The Effect of Erector Spinae Plane Block on Postoperative Pain Following Laparoscopic Cholecystectomy: A Randomized Controlled Study

Objective: Erector spinae plane block (ESP) is a novel technique for postoperative pain management. Primary aim of this study is to evaluate efficacy of ultrasound -guided ESP for providing postoperative analgesia in laparoscopic cholecystectomy (LC) procedures. Methods: Forty-six ASA I-II patients aged 20-70, who were scheduled to undergo elective LC were included in the study. Patients were randomized into two groups as ESP and Control group. Patients in the ESP group received ultrasound (US)- guided ESP block with 20 ml 0.25% bupivacaine. An intravenous patient-controlled analgesia device containing morphine was provided for all the patients in both groups. Morphine consumptions at postoperative 24th hour and postoperative numeric rating scale (NRS) scores for pain were recorded. Results: Mean morphine consumptions at postoperative 24th hour were 7.5 mg±5.8 in the ESP group while it was 13.2±5.6 mg in the control group (p

Erektor Spina Plan Bloğunun Laparoskopik Kolesistektomi Sonrası Postoperatif Ağrı Üzerine Etkisi: Randomize Kontrollü Çalışma

Amaç: Erektör spina plan (ESP) bloğu, postoperatif ağrı yönetimi için yeni bir tekniktir. Bu çalışmanın ilk amacı, ultrason eşliğinde uygulanan ESP’nin, laparoskopik kolesistektomide postoperatif analjezi sağlamak açısından etkinliğini değerlendirmektir. Yöntem: Elektif laparoskopik kolesistektomi operasyonu planlanan 20-70 yaşında 46 ASA I-II hasta çalışmaya dahil edildi. Hastalar ESP ve Kontrol grubu olmak üzere 2 gruba randomize edildi. ESP grubundaki hastalara 20 ml %0.25 bupivakain ile ultrason eşliğinde ESP bloğu yapıldı. Her iki gruptaki hastalara operasyon sonrası morfin içeren hasta kontrollü analjezi cihazı temin edildi. Hastaların postoperatif 24. saatteki morfin tüketimleri ve postoperatif numerik ağrı skalaları (NRS) kaydedildi. Bulgular: Postoperatif 24. saatte ESP grubunda ortalama morfin tüketimi 7.5±5.8 mg iken kontrol grubunda 13.2±5.6 mg (p

Kaynakça

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