• Bahadir Ciftci, Mursel Ekinci, Erkan Cem Celik, Ismail Cem Tukac, Yusuf Bayrak, and Yunus Oktay Atalay.
• Istanbul Medipol University, School of Medicine, Mega Medipol University Hospital, Department of Anesthesiology and Reanimation, Istanbul, Turkey. Electronic address: bciftci@medipol.edu.tr.
• J. Cardiothorac. Vasc. Anesth. 2020 Feb 1; 34 (2): 444-449.

ObjectivesInvestigate whether an ultrasound-guided erector spinae plane block (ESPB) can be used to manage postoperative pain in video-assisted thoracic surgery (VATS) patients.DesignProspective, randomized study.SettingSingle institution, academic university hospital.ParticipantsAdult patients who underwent VATS under general anesthesia between September 2018 and March 2019.InterventionsThis study was an interventional study.Measurements And Main ResultsA total of 60 patients were randomly assigned into 2 groups (n = 30 per group): an ESPB group and a control group. In the ESPB group, a single-shot ultrasound-guided ESPB was administered preoperatively. The control group received no such intervention. All of the patients received intravenous patient-controlled postoperative analgesia, and they were assessed using visual analogue scale (VAS) scores, opioid consumption, and adverse events. There were no statistically significant intergroup differences with respect to the age, sex, weight, American Society of Anesthesiologists status, anesthesia duration, and surgery length (p > 0.05 for each). The opioid consumption at 1, 2, 4, 8, 16, and 24 hours and the active and passive VAS scores at 0, 2, 4, 8, 16, and 24 hours were statistically lower in the ESPB group at all of the time periods when compared with the control group (p < 0.05). In the control group, the nausea and itching rates were higher, but there were no intergroup differences in terms of other adverse effects.ConclusionsA preemptive single-shot ESPB may provide effective analgesia management after VATS.Copyright © 2019 Elsevier Inc. All rights reserved.

15 keywords...

hide…