Efficacy of bilateral erector spinae block for postoperative pain control in patients of lumbar spine fusion surgery

Background Controlling postoperative pain after posterior lumbar spine surgeries is necessary to achieve patient satisfaction and good outcome after successful surgical intervention. Preoperative erector spinae block (ESB) technique is considered a recently evolved tool to achieve these goals. Purpo...

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Main Authors: Sameh Mahmoud Saleh, Amr A Soliman
Format: Article
Language:English
Published: General Organization of Teaching Hospitals and Institutes 2022-01-01
Series:Journal of Medicine in Scientific Research
Subjects:
Online Access:http://www.jmsr.eg.net/article.asp?issn=2537-091X;year=2022;volume=5;issue=3;spage=233;epage=236;aulast=Saleh
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author Sameh Mahmoud Saleh
Amr A Soliman
author_facet Sameh Mahmoud Saleh
Amr A Soliman
author_sort Sameh Mahmoud Saleh
collection DOAJ
description Background Controlling postoperative pain after posterior lumbar spine surgeries is necessary to achieve patient satisfaction and good outcome after successful surgical intervention. Preoperative erector spinae block (ESB) technique is considered a recently evolved tool to achieve these goals. Purpose The aim of this study was to evaluate the efficacy of the bilateral ESB technique in pain management after lumbar spinal fusion surgery for degenerative spine diseases. Patients and methods Patients who underwent lumbar spinal fusion surgery for degenerative pathologies in 2019and 2020 were enrolled in the study. The patients were assessed according to pain score experienced postoperatively at different times till the end of the first postoperative day by numeric rating scale, amount of analgesics received, and drug-related complications noticed in the first postoperative day. Results The data of 60 patients who had lumbar spinal fusion surgery were collectively analyzed. Of these, 30 received only general anesthesia (group A), whereas the other 30 patients received the ESB in addition to general anesthesia (group B). The numeric rating scale pain scores and the amount of intravenous postoperative analgesia received were lower in group B than in group A at all the measured time points (P < 0.05). There was no significant difference in the incidence of complications between the two groups. Conclusion Bilateral ESB is an effective tool in controlling postoperative pain after posterior spinal fusion surgeries in both pain intensity and postoperative-received analgesics.
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spelling doaj.art-3fb3c31c5dce43f4bdc68e6c6ba803352024-04-03T05:07:54ZengGeneral Organization of Teaching Hospitals and InstitutesJournal of Medicine in Scientific Research2537-091X2537-09282022-01-015323323610.4103/jmisr.jmisr_16_22Efficacy of bilateral erector spinae block for postoperative pain control in patients of lumbar spine fusion surgerySameh Mahmoud SalehAmr A SolimanBackground Controlling postoperative pain after posterior lumbar spine surgeries is necessary to achieve patient satisfaction and good outcome after successful surgical intervention. Preoperative erector spinae block (ESB) technique is considered a recently evolved tool to achieve these goals. Purpose The aim of this study was to evaluate the efficacy of the bilateral ESB technique in pain management after lumbar spinal fusion surgery for degenerative spine diseases. Patients and methods Patients who underwent lumbar spinal fusion surgery for degenerative pathologies in 2019and 2020 were enrolled in the study. The patients were assessed according to pain score experienced postoperatively at different times till the end of the first postoperative day by numeric rating scale, amount of analgesics received, and drug-related complications noticed in the first postoperative day. Results The data of 60 patients who had lumbar spinal fusion surgery were collectively analyzed. Of these, 30 received only general anesthesia (group A), whereas the other 30 patients received the ESB in addition to general anesthesia (group B). The numeric rating scale pain scores and the amount of intravenous postoperative analgesia received were lower in group B than in group A at all the measured time points (P < 0.05). There was no significant difference in the incidence of complications between the two groups. Conclusion Bilateral ESB is an effective tool in controlling postoperative pain after posterior spinal fusion surgeries in both pain intensity and postoperative-received analgesics.http://www.jmsr.eg.net/article.asp?issn=2537-091X;year=2022;volume=5;issue=3;spage=233;epage=236;aulast=Salehanalgesicserector spinae blockpain controlspine fusion
spellingShingle Sameh Mahmoud Saleh
Amr A Soliman
Efficacy of bilateral erector spinae block for postoperative pain control in patients of lumbar spine fusion surgery
Journal of Medicine in Scientific Research
analgesics
erector spinae block
pain control
spine fusion
title Efficacy of bilateral erector spinae block for postoperative pain control in patients of lumbar spine fusion surgery
title_full Efficacy of bilateral erector spinae block for postoperative pain control in patients of lumbar spine fusion surgery
title_fullStr Efficacy of bilateral erector spinae block for postoperative pain control in patients of lumbar spine fusion surgery
title_full_unstemmed Efficacy of bilateral erector spinae block for postoperative pain control in patients of lumbar spine fusion surgery
title_short Efficacy of bilateral erector spinae block for postoperative pain control in patients of lumbar spine fusion surgery
title_sort efficacy of bilateral erector spinae block for postoperative pain control in patients of lumbar spine fusion surgery
topic analgesics
erector spinae block
pain control
spine fusion
url http://www.jmsr.eg.net/article.asp?issn=2537-091X;year=2022;volume=5;issue=3;spage=233;epage=236;aulast=Saleh
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