Analgesic effect of erector spinae plane block after cesarean section: A randomized controlled trial.
Özet
Background: Ultrasound-guided bilateral erector spinae plane block is also a
technique for providing analgesia after a cesarean section. Aim: We hypothesized
that bilateral erector spinae plane block applied from the transverse process of T9
who underwent elective cesarean section could provide effective postoperative
analgesia. Patients and Methods: Fifty parturients who were scheduled to
undergo elective cesarean section under spinal anesthesia were included in the
study. Group SA (n = 25) was categorized as the group in which spinal anesthesia
alone (SA) was performed, and Group SA+ESP (n = 25) was categorized as the
group in which SA + ESP block was performed. All patients were given a solution
containing 7 mg isobaric bupivacaine + 15 µg fentanyl intrathecally through
spinal anesthesia. In the SA + ESP group, the bilateral ESPB was performed
at level T9 with 20 ml 0.25% bupivacaine + 2 mg dexamethasone immediately
after the operation. Total fentanyl consumption in 24 h, the visual analogue scale
for pain, and time to the first analgesic request were evaluated postoperatively.
Results: The total fentanyl consumption in 24 h was statistically significantly lower
in the SA + ESP group than the SA group (279 ± 242.99 µg vs. 423.08 ± 212.55
µg, respectively, P = 0.003). The first analgesic requirement time was statistically
significantly shorter in the SA group than the SA + ESP group (150.20 ± 51.83 min
vs. 197.60 ± 84.49 min, respectively, P = 0.022). Postoperative VAS scores at 4th,
8th, and 12th h at rest were statistically significantly lower in group SA + ESP than
in group SA (P = 0.004, P = 0.046, P = 0.044, respectively). VAS scores during
the postoperative 4th, 8th, and 12th h cough were statistically significantly lower in
group SA + ESP than in group SA (P = 0.002, P = 0.008, P = 0.028, respectively).
Conclusion: Ultrasound-guided bilateral ESP provided adequate postoperative
analgesia and significantly decreased postoperative fentanyl consumption in
patients having cesarean section. Also, it has a longer analgesia time than the
control group, and it has been shown to delay the first analgesic requirement.
Keywords: Cesarean section, erector spinae plane block, postoperative pain,
spinal anesthesia
Anahtar kelimeler
Atıf için künye
Dostbil, A., Ince, I., Altinpulluk, E., Perez, M., Peksoz, U., Cimilli, G., Kaşali, K., Atalay, C., Özmen, Ö., Sahin, T., Yilmaz, E., & Cimilli Şenocak, G. N. (2023). Analgesic effect of erector spinae plane block after cesarean section: A randomized controlled trial. NIGERIAN JOURNAL OF CLINICAL PRACTICE, 26(2), 153–161. https://doi.org/10.4103/njcp.njcp_1636_21
BibTeX
@article{dostbil2023-211262,
author = {Dostbil, Ayşenur and Ince, I and Altinpulluk, Ey and Perez, Mf and Peksoz, U and Cimilli, G and Kaşali, Kamber and Atalay, Canan and Özmen, Özgür and Sahin, Tuğba and Yilmaz, Ep and Cimilli Şenocak, Gamze Nur},
title = {Analgesic effect of erector spinae plane block after cesarean section: A randomized controlled trial.},
journal = {NIGERIAN JOURNAL OF CLINICAL PRACTICE},
year = {2023},
volume = {26},
number = {2},
pages = {153--161},
issn = {1119-3077},
doi = {10.4103/njcp.njcp_1636_21},
url = {https://akademik.atauni.edu.tr/yayinlar/211262-analgesic-effect-of-erector-spinae-plane-block-after-cesarean-section-a}
}