Lumbar Erector Spinae Plane Block as a Main Anesthetic Method for Hip Surgery in High Risk Elderly Patients: Initial Experience with a Magnetic Resonance Imaging

Ahişkalıoğlu, Ali; Tulgar, Serkan; Çelik, Mine; Özer, Zeliha; Alici, Hacı Ahmet; Aydın, Muhammed Enes

doi:10.5152/eurasianjmed.2020.19224

Cited by 62 publications

(58 citation statements)

References 26 publications

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“…Comparison between the two studied groups according to atropine dose (mg). desflurane and reported the case had the same quality and duration to what they experienced by patients underwent the most common anaesthetic technique performed there (general anaesthesia and epidural analgesia) [31]. For controlled haemodynamics, we used B-blocker propranolol to control any incompatible rise of the heart rate.…”

Section: Case Nomentioning

confidence: 97%

Erector spinae plane block combined with general anaesthesia versus conventional general anaesthesia in lumbar spine surgery

Siam

Aliaa

El-Medany

et al. 2020

Egyptian Journal of Anaesthesia

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Background: Perioperative pain management should be planned preoperatively and based on usage of pharmacological and non-pharmacological modalities as a multimodal analgesia (MMA). Regional anaesthesia has superior advantages than opioid-based anaesthesia and is one of the cornerstones of the Enhanced Recovery After Surgery (ERAS) especially in Patients undergoing spine surgery having already troublesome chronic pain and analgesic use. The present study was carried out to compare erector spinae plane block (ESP) with general anaesthesia versus conventional general anaesthesia in lumbar spine surgery. Materials and Methods: This study was done on thirty adult patients of both sexes scheduled for elective lumbar spine surgery under general anaesthesia. They were randomly categorized into two equal groups (fifteen patients each); ESP was used for group I, and MMA was used for group II. Data was collected on anaesthetic requirements based on entropy monitoring and haemodynamic parameters, stress response measurement based on serum cortisol and blood glucose levels, controlled hypotensive anaesthesia; various drugs required and doses given, intraoperative and postoperative analgesia, postanaesthesia care unit data concerning recovery. Results: The group I (ESP) had statistically significant decrease of the response and the response-state entropy difference levels when compared to the group II (MMA) after stimulus and during the 1st time interval. The incidence of hemodynamic changes was significantly higher in the group I (ESP) than group II (MMA). Only the serum cortisol but not the blood glucose levels had statistically significant lower mean values 4 h postoperatively in group I (ESP) compared to group II (MMA). The patients received ESP had statistically significant lower mean expired isoflurane concentration, decreased emergence time, intraoperative fentanyl consumption and total dose of pethidine given up to 8 hrpostoperatively. Conclusions: Erector spinae plane block (ESP) can be considered safe and effective perioperative analgesic modality for lumbar spine simple decompression surgery. It helps in controlled hypotensive anaesthetic technique and decreases inhalational anaesthetics and intraoperative opioid requirements.

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Section: Case Nomentioning

confidence: 97%

Erector spinae plane block combined with general anaesthesia versus conventional general anaesthesia in lumbar spine surgery

Siam

Aliaa

El-Medany

et al. 2020

Egyptian Journal of Anaesthesia

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“…All surgeries were completed under mild propofol sedation. 72 It has been shown that in areas with complex innervation such as the hip and proximal femur, lumbar ESPB can be used as the main anesthetic method as it provides adequate anesthesia. The mechanism of action can be explained by the spread of LA given in lumbar EPSB to the paravertebral, epidural, and lumbar plexus.…”

Section: Main Anesthetic Methodsmentioning

confidence: 99%

<p>Anesthetic Techniques: Focus on Lumbar Erector Spinae Plane Block</p>

Tulgar¹,

Aydın²,

Ahıskalıoğlu³

et al. 2020

LRA

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Defined in the last decade, erector spinae plane block (ESPB) is one of the more frequently used interfacial plans, and it has been the most discussed block among the recently defined techniques. Lumbar ESPB administered at lumbar levels is relatively novel and is a new horizon for regional anesthesia and pain practice. In this article, we aim to explain and introduce different approaches and explain the possible mechanism of action of lumbar ESPB. The objective of this review is to analyze the case reports, clinical and cadaveric studies about lumbar ESPB that have been published to date. We performed a search in "Pubmed" and "Google Scholar" database. After a selection of the relevant studies, 59 articles were found eligible and were included in this review. While we believe that lumbar ESPB is reliable and easy, we suggest that its efficacy and indications should be verified with anatomical and clinical studies, and its safety should be confirmed with pharmacokinetic studies. Moreover, the possibility of complications must be considered.

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“…The lumbar ESPB has been described for gender reassignment procedures, vaginismus and abdominal surgeries [ 1 , 2 ]. Also, recently, lumbar ESPB has been used successfully as the main anesthetic method for hip surgery [ 3 ]. An examination of the anatomy of the erector spinae muscle group reveals that it extends from the cervical to the sacral region; therefore, at least theoretically, ESPB can be performed at different levels along this entire vertebral column [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Sacral Erector Spinae Plane Block Provides Surgical Anesthesia in Ambulatory Anorectal Surgery: Two Case Reports

Kaya¹,

Dost²,

Tulgar³

2021

Cureus

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Erector spinae plane block (ESPB) is a new and popular interfacial fascial plane block which has been used in many different surgeries. There are a few cases in which ultrasound-guided sacral ESPB was used for postoperative analgesia. This article presents the successful use of bi-level, bilateral sacral ESPB for main anesthetic method in anorectal surgery. Anesthetic level required for surgery was accomplished in 30 minutes, and none of the patients experienced pain throughout the surgery. The patients were discharged at the postoperative fourth hour without any complications. The patients, who were contacted later, indicated no need for any analgesic for 24 h postoperatively. To the best of our knowledge, this is the first case report in the literature where sacral ESPB is used as the sole anesthetic technique. The sacral ESPB can be considered in anorectal surgery as an alternative technique for spinal or general anesthesia.

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Lumbar Erector Spinae Plane Block as a Main Anesthetic Method for Hip Surgery in High Risk Elderly Patients: Initial Experience with a Magnetic Resonance Imaging

Cited by 62 publications

References 26 publications

Erector spinae plane block combined with general anaesthesia versus conventional general anaesthesia in lumbar spine surgery

Erector spinae plane block combined with general anaesthesia versus conventional general anaesthesia in lumbar spine surgery

<p>Anesthetic Techniques: Focus on Lumbar Erector Spinae Plane Block</p>

Sacral Erector Spinae Plane Block Provides Surgical Anesthesia in Ambulatory Anorectal Surgery: Two Case Reports

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