Erector spinae plane block (ESPB) is a novel fascial plane block that was first described in 2016. It is considered an alternative for brachial plexus blocks in shoulder surgeries as the erector spinae muscle extends ...Erector spinae plane block (ESPB) is a novel fascial plane block that was first described in 2016. It is considered an alternative for brachial plexus blocks in shoulder surgeries as the erector spinae muscle extends to the cervical level. Herein, we present a successful multilevel ESPB plus an interscalene block using liposomal bupivacaine in a 45-year-old female patient with metastatic sarcoma who presented for scapula and proximal humerus resection. The post-operative course was smooth, and the patient was discharged home on post-operative day 2 with minimal narcotic requirements.展开更多
<b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">In...<b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">In this retrospective observational study, we evaluated patients who underwent elective lumbar stenosis surgery between February 1, 2019, and April 1, 2019. Patients who underwent surgery for lumbar spinal stenosis under general anesthesia alone were compared with those who underwent general anesthesia combined with erector spinae plane block.</span><span style="font-family:Verdana;"> </span><b><span style="font-family:Verdana;">Aims:</span></b><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">We aimed to retrospectively evaluate whether erector spinae plane block reduced opioid consumption following surgery for spinal stenosis.</span><span style="font-family:Verdana;"> </span><b><span style="font-family:Verdana;">Study Design:</span></b><span style="font-family:Verdana;"> A retrospective observational study</span><span style="font-family:Verdana;">. </span><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">We collected data on the pain scores, time for the first requirement for patient-controlled analgesia with tramadol, the cumulative patient-controlled analgesia dose, requirement for rescue analgesia, time to first stand up postoperatively and the incidence of postoperative nausea and vomiting.</span><span style="font-family:Verdana;"> </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">Sixty patients were included in the study. The numerical rating scale</span><span style="font-family:Verdana;">’</span><span style="font-family:Verdana;">s pain scores were significantly lower in the erector spinae plane group at 1, 2, 4, 6, 12 and 24 hours than in the general anesthesia group. The cumulative dose of patient-controlled analgesia with tramadol was higher in the general anesthesia group than in the ESP group [212.0 (6.6) mg, vs. 107.3 (36.9 mg), (p <0.001)]. The time to first stand up after surgery was significantly longer in the general anesthesia group (p = 0.011).</span><span style="font-family:Verdana;"> </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> ESP block appear to be an effective method to relieve pain after lumbar surgery.</span>展开更多
目的:探讨超声引导下竖脊肌平面阻滞(ESPB)在后腹膜外腔镜手术中的镇痛效果及对生命体征指标、视觉模拟评分量表(VAS)疼痛评分、舒适度评分的影响。方法:选取2020年1月—2022年6月郑州市中心医院收治的145例后腹膜外腔镜手术患者作为研...目的:探讨超声引导下竖脊肌平面阻滞(ESPB)在后腹膜外腔镜手术中的镇痛效果及对生命体征指标、视觉模拟评分量表(VAS)疼痛评分、舒适度评分的影响。方法:选取2020年1月—2022年6月郑州市中心医院收治的145例后腹膜外腔镜手术患者作为研究对象,采用随机数表法分为对照组(n=72)和观察组(n=73)。对照组接受气管插管全麻,观察组在接受气管插管全麻前,先行超声引导ESPB。比较两组患者生命体征指标(心率和平均动脉压)、疼痛程度(VAS评分)、舒适度量表(BCS)评分、不良反应情况。结果:两组患者心率和平均动脉压t1、t2、t3、t4比较,差异无统计学意义(t=1.6834、1.8482、1.7399、1.7494、0.6387、0.7817、1.5779、0.5542,P>0.05);观察组患者术后3 h、12 h、24 h VAS评分低于对照组,差异有统计学意义(t=34.6829、36.1259、28.9776,P<0.05);观察组患者术后3 h、12 h、24 h BCS评分高于对照组,差异有统计学意义(t=100.4104、49.0955、45.8380,P<0.05);观察组患者不良反应发生率低于对照组,差异无统计学意义(χ^(2)=0.1139,P>0.05)。结论:将超声引导ESPB应用于腹膜外腔镜手术中,术后镇痛效果好,患者舒适度高,安全且有效。展开更多
文摘Erector spinae plane block (ESPB) is a novel fascial plane block that was first described in 2016. It is considered an alternative for brachial plexus blocks in shoulder surgeries as the erector spinae muscle extends to the cervical level. Herein, we present a successful multilevel ESPB plus an interscalene block using liposomal bupivacaine in a 45-year-old female patient with metastatic sarcoma who presented for scapula and proximal humerus resection. The post-operative course was smooth, and the patient was discharged home on post-operative day 2 with minimal narcotic requirements.
