Application of ultrasound-guided bilateral erector spinae plane block in lumbar spinal surgery

Wang, Jiang; Lu, Yao

doi:10.21037/apm-20-287

Cited by 3 publications

(3 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In surgery, the concept of minimally invasive surgery has become more and more advanced. With the continuous maturity of endoscopic operation, shoulder arthroscopic surgery (ASS) has been widely used in shoulder joint examination and rotator cuff injury treatment [ 20 ]. Arthroscopic shoulder surgery has the advantages of less trauma, less infection, and rapid rehabilitation.…”

Section: Results and Analysismentioning

confidence: 99%

[Retracted] Application of Ultrasound‐Guided Upper Trunk Brachial Plexus Block in Observation of Lower Shoulder Surgery

Jiang

et al. 2022

Contrast Media & Molecular Imaging

View full text Add to dashboard Cite

This study aims to ensure the wide application of ultrasound-guided superior brachial plexus block in shoulder surgery, solve the application problem of ultrasound-guided superior brachial plexus block in shoulder surgery, make up for severe postoperative pain after shoulder arthroscopy, and improve the patient's recovery ability. In this paper, 90 patients with shoulder arthroscopy were divided into 3 groups: A, B, and C. In recent years, with the rapid development of medicine, ultrasound-guided brachial plexus upper trunk block has been widely used in shoulder surgery. Shoulder arthroscopy is more and more used in the diagnosis and treatment of shoulder diseases because of its advantages of minimally invasive, safe, and rapid recovery. Compared with the traditional operation, it is found that the shoulder arthroscopic operation reduces the incision trauma through the microscope, but the shoulder operation involves more muscles and ligaments, so the perioperative pain of shoulder arthroscopic operation is still serious.

show abstract

Section: Results and Analysismentioning

confidence: 99%

[Retracted] Application of Ultrasound‐Guided Upper Trunk Brachial Plexus Block in Observation of Lower Shoulder Surgery

Jiang

et al. 2022

Contrast Media & Molecular Imaging

View full text Add to dashboard Cite

show abstract

“…It has been shown as an effective analgesic technique in various trials at the cervical, thoracic, and lumbar levels. In addition, it has a low rate of reported complications [12].…”

Section: Discussionmentioning

confidence: 99%

Comparison of Bilateral Usg-Guided Erector Spinae Block Versus Control Group for Intraoperative Hemodynamic Stability and Post-Operative Analgesia in Spine Surgeries Under General Anesthesia

Saini,

Sisodia,

et al. 2023

Asian J Pharm Clin Res

View full text Add to dashboard Cite

Objectives: The aim of the study was to compare the intraoperative hemodynamics and post-operative analgesia after using bilateral erector spinae block (ESB) and conventional techniques during spinal surgeries. The study also aims at comparison of analgesics consumption in patients during post-operative period. Methods: One hundred adults aged 18–80 years with American Society of Anaesthesiology physical status I/II scheduled for elective lumbar spine surgeries (two levels) under general anesthesia (GA) were divided into two groups. Group A received erector spinae plane block (ESPB) along with GA and Group B received GA only. Injection Paracetamol 1 g intravenously was given as rescue analgesia. Intraoperative hemodynamics, visual analog score at rest and at movement in 24 h postoperatively, first rescue analgesia, total dose of analgesics in first 24 h postoperatively, and intraoperative opioid dose requirement were compared in both the groups for 7 days. Results: Intraoperative hemodynamics in ESPB group were found to be more stable than the control group. There was a significant low VAS score in Group A compare to Group B at rest and on movement (p<0.001). The time for first rescue analgesia was prolonged in group ESPB as compared to control group (p<0.05). The total dose of analgesia required in first 24 h was significantly lower in patients of ESP group 25±41.96 mg 82.5 than patients in control group ±22.73 mg. Conclusion: Ultrasound-guided bilateral ESB provides profound intraoperative hemodynamic stability with perioperative analgesia in comparison to conventional GA technique. The present study concluded that ESP block decreased the opioid requirement in both intraoperative and post-operative period.

show abstract

“…After exclusion of those articles, we identified a total of 19 papers related to the subject. Nine were case reports [27][28][29][30][31][32][33][34][35] ; three were letters to the editor [36][37][38] and seven others were RCTs [39][40][41][42][43][44][45]…”

Section: Patient Cohortmentioning

confidence: 99%

Is the Erector Spinae Plane block useful for anti-nociception and analgesia in lumbar spine surgery? A narrative review of the literature and opinion paper

Tran¹,

Vyncke²,

Montupil³

et al. 2022

Acta Anaest Belg

View full text Add to dashboard Cite

We aimed at determining whether the Erector Spinae Plane (ESP) block is useful for providing anti-nociception and analgesia to patients beneficiating from lumbar spine surgery. Using the keywords “Erector Spinae Plane block” and “lumbar” or “spinal surgery” in Pubmed, the Cochrane Library Database, and Google Scholar (end of search in March 2021), we identified 19 relevant papers involving 534 patients. Injection levels, and type, dilution, or volume of local anesthetic agent solution differed between studies. The main studied outcomes were postoperative pain control, and opioid consumption. Only one study compared the ESP block with another loco- regional technique. All published papers conclude that ESP block reduces postoperative pain scores and rescue medication use. As a corollary, ESP block appears promising in this indication for several reasons. First, it is easy to perform and does not have the same adverse effects or complications as neuraxial techniques. Second, even if the best site of injection as not been determined yet, skin puncture can be performed at distance from the surgical site, hence reducing the risk of surgical site infection by the loco-regional technique, and allowing its use as a rescue analgesic technique after surgery. Last, the incidence of ESP block complications seems low even if the number of studied patients is not wide enough to ascertain this fact for sure. Several unresolved questions are still pending. None of the published studies were randomized controlled trials with a group receiving a sham block, length of follow-up was limited to 48 hours, chronic pain was an exclusion criteria, and the pain scores were evaluated at rest. We conclude that the ESP block appears to be a safe and promising technique to be used as part of a multimodal analgesia protocol in lumbar spine surgery. Several studies are needed to precise its superiority and safety as compared to other techniques, its intraoperative opioid sparing effect, and its influence on longer term outcomes such as the development of chronic pain.

show abstract

Application of ultrasound-guided bilateral erector spinae plane block in lumbar spinal surgery

Cited by 3 publications

References 6 publications

[Retracted] Application of Ultrasound‐Guided Upper Trunk Brachial Plexus Block in Observation of Lower Shoulder Surgery

[Retracted] Application of Ultrasound‐Guided Upper Trunk Brachial Plexus Block in Observation of Lower Shoulder Surgery

Comparison of Bilateral Usg-Guided Erector Spinae Block Versus Control Group for Intraoperative Hemodynamic Stability and Post-Operative Analgesia in Spine Surgeries Under General Anesthesia

Is the Erector Spinae Plane block useful for anti-nociception and analgesia in lumbar spine surgery? A narrative review of the literature and opinion paper

Contact Info

Product

Resources

About