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A novel comparison of erector spinae plane block and paravertebral block in laparoscopic cholecystectomy.
Yilmaz, Elvan Tekir; Gülmez, Duygu Demiriz; Apan, Alparslan; Keles, Bilge Olgun; Coskun, Mücahit; Döger, Cihan; Kesicioglu, Tugrul; Serim, Vedat Ataman; Uygur, Furkan Ali; Sengul, Ilker.
Afiliación
  • Yilmaz ET; Giresun University, Faculty of Medicine, Department of Anesthesiology and Reanimation - Giresun, Turkey.
  • Gülmez DD; Basaksehir Çam and Sakura City Hospital - Istanbul, Turkey.
  • Apan A; Giresun University, Faculty of Medicine, Department of Anesthesiology and Reanimation - Giresun, Turkey.
  • Keles BO; Giresun University, Faculty of Medicine, Department of Anesthesiology and Reanimation - Giresun, Turkey.
  • Coskun M; Giresun University, Faculty of Medicine, Department of Anesthesiology and Reanimation - Giresun, Turkey.
  • Döger C; University of Health Sciences, Faculty of Medicine, Department of Anesthesiology and Reanimation - Ankara, Turkey.
  • Kesicioglu T; Giresun University, Faculty of Medicine, Department of General Surgery - Giresun, Turkey.
  • Serim VA; Giresun University, Faculty of Medicine, Department of Neurology - Giresun, Turkey.
  • Uygur FA; Giresun University, Faculty of Medicine, Department of General Surgery - Giresun, Turkey.
  • Sengul I; Giresun University, Faculty of Medicine, Department of General Surgery - Giresun, Turkey.
Rev Assoc Med Bras (1992) ; 70(3): e20231457, 2024.
Article en En | MEDLINE | ID: mdl-38656013
ABSTRACT

OBJECTIVE:

Erector spinae plane block is an updated method than paravertebral block, possessing a lower risk of complications. This study aimed to compare erector spinae plane and paravertebral blocks to safely reach the most efficacious analgesia procedure in laparoscopic cholecystectomy cases.

METHODS:

The study included 90 cases, aged 18-70 years, classified as American Society of Anesthesiologists I-II, who underwent an laparoscopic cholecystectomy procedure. They were randomly separated into three groups, namely, Control, erector spinae plane, and paravertebral block. No block procedure was applied to Control, and a patient-controlled analgesia device was prepared containing tramadol at a 10 mg bolus dose and a 10-min locked period. The pain scores were recorded with a visual analog scale for 24 h postoperatively.

RESULTS:

The visual analog scale values at 1, 5, 10, 20, and 60 min at rest and 60 min coughing were found to be significantly higher in Control than in paravertebral block. A significant difference was revealed between Control vs. paravertebral block and paravertebral block vs. erector spinae plane in terms of total tramadol consumption (p=0.006). Total tramadol consumption in the first postoperative 24 h was significantly reduced in the paravertebral block compared with the Control and erector spinae plane groups.

CONCLUSION:

Sonography-guided-paravertebral block provides sufficient postoperative analgesia in laparoscopic cholecystectomy surgery. Erector spinae plane seems to attenuate total tramadol consumption.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor Postoperatorio / Tramadol / Dimensión del Dolor / Colecistectomía Laparoscópica / Bloqueo Nervioso Límite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Rev Assoc Med Bras (1992) Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Brasil
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor Postoperatorio / Tramadol / Dimensión del Dolor / Colecistectomía Laparoscópica / Bloqueo Nervioso Límite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Rev Assoc Med Bras (1992) Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Brasil