文摘<b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">In this retrospective observational study, we evaluated patients who underwent elective lumbar stenosis surgery between February 1, 2019, and April 1, 2019. Patients who underwent surgery for lumbar spinal stenosis under general anesthesia alone were compared with those who underwent general anesthesia combined with erector spinae plane block.</span><span style="font-family:Verdana;"> </span><b><span style="font-family:Verdana;">Aims:</span></b><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">We aimed to retrospectively evaluate whether erector spinae plane block reduced opioid consumption following surgery for spinal stenosis.</span><span style="font-family:Verdana;"> </span><b><span style="font-family:Verdana;">Study Design:</span></b><span style="font-family:Verdana;"> A retrospective observational study</span><span style="font-family:Verdana;">. </span><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">We collected data on the pain scores, time for the first requirement for patient-controlled analgesia with tramadol, the cumulative patient-controlled analgesia dose, requirement for rescue analgesia, time to first stand up postoperatively and the incidence of postoperative nausea and vomiting.</span><span style="font-family:Verdana;"> </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">Sixty patients were included in the study. The numerical rating scale</span><span style="font-family:Verdana;">’</span><span style="font-family:Verdana;">s pain scores were significantly lower in the erector spinae plane group at 1, 2, 4, 6, 12 and 24 hours than in the general anesthesia group. The cumulative dose of patient-controlled analgesia with tramadol was higher in the general anesthesia group than in the ESP group [212.0 (6.6) mg, vs. 107.3 (36.9 mg), (p <0.001)]. The time to first stand up after surgery was significantly longer in the general anesthesia group (p = 0.011).</span><span style="font-family:Verdana;"> </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> ESP block appear to be an effective method to relieve pain after lumbar surgery.</span>
文摘目的:探讨超声引导下竖脊肌平面阻滞(ESPB)在后腹膜外腔镜手术中的镇痛效果及对生命体征指标、视觉模拟评分量表(VAS)疼痛评分、舒适度评分的影响。方法:选取2020年1月—2022年6月郑州市中心医院收治的145例后腹膜外腔镜手术患者作为研究对象,采用随机数表法分为对照组(n=72)和观察组(n=73)。对照组接受气管插管全麻,观察组在接受气管插管全麻前,先行超声引导ESPB。比较两组患者生命体征指标(心率和平均动脉压)、疼痛程度(VAS评分)、舒适度量表(BCS)评分、不良反应情况。结果:两组患者心率和平均动脉压t1、t2、t3、t4比较,差异无统计学意义(t=1.6834、1.8482、1.7399、1.7494、0.6387、0.7817、1.5779、0.5542,P>0.05);观察组患者术后3 h、12 h、24 h VAS评分低于对照组,差异有统计学意义(t=34.6829、36.1259、28.9776,P<0.05);观察组患者术后3 h、12 h、24 h BCS评分高于对照组,差异有统计学意义(t=100.4104、49.0955、45.8380,P<0.05);观察组患者不良反应发生率低于对照组,差异无统计学意义(χ^(2)=0.1139,P>0.05)。结论:将超声引导ESPB应用于腹膜外腔镜手术中,术后镇痛效果好,患者舒适度高,安全且有效。