Erector spinae plane block reduces pain after laparoscopic cholecystectomy

Vrsajkov, Vladimir; Ilić, Nataša; Uvelin, Arsen; Ilić, Radomir; Lukić-Šarkanović, Mirka; Plećaš-Đurić, Aleksandra

doi:10.1007/s00101-021-01015-5

Cited by 9 publications

(11 citation statements)

References 22 publications

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“…Multimodal therapy has been widely used for postoperative analgesia to decrease opioid-related side effects [18]. Regional anesthetic techniques such as epidural block, paravertebral block, TAP block, quadratus lumborum block, and ESPB have been developed for analgesia after LC [3,[7][8][9][10][11][12][13][14].…”

Section: Discussionmentioning

confidence: 99%

“…A systematic review and meta-analysis conducted by Daghmouri et al [19] showed that bilateral ultrasound-guided ESPB could be an effective treatment to reduce opioid consumption and the time to the first use of rescue analgesia. However, the concentration and volume of local anesthetics used to perform ESPB differ among reports [9][10][11][12][13][14]. There is no consensus on the use of anesthetics.…”

Section: Discussionmentioning

confidence: 99%

“…Regional anesthesia during surgery reduces the use of systemic medications, including opioids, for postoperative pain [6]. Regional anesthesia for postoperative pain in LC includes epidural, paravertebral, and fascial plane blocks [3,[7][8][9][10][11][12][13][14]. However, epidural and paravertebral blocks have the potential risk of complications such as hematoma, pneumothorax, and epidural abscess [15].…”

mentioning

confidence: 99%

“…However, epidural and paravertebral blocks have the potential risk of complications such as hematoma, pneumothorax, and epidural abscess [15]. Fascial plane blocks, such as the transversus abdominis plane (TAP) block, rectus sheath block, and erector spinae plane block (ESPB), can reduce postoperative pain during abdominal surgeries [3,[9][10][11][12][13][14]. Sympathetic block, hypotension, and epidural hematoma in patients with coagulopathy can be avoided using fascial plane blocks instead of epidural blocks [16].…”

mentioning

confidence: 99%

“…ESPB is a safe and easy-to-perform fascial plane block. Several studies have demonstrated the analgesic effect of ESPB on post-cholecystectomy pain [3,[9][10][11][12][13][14]. Despite a growing number of publications related to ESPB, the appropriate dose of local anesthetics for ESPB in LC remains unclear.…”

mentioning

confidence: 99%

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Comparison of the efficacy of erector spinae plane block according to the difference in bupivacaine concentrations for analgesia after laparoscopic cholecystectomy: a retrospective study

Park

Chu

et al. 2023

JYMS

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Although laparoscopic cholecystectomy (LC) is noninvasive, painBackground: Laparoscopic cholecystectomy (LC) is a noninvasive surgery, but postoperative pain is a major problem. Studies have indicated that erector spinae plane block (ESPB) has an analgesic effect after LC. We aimed to compare the efficacy of different ESPB anesthetic concentrations in pain control in patients with LC. Methods: This retrospective study included patients aged 20 to 75 years scheduled for LC with the American Society of Anesthesiologists physical status classification I or II. ESPB was administered using 0.375% bupivacaine in group 1 and 0.25% in group 2. Both groups received general anesthesia. Postoperative tramadol consumption and pain scores were compared and intraoperative and postoperative fentanyl requirements in the postanesthesia care unit (PACU) were measured. Results: Eighty-five patients were included in this analysis. Tramadol consumption in the first 12 hours, second 12 hours, and total 24 hours was similar between groups (p> 0.05). The differences between postoperative numeric rating scale (NRS) scores at rest did not differ significantly. The postoperative NRS scores upon bodily movement were not statistically different between the two groups, except at 12 hours. The mean intraoperative and postoperative fentanyl requirements in the PACU were similar. The difference in the requirement for rescue analgesics was not statistically significant (p= 0.788). Conclusion: Ultrasound-guided ESPB performed with different bupivacaine concentrations was effective in both groups for LC analgesia, with similar opioid consumption. A lower concentration of local anesthetic can be helpful for the safety of regional anesthesia and is recommended for the analgesic effect of ESPB in LC.

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