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Analgesic effect of erector spinae plane block after cesarean section: A randomized controlled trial.
Dostbil, A; Ince, I; Altinpulluk, E Y; Perez, M F; Peksoz, U; Cimilli, G; Kasali, K; Atalay, C; Ozmen, O; Sahin, T; Yilmaz, E P.
Afiliação
  • Dostbil A; Department of Anesthesiology and Reanimation, Ataturk University School of Medicine; Anesthesiology Clinical Research Office, Ataturk University, Erzurum, Turkey.
  • Ince I; Department of Anesthesiology and Reanimation, Ataturk University School of Medicine; Anesthesiology Clinical Research Office, Ataturk University, Erzurum, Turkey; Outcomes Research Consortium, Cleveland, Ohio, USA, Morphological Madrid Research Center (MoMaRC), Ultra Dissection Spain EchoTraining Sc
  • Altinpulluk EY; Anesthesiology Clinical Research Office, Ataturk University, Erzurum, Turkey; Outcomes Research Consortium, Cleveland, Ohio, USA; Morphological Madrid Research Center (MoMaRC), Ultra Dissection Spain EchoTraining School, Madrid, Spain; Department of Anaesthesiology and Reanimation, Istanbul Universi
  • Perez MF; Morphological Madrid Research Center (MoMaRC), Ultra Dissection Spain EchoTraining School; Department of Anesthesia, Hospital Universitario de Móstoles, Madrid, Spain.
  • Peksoz U; Department of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey.
  • Cimilli G; Department of Obstetrics and Gynecology, Ataturk University School of Medicine, Erzurum, Turkey.
  • Kasali K; Anesthesiology Clinical Research Office, Ataturk University; Department of Biostatistics, Ataturk University School of Medicine, Erzurum, Turkey.
  • Atalay C; Department of Anesthesiology and Reanimation, Ataturk University School of Medicine; Anesthesiology Clinical Research Office, Ataturk University, Erzurum, Turkey.
  • Ozmen O; Department of Anesthesiology and Reanimation, Ataturk University School of Medicine; Anesthesiology Clinical Research Office, Ataturk University, Erzurum, Turkey.
  • Sahin T; Department of Obstetrics and Gynecology, Ataturk University School of Medicine, Erzurum, Turkey.
  • Yilmaz EP; Department of Obstetrics and Gynecology, Ataturk University School of Medicine, Erzurum, Turkey.
Niger J Clin Pract ; 26(2): 153-161, 2023 Feb.
Article em En | MEDLINE | ID: mdl-36876603
Background: Ultrasound-guided bilateral erector spinae plane block is also a technique for providing analgesia after a cesarean section. Aim: We hypothesized that bilateral erector spinae plane block applied from the transverse process of T9 who underwent elective cesarean section could provide effective postoperative analgesia. Patients and Methods: Fifty parturients who were scheduled to undergo elective cesarean section under spinal anesthesia were included in the study. Group SA (n = 25) was categorized as the group in which spinal anesthesia alone (SA) was performed, and Group SA+ESP (n = 25) was categorized as the group in which SA + ESP block was performed. All patients were given a solution containing 7 mg isobaric bupivacaine + 15 µg fentanyl intrathecally through spinal anesthesia. In the SA + ESP group, the bilateral ESPB was performed at level T9 with 20 ml 0.25% bupivacaine + 2 mg dexamethasone immediately after the operation. Total fentanyl consumption in 24 h, the visual analogue scale for pain, and time to the first analgesic request were evaluated postoperatively. Results: The total fentanyl consumption in 24 h was statistically significantly lower in the SA + ESP group than the SA group (279 ± 242.99 µg vs. 423.08 ± 212.55 µg, respectively, P = 0.003). The first analgesic requirement time was statistically significantly shorter in the SA group than the SA + ESP group (150.20 ± 51.83 min vs. 197.60 ± 84.49 min, respectively, P = 0.022). Postoperative VAS scores at 4th, 8th, and 12th h at rest were statistically significantly lower in group SA + ESP than in group SA (P = 0.004, P = 0.046, P = 0.044, respectively). VAS scores during the postoperative 4th, 8th, and 12th h cough were statistically significantly lower in group SA + ESP than in group SA (P = 0.002, P = 0.008, P = 0.028, respectively). Conclusion: Ultrasound-guided bilateral ESP provided adequate postoperative analgesia and significantly decreased postoperative fentanyl consumption in patients having cesarean section. Also, it has a longer analgesia time than the control group, and it has been shown to delay the first analgesic requirement.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Raquianestesia / Bloqueio Nervoso Tipo de estudo: Clinical_trials Limite: Female / Humans / Pregnancy Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Raquianestesia / Bloqueio Nervoso Tipo de estudo: Clinical_trials Limite: Female / Humans / Pregnancy Idioma: En Ano de publicação: 2023 Tipo de documento: Article