Erector spinae plane block for postoperative analgesia in patients undergoing total abdominal hysterectomy: a randomized controlled study original study
Mohamed Ahmed Hamed, Abeer Shaban Goda, Mohammed Magdy Basiony, Omar Sayed Fargaly, Mahdy Ahmed AbdelhadyLecturer of Anesthesiology, Faculty of Medicine, Fayoum University, Fayoum, EgyptBackground: Abdominal hysterectomy is associated with marked postoperative pain and morbidity, but effective posto...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2019-04-01
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| Series: | Journal of Pain Research |
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| Online Access: | https://www.dovepress.com/erector-spinae-plane-block-for-postoperative-analgesia-in-patients-und-peer-reviewed-article-JPR |
| _version_ | 1818038022016335872 |
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| author | Hamed MA Goda AS Basiony MM Fargaly OS Abdelhady MA |
| author_facet | Hamed MA Goda AS Basiony MM Fargaly OS Abdelhady MA |
| author_sort | Hamed MA |
| collection | DOAJ |
| description | Mohamed Ahmed Hamed, Abeer Shaban Goda, Mohammed Magdy Basiony, Omar Sayed Fargaly, Mahdy Ahmed AbdelhadyLecturer of Anesthesiology, Faculty of Medicine, Fayoum University, Fayoum, EgyptBackground: Abdominal hysterectomy is associated with marked postoperative pain and morbidity, but effective postoperative analgesia provides early recovery and ambulation.Aim: We intended to assess the efficacy of bilateral erector spinae plane block (ESPB) on postoperative analgesia in females undergoing abdominal hysterectomy under general anesthesia.Settings and Design: The design was a prospective, randomized, controlled, single-blind clinical study.Patients and Methods: Sixty patients with American Society of Anesthesiologists (ASA) physical status classes Ι to ΙΙΙ were scheduled for elective abdominal hysterectomy under general anesthesia, patients were randomly allocated into two equal groups. ESPB patients received ultrasound-guided ESPB at T9 vertebrae level with 20 ml bupivacaine 0.5%. Control group patients did not receive a block. Total fentanyl consumption in the first 24 h and visual analogue scale (VAS) score for pain were evaluated postoperatively. Unpaired Student’s t-tests, chi-square tests, and Z tests were used to compare groups.Results: No significant differences were recorded between the groups regarding age, weight, ASA physical status, or surgery duration, Total fentanyl consumption in the first 24 h was significantly higher in the control group than the ESPB group (P=0.003; 485±20.39 mcg vs 445±67.49 mcg, respectively), VAS for pain was significantly higher in the control group for the first 12 h postoperatively.Conclusions: Bilateral ESPB provided effective postoperative analgesia and markedly decreased postoperative fentanyl consumption in patients undergoing an abdominal hysterectomy.Keywords: erector spinae plane block, fentanyl consumption, total abdominal hysterectomy, postoperative analgesia |
| first_indexed | 2024-12-10T07:36:07Z |
| format | Article |
| id | doaj.art-374ef9bce5a1450f8bfc66b83069b265 |
| institution | Directory Open Access Journal |
| issn | 1178-7090 |
| language | English |
| last_indexed | 2024-12-10T07:36:07Z |
| publishDate | 2019-04-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Journal of Pain Research |
| spelling | doaj.art-374ef9bce5a1450f8bfc66b83069b2652022-12-22T01:57:25ZengDove Medical PressJournal of Pain Research1178-70902019-04-01Volume 121393139845444Erector spinae plane block for postoperative analgesia in patients undergoing total abdominal hysterectomy: a randomized controlled study original studyHamed MAGoda ASBasiony MMFargaly OSAbdelhady MAMohamed Ahmed Hamed, Abeer Shaban Goda, Mohammed Magdy Basiony, Omar Sayed Fargaly, Mahdy Ahmed AbdelhadyLecturer of Anesthesiology, Faculty of Medicine, Fayoum University, Fayoum, EgyptBackground: Abdominal hysterectomy is associated with marked postoperative pain and morbidity, but effective postoperative analgesia provides early recovery and ambulation.Aim: We intended to assess the efficacy of bilateral erector spinae plane block (ESPB) on postoperative analgesia in females undergoing abdominal hysterectomy under general anesthesia.Settings and Design: The design was a prospective, randomized, controlled, single-blind clinical study.Patients and Methods: Sixty patients with American Society of Anesthesiologists (ASA) physical status classes Ι to ΙΙΙ were scheduled for elective abdominal hysterectomy under general anesthesia, patients were randomly allocated into two equal groups. ESPB patients received ultrasound-guided ESPB at T9 vertebrae level with 20 ml bupivacaine 0.5%. Control group patients did not receive a block. Total fentanyl consumption in the first 24 h and visual analogue scale (VAS) score for pain were evaluated postoperatively. Unpaired Student’s t-tests, chi-square tests, and Z tests were used to compare groups.Results: No significant differences were recorded between the groups regarding age, weight, ASA physical status, or surgery duration, Total fentanyl consumption in the first 24 h was significantly higher in the control group than the ESPB group (P=0.003; 485±20.39 mcg vs 445±67.49 mcg, respectively), VAS for pain was significantly higher in the control group for the first 12 h postoperatively.Conclusions: Bilateral ESPB provided effective postoperative analgesia and markedly decreased postoperative fentanyl consumption in patients undergoing an abdominal hysterectomy.Keywords: erector spinae plane block, fentanyl consumption, total abdominal hysterectomy, postoperative analgesiahttps://www.dovepress.com/erector-spinae-plane-block-for-postoperative-analgesia-in-patients-und-peer-reviewed-article-JPRErector spinae plane blockfentanyl consumptiontotal abdominal hysterectomypostoperative analgesia. |
| spellingShingle | Hamed MA Goda AS Basiony MM Fargaly OS Abdelhady MA Erector spinae plane block for postoperative analgesia in patients undergoing total abdominal hysterectomy: a randomized controlled study original study Journal of Pain Research Erector spinae plane block fentanyl consumption total abdominal hysterectomy postoperative analgesia. |
| title | Erector spinae plane block for postoperative analgesia in patients undergoing total abdominal hysterectomy: a randomized controlled study original study |
| title_full | Erector spinae plane block for postoperative analgesia in patients undergoing total abdominal hysterectomy: a randomized controlled study original study |
| title_fullStr | Erector spinae plane block for postoperative analgesia in patients undergoing total abdominal hysterectomy: a randomized controlled study original study |
| title_full_unstemmed | Erector spinae plane block for postoperative analgesia in patients undergoing total abdominal hysterectomy: a randomized controlled study original study |
| title_short | Erector spinae plane block for postoperative analgesia in patients undergoing total abdominal hysterectomy: a randomized controlled study original study |
| title_sort | erector spinae plane block for postoperative analgesia in patients undergoing total abdominal hysterectomy a randomized controlled study original study |
| topic | Erector spinae plane block fentanyl consumption total abdominal hysterectomy postoperative analgesia. |
| url | https://www.dovepress.com/erector-spinae-plane-block-for-postoperative-analgesia-in-patients-und-peer-reviewed-article-JPR |
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