Efficacy of c-arm scopy-guided erector spinae plane block (ESPB) in postoperative pain control and reduction of opioid side effects in spinal instrumentation surgery
Background: Spinal instrumentation surgery causes significant pain in patients. As a result, patients are exposed to excessive opioid use and the associated side effects, as well as prolonged hospital stay, resulting in economic burden. Local anaesthetics can help both reduce postoperative pain and...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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London Academic Publishing
2020-03-01
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| Series: | Romanian Neurosurgery |
| Subjects: | |
| Online Access: | https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/1357 |
| _version_ | 1819087213417201664 |
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| author | Yasar Karatas Fatih Keskin Mehmet Fatih Erdi Bulent Kaya Ibrahim Kosemen Mehmet Kenan Erdal Kalkan1 |
| author_facet | Yasar Karatas Fatih Keskin Mehmet Fatih Erdi Bulent Kaya Ibrahim Kosemen Mehmet Kenan Erdal Kalkan1 |
| author_sort | Yasar Karatas |
| collection | DOAJ |
| description | Background: Spinal instrumentation surgery causes significant pain in patients. As a result, patients are exposed to excessive opioid use and the associated side effects, as well as prolonged hospital stay, resulting in economic burden. Local anaesthetics can help both reduce postoperative pain and minimize the side effects associated with systemically administered opioid analgesics.
Objective: The aim of this retrospective study was to investigate the effect of erector spinae plane block on analgesia in spinal instrumentation surgery and to reduce the side effects of excessive opioid use.
Materials and Methods: We reported a retrospective study. Thirty patients, who underwent spinal instrumentation surgery from 2017 to 2018, were chosen from the hospital records. We performed spinal instrumentation and decompression by laminectomy to all patients under general anaesthesia. While 15 of these patients underwent erector spinae plane block, these patients received patient-controlled analgesia postoperative period. The other 15 patients received only patient-controlled analgesia postoperative period. We analyzed patients' data for differences in preoperative and postoperative visual analogue scores, nausea vomiting scores, constipation life quality scale, patient-controlled analgesia shot count and mean opioid consumption of patients.
Results: The data of 30 patients undergoing lumbar spinal instrumentation surgery were retrospectively analyzed. There was no significant difference in the age, preoperative VAS, preoperative ODI and sex between the two groups (p˃0,05). In addition, there were statistically significant differences in postoperative VAS, postoperative ODI, Nausea Vomiting Score, Constipation Life Quality Score (CLQS), petidin consumption and PCA shot count (p <0.05). In all variables with significant differences, the values in the block group were lower than the non-block group.
Conclusion: ESPB provides effective analgesia and reduces side effects due to excessive opioid usage. |
| first_indexed | 2024-12-21T21:32:34Z |
| format | Article |
| id | doaj.art-d15f583f46db40cf8ef4d5b418220911 |
| institution | Directory Open Access Journal |
| issn | 1220-8841 2344-4959 |
| language | English |
| last_indexed | 2024-12-21T21:32:34Z |
| publishDate | 2020-03-01 |
| publisher | London Academic Publishing |
| record_format | Article |
| series | Romanian Neurosurgery |
| spelling | doaj.art-d15f583f46db40cf8ef4d5b4182209112022-12-21T18:49:35ZengLondon Academic PublishingRomanian Neurosurgery1220-88412344-49592020-03-01341Efficacy of c-arm scopy-guided erector spinae plane block (ESPB) in postoperative pain control and reduction of opioid side effects in spinal instrumentation surgeryYasar KaratasFatih KeskinMehmet Fatih ErdiBulent KayaIbrahim KosemenMehmet KenanErdal Kalkan1Background: Spinal instrumentation surgery causes significant pain in patients. As a result, patients are exposed to excessive opioid use and the associated side effects, as well as prolonged hospital stay, resulting in economic burden. Local anaesthetics can help both reduce postoperative pain and minimize the side effects associated with systemically administered opioid analgesics. Objective: The aim of this retrospective study was to investigate the effect of erector spinae plane block on analgesia in spinal instrumentation surgery and to reduce the side effects of excessive opioid use. Materials and Methods: We reported a retrospective study. Thirty patients, who underwent spinal instrumentation surgery from 2017 to 2018, were chosen from the hospital records. We performed spinal instrumentation and decompression by laminectomy to all patients under general anaesthesia. While 15 of these patients underwent erector spinae plane block, these patients received patient-controlled analgesia postoperative period. The other 15 patients received only patient-controlled analgesia postoperative period. We analyzed patients' data for differences in preoperative and postoperative visual analogue scores, nausea vomiting scores, constipation life quality scale, patient-controlled analgesia shot count and mean opioid consumption of patients. Results: The data of 30 patients undergoing lumbar spinal instrumentation surgery were retrospectively analyzed. There was no significant difference in the age, preoperative VAS, preoperative ODI and sex between the two groups (p˃0,05). In addition, there were statistically significant differences in postoperative VAS, postoperative ODI, Nausea Vomiting Score, Constipation Life Quality Score (CLQS), petidin consumption and PCA shot count (p <0.05). In all variables with significant differences, the values in the block group were lower than the non-block group. Conclusion: ESPB provides effective analgesia and reduces side effects due to excessive opioid usage.https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/1357lumbarinstrumentationsurgerypainerector spinae planeblock |
| spellingShingle | Yasar Karatas Fatih Keskin Mehmet Fatih Erdi Bulent Kaya Ibrahim Kosemen Mehmet Kenan Erdal Kalkan1 Efficacy of c-arm scopy-guided erector spinae plane block (ESPB) in postoperative pain control and reduction of opioid side effects in spinal instrumentation surgery Romanian Neurosurgery lumbar instrumentation surgery pain erector spinae plane block |
| title | Efficacy of c-arm scopy-guided erector spinae plane block (ESPB) in postoperative pain control and reduction of opioid side effects in spinal instrumentation surgery |
| title_full | Efficacy of c-arm scopy-guided erector spinae plane block (ESPB) in postoperative pain control and reduction of opioid side effects in spinal instrumentation surgery |
| title_fullStr | Efficacy of c-arm scopy-guided erector spinae plane block (ESPB) in postoperative pain control and reduction of opioid side effects in spinal instrumentation surgery |
| title_full_unstemmed | Efficacy of c-arm scopy-guided erector spinae plane block (ESPB) in postoperative pain control and reduction of opioid side effects in spinal instrumentation surgery |
| title_short | Efficacy of c-arm scopy-guided erector spinae plane block (ESPB) in postoperative pain control and reduction of opioid side effects in spinal instrumentation surgery |
| title_sort | efficacy of c arm scopy guided erector spinae plane block espb in postoperative pain control and reduction of opioid side effects in spinal instrumentation surgery |
| topic | lumbar instrumentation surgery pain erector spinae plane block |
| url | https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/1357 |
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