Effects of erector spinae plane block and retrolaminar block on analgesia for multiple rib fractures: a randomized, double-blinded clinical trial
Objective: To investigate the effects of Erector Spinae Plane Block (ESPB) and Retrolaminar Block (RLB) on intra- and postoperative analgesia in patients with Multiple Rib Fractures (MRFs). Methods: A total of 80 MRFs patients were randomly divided into the ESPB (Group E) and RLB (Group R) groups. A...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | Brazilian Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0104001421001548 |
| _version_ | 1818018030997733376 |
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| author | Yaoping Zhao Yan Tao Shaoqiang Zheng Nan Cai Long Cheng Hao Xie Geng Wang |
| author_facet | Yaoping Zhao Yan Tao Shaoqiang Zheng Nan Cai Long Cheng Hao Xie Geng Wang |
| author_sort | Yaoping Zhao |
| collection | DOAJ |
| description | Objective: To investigate the effects of Erector Spinae Plane Block (ESPB) and Retrolaminar Block (RLB) on intra- and postoperative analgesia in patients with Multiple Rib Fractures (MRFs). Methods: A total of 80 MRFs patients were randomly divided into the ESPB (Group E) and RLB (Group R) groups. After general anesthesia, ESPB and RLB were performed under ultrasound guidance, respectively, together with 20 mL of 0.5% ropivacaine and Patient-Controlled Intravenous Analgesia (PCIA). Results: Thirty-four cases in Group E and 33,cases in Group R showed unclear paravertebral spaces. The intraoperative dosage of remifentanil (mean ± SD) (392.8 ± 118.7 vs. 501.7 ± 190.0 μg) and postoperative morphine PCIA dosage, (7.35 ± 1.55 vs. 14.73 ± 2.18 mg) in Group R were significantly less than those in Group E; the Visual Analog Scale (VAS) scores in Group R at 2 (2.7 ± 1.2 vs. 3.4 ± 1.4), 4 (2.2 ± 1.1 vs. 2.8 ± 0.9), 12 (2.5 ± 0.9 vs. 3.0 ± 0.8), and 24 hours (2.6 ± 1.0 vs. 3.1 ± 0.9) after surgery were significantly lower than those in Group E. Finally, the normal respiratory diaphragm activity (2.17 ± 0.22 vs. 2.05 ± 0.19), pH (median [IQR] (7.38 [7.31–7.45] vs. 7.36 [7.30–7.42]), and partial pressure of carbon dioxide (PaCO2) (44 [35–49] vs. 42.5 [30–46]) after the operation in Group R were significantly better than those in Group E (p < 0.05). Conclusions: RLB was a more effective analgesic method than ESPB in the treatment of MRF. |
| first_indexed | 2024-04-14T07:33:55Z |
| format | Article |
| id | doaj.art-5ff62cf7b98c4ea0a54e12d8fdfa3685 |
| institution | Directory Open Access Journal |
| issn | 0104-0014 |
| language | English |
| last_indexed | 2024-04-14T07:33:55Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Anesthesiology |
| spelling | doaj.art-5ff62cf7b98c4ea0a54e12d8fdfa36852022-12-22T02:05:44ZengElsevierBrazilian Journal of Anesthesiology0104-00142022-01-01721115121Effects of erector spinae plane block and retrolaminar block on analgesia for multiple rib fractures: a randomized, double-blinded clinical trialYaoping Zhao0Yan Tao1Shaoqiang Zheng2Nan Cai3Long Cheng4Hao Xie5Geng Wang6Department of Anesthesiology, Beijing Jishuitan Hospital, Beijing, P.R. ChinaDepartment of Anesthesiology, Beijing Jishuitan Hospital, Beijing, P.R. ChinaDepartment of Anesthesiology, Beijing Jishuitan Hospital, Beijing, P.R. ChinaDepartment of Anesthesiology, Beijing Jishuitan Hospital, Beijing, P.R. ChinaDepartment of Anesthesiology, Beijing Jishuitan Hospital, Beijing, P.R. ChinaDepartment of Thoracic Surgery, Beijing Jishuitan Hospital, Beijing, P.R. ChinaDepartment of Anesthesiology, Beijing Jishuitan Hospital, Beijing, P.R. China; Corresponding author.Objective: To investigate the effects of Erector Spinae Plane Block (ESPB) and Retrolaminar Block (RLB) on intra- and postoperative analgesia in patients with Multiple Rib Fractures (MRFs). Methods: A total of 80 MRFs patients were randomly divided into the ESPB (Group E) and RLB (Group R) groups. After general anesthesia, ESPB and RLB were performed under ultrasound guidance, respectively, together with 20 mL of 0.5% ropivacaine and Patient-Controlled Intravenous Analgesia (PCIA). Results: Thirty-four cases in Group E and 33,cases in Group R showed unclear paravertebral spaces. The intraoperative dosage of remifentanil (mean ± SD) (392.8 ± 118.7 vs. 501.7 ± 190.0 μg) and postoperative morphine PCIA dosage, (7.35 ± 1.55 vs. 14.73 ± 2.18 mg) in Group R were significantly less than those in Group E; the Visual Analog Scale (VAS) scores in Group R at 2 (2.7 ± 1.2 vs. 3.4 ± 1.4), 4 (2.2 ± 1.1 vs. 2.8 ± 0.9), 12 (2.5 ± 0.9 vs. 3.0 ± 0.8), and 24 hours (2.6 ± 1.0 vs. 3.1 ± 0.9) after surgery were significantly lower than those in Group E. Finally, the normal respiratory diaphragm activity (2.17 ± 0.22 vs. 2.05 ± 0.19), pH (median [IQR] (7.38 [7.31–7.45] vs. 7.36 [7.30–7.42]), and partial pressure of carbon dioxide (PaCO2) (44 [35–49] vs. 42.5 [30–46]) after the operation in Group R were significantly better than those in Group E (p < 0.05). Conclusions: RLB was a more effective analgesic method than ESPB in the treatment of MRF.http://www.sciencedirect.com/science/article/pii/S0104001421001548Clinical trialRib fracturesNerve blockUltrasound imagingAnalgesia |
| spellingShingle | Yaoping Zhao Yan Tao Shaoqiang Zheng Nan Cai Long Cheng Hao Xie Geng Wang Effects of erector spinae plane block and retrolaminar block on analgesia for multiple rib fractures: a randomized, double-blinded clinical trial Brazilian Journal of Anesthesiology Clinical trial Rib fractures Nerve block Ultrasound imaging Analgesia |
| title | Effects of erector spinae plane block and retrolaminar block on analgesia for multiple rib fractures: a randomized, double-blinded clinical trial |
| title_full | Effects of erector spinae plane block and retrolaminar block on analgesia for multiple rib fractures: a randomized, double-blinded clinical trial |
| title_fullStr | Effects of erector spinae plane block and retrolaminar block on analgesia for multiple rib fractures: a randomized, double-blinded clinical trial |
| title_full_unstemmed | Effects of erector spinae plane block and retrolaminar block on analgesia for multiple rib fractures: a randomized, double-blinded clinical trial |
| title_short | Effects of erector spinae plane block and retrolaminar block on analgesia for multiple rib fractures: a randomized, double-blinded clinical trial |
| title_sort | effects of erector spinae plane block and retrolaminar block on analgesia for multiple rib fractures a randomized double blinded clinical trial |
| topic | Clinical trial Rib fractures Nerve block Ultrasound imaging Analgesia |
| url | http://www.sciencedirect.com/science/article/pii/S0104001421001548 |
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