Erector Spinae Plane Block
Conditions
Brief summary
Erector spinae plane (ESP) block is an interfascial plane block applied to the paraspinal region, which provides effective visceral and extensive somatic analgesia by providing paravertebral spread of the administered local anesthetic to three and four vertebral levels cranial and caudal. ESP block is a new regional anesthesia method applied with ultrasound (USG) guidance to provide analgesia for various surgeries and for acute or chronic pain. The application of this block is simple and can be performed in the preoperative waiting area with light sedation or no sedation. ESP block can be applied with a single injection or as a continuous infusion by catheter placement.
Detailed description
Erector spinae plane (ESP) block is an interfascial plane block applied to the paraspinal region, which provides effective visceral and extensive somatic analgesia by providing paravertebral spread of the administered local anesthetic to three and four vertebral levels cranial and caudal. ESP block is a new regional anesthesia method applied with ultrasound (USG) guidance to provide analgesia for various surgeries and for acute or chronic pain. The application of this block is simple and can be performed in the preoperative waiting area with light sedation or no sedation. ESP block can be applied with a single injection or as a continuous infusion by catheter placement. The first report related to this block was published in 2016; the block was performed to reduce thoracic neuropathic pain in a patient with metastatic rib disease and rib fracture. So far, the block has been reported to be performed successfully in many cases, including the Nuss procedure, thoracotomies, percutaneous nephrolithotomies, ventral hernia surgeries, and even lumbar fusions.
Interventions
Postoperative ESP block was performed as the control group
Sponsors
Study design
Masking description
Single-blind: Participants were blinded to group allocation.
Eligibility
Inclusion criteria
* According to the physical classification of the American Society of Anesthesiologists (ASA), ASA I-II group, * between the ages of 18-65,
Exclusion criteria
* Patients who do not want to participate in the study; * BMI \>30, * Patients with contraindications for ESP block, * Uncooperative patients, * Those with renal failure, * Those with hepatic failure and * ASA III-IV-V group patients
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| primary outcome | one day | 1\. Systolic arterial pressure, |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Sevondary outcome | one day | 1\. Postoperative NRS (Numerical pain scale) score, |
Countries
Turkey (Türkiye)