Ultrasound-Guided Erector Spinae Plane Block in Patients Undergoing Open Epigastric Hernia Repair: A Prospective Randomized Controlled Study

Anesthesia and Analgesia
Mohamed M Abu ElyazedGehan M Eid

Abstract

Hernia repair is associated with considerable postoperative pain. We studied the analgesic efficacy of bilateral ultrasound-guided erector spinae plane block in patients undergoing open midline epigastric hernia repair (T6-T9). Sixty patients 18-65 years of age were randomly allocated into 2 groups. Patients in the erector spinae plane block group received bilateral ultrasound-guided erector spinae plane block at the level of T7 transverse process using 20 mL of bupivacaine 0.25% on each side, while the control group received bilateral sham erector spinae plane block using 1 mL of normal saline. All patients underwent general anesthesia for surgery. Pain severity (visual analog scale), consumption of intraoperative fentanyl, time to first request of rescue analgesia, and postoperative pethidine consumption were recorded over the first 24 hours postoperatively. At 2 hours postoperatively, the visual analog scale pain score was significantly lower in the erector spinae plane block group compared to the control group (estimated main effect of 2.53; P < .001; 95% CI, 1.8-3.2) and remained lower until 12 hours postoperatively (P < .001 from postanesthesia care unit admission to 4 hours postoperatively, .001 at 6 hours, .025 at 8 hou...Continue Reading

References

May 17, 2006·Surgical Endoscopy·D LomantoW-K Cheah
Jun 26, 2013·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Christopher VoscopoulosKamen Vlassakov
Aug 9, 2016·Regional Anesthesia and Pain Medicine·Mauricio ForeroKi Jinn Chin
Aug 16, 2016·Journal of Anesthesia·Takeshi Murouchi, Michiaki Yamakage
Feb 17, 2017·British Journal of Anaesthesia·D L Hamilton, B Manickam
Mar 9, 2017·Regional Anesthesia and Pain Medicine·Ki Jinn ChinAnahi Perlas
Jun 20, 2017·Journal of Clinical Anesthesia·Hironobu Ueshima, Hiroshi Otake
Sep 19, 2017·Scandinavian Journal of Pain·Mauricio ForeroKi Jinn Chin
Nov 15, 2017·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Mauricio ForeroKi Jinn Chin
May 11, 2018·Regional Anesthesia and Pain Medicine·Jason IvanusicMichael J Barrington

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Citations

Jun 18, 2019·Anesthesia and Analgesia·Ki Jinn Chin, Michael J Barrington
Oct 22, 2019·Anesthesia and Analgesia·Mohamed M Abu ElyazedGehan M Eid
Nov 7, 2019·Current Opinion in Anaesthesiology·Donn MarciniakJennifer Hargrave
Feb 8, 2020·Anesthesia and Analgesia·Marta KelavaDonn Marciniak
Aug 23, 2020·Current Opinion in Anaesthesiology·Dennis J WarfieldSanjib Das Adhikary
Aug 11, 2020·Korean journal of anesthesiology·Felipe Muñoz-LeyvaKi Jinn Chin
Jul 23, 2020·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Yoshiaki UdaMichael J Barrington
Mar 11, 2020·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Ana SchwartzmannMauricio Forero
Dec 2, 2019·Best Practice & Research. Clinical Anaesthesiology·Anthony Machi, Girish P Joshi
Jul 7, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Jennifer Hargrave, Michelle Capdeville
Dec 10, 2020·Pain Practice : the Official Journal of World Institute of Pain·Shaimaa F MostafaMohamed M Abu Elyazed
Sep 23, 2020·Minerva anestesiologica·Ece Yamak Altinpulluk, Alparslan Turan
Nov 21, 2020·Anaesthesia Reports·J S Vilchis RenteríaM Forero
Apr 10, 2021·Journal of Cardiothoracic and Vascular Anesthesia·Manazir AtharMohd Azam Haseen
May 14, 2021·Scandinavian Journal of Pain·Dmitriy VidermanAntonio Sarria-Santamera
Jun 13, 2021·Brazilian Journal of Anesthesiology·Thiago Mamôru SakaeAugusto Key Karazawa Takaschima

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