Continuous erector spinae plane block for postoperative analgesia of multiple rib fracture surgery: case report

Yayık, Ahmet Murat; Ahişkalıoğlu, Ali; Çelik, Erkan; Ay, Ayşenur; Ozenoglu, Atila

doi:10.1016/j.bjane.2018.08.001

Cited by 3 publications

(2 citation statements)

References 5 publications

(9 reference statements)

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“…ESPB is a myofascial plane block successfully utilized in the management of pain after both rib fractures and thoracic surgery, as well as in chronic thoracic pain. [ 14 23 24 25 27 28 29 ] Adhikary et al . [ 23 ] in a retrospective cohort study concluded that ESPB can improve inspiratory capacity following rib fracture, and reported modest reduction in pain scores and opioid consumption, as well as hemodynamic stability.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound guided erector spinae plane block versus thoracic epidural analgesia in traumatic flail chest, a prospective randomized trial

Mostafa

Eid

2022

Journal of Anaesthesiology Clinical Pharmacology

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Background and Aims: Pain contributes to flail chest morbidities. The aim of this study was to compare the analgesic effects of ultrasound-guided erector spinae plane block (ESPB) with thoracic epidural analgesia (TEA) in patients with traumatic flail chest. Material and Methods: Sixty patients aged 18 – 60 years, ASA I-II, with unilateral flail chest were allocated into TEA group with a loading dose of 6 ml bupivacaine 0.25% and 2 μg/ml fentanyl and ESPB group with a loading dose of 20 ml bupivacaine 0.25% and 2 μg/ml fentanyl. This was followed by continuous infusion of 6 ml/hour bupivacaine 0.125% and 2 μg/ml fentanyl in both groups for 4 days. Pain scores at rest and on coughing, rescue analgesic consumption, PaO 2 /FIO 2 ratio, PaCO 2 , pulmonary functions and adverse events were recorded. Results: In both groups, Visual Analog Scale (VAS) scores at rest and on coughing were significantly decreased after block initiation as compared to pre-block value. At all-time points, VAS scores at rest and on coughing were insignificantly different between both groups. PaO 2 /FIO 2 ratio, forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV1) were significantly increased and respiratory rate, PaCO 2 , were significantly decreased as compared to pre-block values of the same group without significant difference between both groups. The incidence of hypotension was significantly higher in TEA group than ESPB group. Conclusions: ESPB can achieve adequate analgesia in traumatic flail chest equivalent to that of TEA with significant improvement of arterial oxygenation and pulmonary functions and without serious adverse effects.

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Section: Discussionmentioning

confidence: 99%

Ultrasound guided erector spinae plane block versus thoracic epidural analgesia in traumatic flail chest, a prospective randomized trial

Mostafa

Eid

2022

Journal of Anaesthesiology Clinical Pharmacology

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“…They also said that the continuous method was safe and easy to use. The use of this block for postoperative pain management in a patient who had surgery for multiple rib fractures was reported by Yayik et al 35 They reported a loss of cold sensation over the T 2-9 dermatomes with an injection of 20 mL of 0.25% bupivacaine and continuous administration of 0.25% bupivacaine.…”

mentioning

confidence: 89%

Systemic Analgesia versus Continuous Erector Spinae Plane Block (ESPB) Infusion During Paediatric Nephrectomy: A Randomized, Controlled Trial

Adlan,

Abd El-Rahman,

Mohamed

et al. 2023

LRA

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A subcostal flank incision is required for open radical nephrectomy, which is a surgical procedure used to remove tumors of the kidney that are malignant. The erector spinae plane block (ESPB) and continuous catheter use in children are receiving more and more support by paediatric regional anaesthesiologists. Our objective was to compare systemic analgesic to continuous ESPB for pain relief in paediatric patients undergoing open radical nephrectomy. Methods: Sixty children with cancer ASA I or II and undergoing open radical nephrectomy between the ages of two and seven participated in this prospective, randomized, controlled, and open label study. The cases were divided into two equal groups (E and T groups); Group E received ipsilateral continuous ultrasound-guided ESPB at T 9 (thoracic vertebrae), with a bolus of 0.4 mL/kg bupivacaine 0.25%. Immediately postoperatively, Group E (ESPB group) received continuous ESPB with a PCA (patient controlled analgesia) pump at a rate of 0.2 mL/kg/hour bupivacaine 0.125%. Group T (Tramadol group), Tramadol hydrochloride was administered intravenously at a dose of 2 mg/kg/8hour, which could be increased to 2 mg/kg/6hours. Then, we followed up on patients' total analgesic consumption for 48 hours following surgery, as well as the time it took for them to request rescue analgesic, their FLACC and sedation scores, and their hemodynamics and side effects immediately following surgery as well as at 2, 4, 6, 8, 12, 18, 24, 36, and 48 hours. Results: A highly significant difference in total tramadol consumed in group T 11.97 ± 1.13 mg/kg while group E was 2.07± 1.54 mg/ kg (p < 0.001). 100% patients in group T requested analgesia compared to 46.7% patients in group E (p < 0.001). From 2 to 48 hour, FLACC significantly decreased in E compared to T group (p≤ 0.006) at all-time points. Conclusion: Ultrasound-guided continuous ESPB significantly provided better postoperative pain relief, reduced postoperative tramadol consumption and reduced pain scores compared with the use of tramadol alone, in paediatric cancer patients undergoing nephrectomy.

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Perioperative considerations for patients undergoing surgical stabilization of rib fractures: A narrative review

Bethlahmy,

Hanst,

Giafaglione

et al. 2023

Journal of Clinical Anesthesia

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Continuous erector spinae plane block for postoperative analgesia of multiple rib fracture surgery: case report

Cited by 3 publications

References 5 publications

Ultrasound guided erector spinae plane block versus thoracic epidural analgesia in traumatic flail chest, a prospective randomized trial

Ultrasound guided erector spinae plane block versus thoracic epidural analgesia in traumatic flail chest, a prospective randomized trial

Systemic Analgesia versus Continuous Erector Spinae Plane Block (ESPB) Infusion During Paediatric Nephrectomy: A Randomized, Controlled Trial

Perioperative considerations for patients undergoing surgical stabilization of rib fractures: A narrative review

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