C, n=100) who received only intravenous (IV) patient-controlled analgesia (PCA) and the ESPB Group (Group E, n=100) who received bilateral ESPB (bupivacaine 0.25, 50 mL) and IV PCA. Also, the block-related complications were recorded. Results: Numeric rating scores in Grup E were lower in post-anesthesia care unit (PACU) at 1st, 2nd, 4th, 6th hours (p

Laparoskopik Kolesistektomide Postoperatif Ağrı için Ultrasonografi Rehberliğinde Erektor Spina Plan Bloğun Etkinliği. Retrospektif Kohort Çalışma

Amaç: Laparoskopik kolesistektomi (LK) orta dereceden şiddetli dereceye kadar ağrıya neden olur. Her ne kadar minimal invaziv bir cerrahi olsa da mevcut çalışmada ultrasonografi altında bilateral erektor spina plan bloğunun (ESPB) etkinliğinin ve güvenilirliğinin değerlendirmesi planlandı. Yöntem: Nisan 2017 ile Kasım 2018 tarihleri arasında LK uygulanan 234 hasta retrospektif olarak incelendi. İki yüz hasta 2 gruba ayrıldı: Yalnızca intravenöz (İV) hasta kontrollü analjezi (HKA) alan Kontrol Grubu (Grup C, n=100) ve iki taraflı ESPB alan ESPB Grubu (Grup E, n=100) (bupivakain 0.25, 50 mL) ve İV HKA. Ayrıca blokla ilgili komplikasyonlar da kaydedildi. Bulgular: Grup E’deki sayısal derecelendirme skorları anestezi sonrası bakım ünitesinde (ASBÜ), 1., 2., 4., 6. saatlerde (p

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