Assessment of ultrasound guided erector spinae plane block for early post-operative analgesia for modified radical mastectomy: a prospective, randomized, controlled study

被引:0
作者
Kumar, Prashant [1 ]
Singh, Anu [1 ]
Sharma, Jyoti [2 ]
Parshad, Sanjeev [3 ]
Johar, Sanjay [1 ]
Kaur, Kiranpreet [1 ]
机构
[1] Pt BD Sharma PGIMS, Dept Anaesthesiol & Crit Care, Rohtak, India
[2] All India Inst Med Sci, Dept Anaesthesiol, Bathinda, India
[3] Pt BD Sharma PGIMS, Dept Surg, Rohtak, India
来源
MEDICAL GAS RESEARCH | 2024年 / 14卷 / 04期
关键词
breast surgery; erector spinae plane block; general anesthesia; patient satisfaction; post-operative analgesia; quality of wound healing; sedation score; ultrasound guided block; PARAVERTEBRAL BLOCK; ANESTHESIA;
D O I
10.4103/mgr.mgr_74_20
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Erector spinae plane block is a recently introduced block with a wide range of indications. The aim of the present study was to assess the efficacy and safety of ultrasound-guided erector spinae plane block on early post-operative pain relief in patients undergoing modified radical mastectomy. We conducted a prospective, randomized, controlled study in a tertiary care institute. Sixty-five patients were enrolled. Final analysis was performed on 58 patients randomized into two groups. Ultrasound-guided erector spinae plane block with 25 mL of 0.25% bupivacaine was given using a 18 gauge needle. No block was given in the other group. All patients received general anesthesia. Primary outcome measure was 24-hour analgesic consumption. Secondary outcome measures included intra-operative fentanyl consumption, time to first analgesic request, Visual Analog Scale score, nausea score, sedation score, wound quality and patient satisfaction score. Post-operative additional analgesics and intra-operative fentanyl were significantly reduced in patients receiving erector spinae plane block. Time to rescue analgesia was significantly delayed. Visual Analog Scale score was significantly lower at all time intervals. Post-operative nausea at various time intervals was also less. Patient satisfaction score was also noted on a 5-point scale and there was a statistical significant difference. We concluded that erector spinae plane block is a safe technique and provides good analgesia in breast surgery.
引用
收藏
页码:201 / 205
页数:5
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