Postoperative analgesic effectiveness of bilateral erector spinae plane block for adult cardiac surgery: a randomized controlled trial

Authors : Bülent Barış GÜVEN, Tuna ERTÜRK, Aysin ERSOY

Pages : 150-155

Doi:10.32322/jhsm.1013908

View : 20 | Download : 7

Publication Date : 2022-01-17

Article Type : Research Paper

Abstract :Introduction: There are few randomized controlled trials examining the effectiveness of bilateral Erector Spinae Plane Block insert ignore into journalissuearticles values(ESP); with patients undergoing cardiac surgery. The effect of bilateral ESP block on postoperative pain levels and analgesic consumption for patients undergoing open-heart surgery was examined in this single-blind, randomized, controlled trial. Material and Method: 54 patients who underwent cardiac surgery with open median sternotomy under general anesthesia between May 2020 and June 2021 were included in the study. Patients were randomized into two groups, each consisting of 27 patients, one with 40 ml of 0.25% bupivacaine and bilateral ESP block, the other with no block implementation insert ignore into journalissuearticles values(control group);. Demographic data, operation type, length of stay in the Intensive Care Unit insert ignore into journalissuearticles values(ICU);, numerical rating scale insert ignore into journalissuearticles values(NRS); values in the first 24 hours after extubation, and morphine consumption values of the patients were recorded for the study. Results: In the study, 4 patients were excluded from follow-up due to prolonged intubation in the postoperative period. The data of a total of 50 patients insert ignore into journalissuearticles values(ESP group n=25; Control group n=25); were analyzed. The duration before first analgesic insert ignore into journalissuearticles values(mean±SD: 459.2±92.8 min.); of the ESP group was statistically longer than those in the control group insert ignore into journalissuearticles values(mean±SD: 142.0±56.6 min.); insert ignore into journalissuearticles values(p<0.001);. The total length of stay in the ICU and rate of nausea-vomiting were lower for the ESP group than for the control group insert ignore into journalissuearticles values(p<0.05);. Total morphine consumption insert ignore into journalissuearticles values(mean±SD: 5.1±3.1 mg); of the ESP group in the first 24 hours was statistically lower insert ignore into journalissuearticles values(p<0.001); compared to the consumption of the control group insert ignore into journalissuearticles values(mean±SD: 14.8±4.2 mg);. NRS scores were significantly lower for the ESP group at postoperative 1st, 2nd, 4th, 6th, and 8th hours compared to the control group insert ignore into journalissuearticles values(p<0.05);. Conclusion: ESP block applied bilaterally in adult cardiac surgeries decreased postoperative pain scores and morphine consumption. At the same time, it was observed that the length of stay of the patients in the ICU was reduced and there were no complications.
Keywords : Erector spinae plane block, Cardiac surgery, Postoperative pain, Ultrasound guidance, Fascial plane block