Effect of Sacral Erector Spinae Plane Block on Postoperative Analgesia in Perianal Surgeries: A Randomised Controlled Trial
Introduction: Sacral nerves emerge through sacral foramina and traverse below the multifidus muscle. Hence, blocking this myofascial plane can provide postoperative analgesia in the perianal region by blocking the sacral nerves supplying it. Aim: To study the effect of Sacral Erector Spinae Plane B...
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| Format: | Article |
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JCDR Research and Publications Private Limited
2024-04-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/19247/67737_CE[Ra1]_F(SHU)_QC&Ref_PAT(SD_SHU)_PF1(AG_SS)_PFA(AG_KM)_PN(KM).pdf |
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| author | Sanjaya Kumar Behera Sunil Kumar Pattnaik Mousumi Das Partha Sarathi Mohapatra Krishna Mishra Lingaraj Sahu |
| author_facet | Sanjaya Kumar Behera Sunil Kumar Pattnaik Mousumi Das Partha Sarathi Mohapatra Krishna Mishra Lingaraj Sahu |
| author_sort | Sanjaya Kumar Behera |
| collection | DOAJ |
| description | Introduction: Sacral nerves emerge through sacral foramina and traverse below the multifidus muscle. Hence, blocking this myofascial plane can provide postoperative analgesia in the perianal region by blocking the sacral nerves supplying it.
Aim: To study the effect of Sacral Erector Spinae Plane Block (SESPB) on postoperative pain and postoperative analgesic requirement in perianal surgeries.
Materials and Methods: A randomised controlled trial was done with 60 patients who were randomly allocated into two groups (30 in each group). Group 1 patients received no intervention, whereas Group 2 received bilateral SESPB. The Visual Analogue Scale (VAS), opioid requirement, first analgesic demand, and additional analgesic requirement were compared between the two groups. The qualitative data was analysed by Student’s t-test, whereas the quantitative data was analysed using the Chi-square test. A p-value of <0.05 was considered statistically significant.
Results: Around 18 (60%) of the participants in group 1 were males, whereas group 2 consisted of 15 (50%) males. The mean age in group 1 was 40.7±11.5 years, whereas it was 43.6±12.7 years in group 2. The means of BMI were similar in both groups. The mean VAS score of group 1 was 3.19±0.23, whereas it was 2.37±0.25 in group 2. The first analgesic requirement was significantly delayed, and total tramadol requirement was lower in group 2 compared to group 1. Four patients from group 1 (control group) required inj. diclofenac sodium additionally.
Conclusion: Bilateral SESPB provided good postoperative analgesia in patients who underwent perianal surgery. The total analgesic requirement was also found to be lower with this block. Hence, it can be considered a modality for perianal surgeries. |
| first_indexed | 2024-04-24T18:41:28Z |
| format | Article |
| id | doaj.art-e1bec4cecb364b049b0d2ce7b03fa33d |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-24T18:41:28Z |
| publishDate | 2024-04-01 |
| publisher | JCDR Research and Publications Private Limited |
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| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-e1bec4cecb364b049b0d2ce7b03fa33d2024-03-27T12:13:49ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2024-04-011804222510.7860/JCDR/2024/67737.19247Effect of Sacral Erector Spinae Plane Block on Postoperative Analgesia in Perianal Surgeries: A Randomised Controlled TrialSanjaya Kumar Behera0Sunil Kumar Pattnaik1Mousumi Das2Partha Sarathi Mohapatra3Krishna Mishra4Lingaraj Sahu5Associate Professor, Department of Anaesthesiology, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.Associate Professor, Department of General Surgery, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.Associate Professor, Department of Anaesthesiology, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.Associate Professor, Department of Anaesthesiology, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.Assistant Professor, Department of Community Medicine, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.Professor, Department of Anaesthesiology, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.Introduction: Sacral nerves emerge through sacral foramina and traverse below the multifidus muscle. Hence, blocking this myofascial plane can provide postoperative analgesia in the perianal region by blocking the sacral nerves supplying it. Aim: To study the effect of Sacral Erector Spinae Plane Block (SESPB) on postoperative pain and postoperative analgesic requirement in perianal surgeries. Materials and Methods: A randomised controlled trial was done with 60 patients who were randomly allocated into two groups (30 in each group). Group 1 patients received no intervention, whereas Group 2 received bilateral SESPB. The Visual Analogue Scale (VAS), opioid requirement, first analgesic demand, and additional analgesic requirement were compared between the two groups. The qualitative data was analysed by Student’s t-test, whereas the quantitative data was analysed using the Chi-square test. A p-value of <0.05 was considered statistically significant. Results: Around 18 (60%) of the participants in group 1 were males, whereas group 2 consisted of 15 (50%) males. The mean age in group 1 was 40.7±11.5 years, whereas it was 43.6±12.7 years in group 2. The means of BMI were similar in both groups. The mean VAS score of group 1 was 3.19±0.23, whereas it was 2.37±0.25 in group 2. The first analgesic requirement was significantly delayed, and total tramadol requirement was lower in group 2 compared to group 1. Four patients from group 1 (control group) required inj. diclofenac sodium additionally. Conclusion: Bilateral SESPB provided good postoperative analgesia in patients who underwent perianal surgery. The total analgesic requirement was also found to be lower with this block. Hence, it can be considered a modality for perianal surgeries.https://www.jcdr.net/articles/PDF/19247/67737_CE[Ra1]_F(SHU)_QC&Ref_PAT(SD_SHU)_PF1(AG_SS)_PFA(AG_KM)_PN(KM).pdfnerve blockpain managementregional analgesiaultrasound-guided |
| spellingShingle | Sanjaya Kumar Behera Sunil Kumar Pattnaik Mousumi Das Partha Sarathi Mohapatra Krishna Mishra Lingaraj Sahu Effect of Sacral Erector Spinae Plane Block on Postoperative Analgesia in Perianal Surgeries: A Randomised Controlled Trial Journal of Clinical and Diagnostic Research nerve block pain management regional analgesia ultrasound-guided |
| title | Effect of Sacral Erector Spinae Plane Block on Postoperative Analgesia in Perianal Surgeries: A Randomised Controlled Trial |
| title_full | Effect of Sacral Erector Spinae Plane Block on Postoperative Analgesia in Perianal Surgeries: A Randomised Controlled Trial |
| title_fullStr | Effect of Sacral Erector Spinae Plane Block on Postoperative Analgesia in Perianal Surgeries: A Randomised Controlled Trial |
| title_full_unstemmed | Effect of Sacral Erector Spinae Plane Block on Postoperative Analgesia in Perianal Surgeries: A Randomised Controlled Trial |
| title_short | Effect of Sacral Erector Spinae Plane Block on Postoperative Analgesia in Perianal Surgeries: A Randomised Controlled Trial |
| title_sort | effect of sacral erector spinae plane block on postoperative analgesia in perianal surgeries a randomised controlled trial |
| topic | nerve block pain management regional analgesia ultrasound-guided |
| url | https://www.jcdr.net/articles/PDF/19247/67737_CE[Ra1]_F(SHU)_QC&Ref_PAT(SD_SHU)_PF1(AG_SS)_PFA(AG_KM)_PN(KM).pdf |
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