Mürsel EKİNCİ, Bahadır ÇİFTÇİ, Erkan Cem ÇELİK, Yunus Oktay ATALAY, Mehmet Zeki GÜNLÜOĞLU, İsmail Cem TUKAC, Birzat Emre GÖLBOYU

Video Yardımcılı Torakal Cerrahi Sonrası Postoperatif Analjezi Yönetimi için Ultrasonografi Rehberliğinde Yapılan Erektor Spina Plan Bloğu ve Torakal Paravertebral Blok Etkinliği: Prospektif, Randomize, Kontrollü Çalışma

Amaç: Video yardımcılı torakal cerrahi yapılan hastalarda postoperatif analjezi yönetimi için ultrasonografi (US) eşliğinde yapılan erektor spina plan bloğu (ESPB) ve torakal paravertebral bloğun (TPVB) kontrol grubuna göre etkinliğinin değerlendirilmesi amaçlanmıştır. Yöntem: Bu çalışmaya her grup için 30 hasta olmak üzere toplam 90 hasta dahil edilmiştir. Çalışma 3 gruptan oluşmaktadır; Grup ESPB, Grup TPVB ve Kontrol Grubu. ESPB ve TPVB gruplarındaki hastalara preoperatif olarak US eşliğinde blok yapıldı. Tüm gruplardaki hastalara fentanil içeren hasta kontrollü analjezi (HKA) uygulandı. Hastalar vizuel analog skala (VAS), opioid tüketimi ve yan etkiler kaydedilerek değerlendirildi. Bulgular: Tüm zaman aralıklarında fentanil tüketimi ve VAS Grup ESPB ve Grup TPVB de kontrol grubuna göre anlamlı olarak daha düşüktü (p

Ultrasound-Guided Erector Spinae Plane Block ID and Thoracic Paravertebral Block for Postoperative Analgesia Management Following Video-Assisted Thoracic Surgery: A Prospective, Randomized, Controlled Study

Objective: Evaluation of the effectiveness of ultrasound (US)-guided erector spinae plane block(ESPB) and thoracic paravertebral block (TPVB) compared to no intervention control group forpostoperative pain management in video assisted thoracic surgery (VATS) patients.Method: Three groups - Group ESPB, Group TPVB and the control group (n=30 per group) wereincluded in this prospective, randomized, controlled study. The US-guided blocks were performedpreoperatively in the ESPB and TPVB groups. Intravenous patient-controlled postoperative analgesiavia fentanyl was administered in all of the patients. The patients were evaluated usingvisual analogue scale (VAS) scores, opioid consumption, and adverse events.Results: At all time intervals fentanyl consumption and VAS scores were significantly lower bothin ESPB and TPVB groups compared to the control group (p

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