British Journal of Anaesthesia, Год журнала: 2023, Номер 131(3), С. e59 - e60
Опубликована: Май 22, 2023
Язык: Английский
British Journal of Anaesthesia, Год журнала: 2025, Номер unknown
Опубликована: Янв. 1, 2025
Spread of local anaesthetic solution in the paravertebral space after erector spinae plane block (ESPB) is variable. We evaluated whether spread affected by patient position ESPB. randomised 84 patients to receive ESPB at T Local anaesthetic-contrast mix reached space, intercostal and neural foramina 96.5%, 94.2%, 77.9% individuals, respectively. Epidural occurred 20 cases. Prone positioning consistently allowed all patients, with more thoracic level compared supine (5.0 [1.9] vs 3.1 [1.7], difference [95% confidence interval, CI]: 1.9 [0.8-3.0] levels, P<0.001 for spread; 2.8 1.4 [1.4], CI] levels: [0.4-2.5], P=0.004 4.3 [1.3] 3.2 [1.5], 1.0 [0.1-1.9], P=0.019 spread). extended further prone than lateral group (4.3 2.6 [1.5] 1.7 [0.8-2.6], P<0.001). Sensory ventral dermatomes was variable participants. significantly enhanced foramina, suggesting that gravity plays a substantial role spread. Clinical Trials.gov (NCT06142630).
Язык: Английский
Процитировано
3
Journal of Clinical Anesthesia, Год журнала: 2024, Номер 96, С. 111466 - 111466
Опубликована: Апрель 26, 2024
We compared the analgesic effects of erector spinae plane block versus quadratus lumborum following laparoscopic nephrectomy. A randomized controlled trial. tertiary hospital in Beijing, China. Patients scheduled for elective total 110 patients were enrolled and to receive either (n = 55) or under ultrasound guidance. Patient-controlled sufentanil analgesia was provided after surgery. Our primary outcome cumulative opioid consumption within 24 h Secondary outcomes included postoperative pain intensity, subjective sleep quality, quality recovery. All (mean 53 years, 57.3% female) intention-to-treat analysis. Cumulative equivalent lower given (median 13 μg, interquartile range 4 33) than those 25 39; median difference − 8 95% CI -15 0, P 0.041). Pain intensity (0–10 where 0 no 10 worst pain) at 2, 6, 12, surgery with (at rest: differences −1 point, all ≤ 0.009; movement: −2 points, < 0.001). Subjective on night (the Richards-Campbell Sleep Questionnaire: 0–100 range, higher score better; 2 23, 0.018) recovery Quality Recovery-15: 0–150 8, 15, 0.012) better block. No procedure-related adverse events occurred. Compared block, as manifested by up
Язык: Английский
Процитировано
7
Cureus, Год журнала: 2025, Номер unknown
Опубликована: Янв. 2, 2025
The erector spinae plane block (ESPB) is a relatively new technique that has been gaining attention for its versatility in providing thoracoabdominal postoperative analgesia. This case report describes the successful use of bilateral ESPB with sedation as an anesthetic 50-year-old male diagnosed esophageal cancer suspected bronchoesophageal fistula, who required open gastrostomy. Given patient's condition and potential high risk respiratory complications associated general anesthesia, was chosen ability to offer effective surgical anesthesia analgesia minimal risks. A total 12 mL ropivacaine 0.5% administered on each side at T9 level, achieving sensory from T7 T10. Throughout procedure, patient maintained spontaneous ventilation experienced no intraoperative complications. highlights role high-risk patients. Further research validate efficacy safety minor procedures.
Язык: Английский
Процитировано
1
Biology, Год журнала: 2023, Номер 12(8), С. 1073 - 1073
Опубликована: Авг. 1, 2023
Chronic pain is a common, pervasive, and often disabling medical condition that affects millions of people worldwide. According to the Global Burden Disease survey, painful chronic conditions are causing largest numbers years lived with disability In America, more than one in five adults experiences pain. Erector spinae plane block novel regional anesthesia technique used provide analgesia multiple possible uses relatively low learning curve complication rate. Here, we review erector rationale, mechanism action complications, discuss its potential use for future directions research
Язык: Английский
Процитировано
14
Regional Anesthesia & Pain Medicine, Год журнала: 2024, Номер 49(7), С. 536 - 539
Опубликована: Янв. 22, 2024
Ultrasound-guided erector spinae plane block (ESPB) is currently used as a component of multimodal analgesic regimen in multitude indications but the mechanism by which it produces anterior thoracic analgesia remains subject controversy. This primarily result ESPB’s failure to consistently produce cutaneous sensory blockade (to pinprick and cold sensation) over hemithorax. Nevertheless, ESPB appears provide ‘clinically meaningful analgesia’ various clinical settings. Lately, has been proposed that discrepancy between could be differential nerve at level dorsal root ganglion. In particular, claimed low concentration local anesthetic, C fibers would preferentially blocked than Aδ fibers. However, proposal isolated fiber mediated with preserved sensation after an unlikely, never demonstrated and, thus, without sufficient evidence, cannot attributed presumed effects ESPB.
Язык: Английский
Процитировано
6
British Journal of Anaesthesia, Год журнала: 2024, Номер 132(5), С. 1146 - 1152
Опубликована: Фев. 9, 2024
Язык: Английский
Процитировано
6
Veterinary Anaesthesia and Analgesia, Год журнала: 2024, Номер 51(3), С. 279 - 287
Опубликована: Фев. 10, 2024
Язык: Английский
Процитировано
6
British Journal of Anaesthesia, Год журнала: 2023, Номер 131(3), С. e62 - e64
Опубликована: Июнь 16, 2023
Язык: Английский
Процитировано
13
Medicina, Год журнала: 2024, Номер 60(5), С. 735 - 735
Опубликована: Апрель 28, 2024
Training and expertise in regional anaesthesia have increased significantly tandem with interest over the past two decades. This review outlines most recent advances focuses on novel areas of including fascial plane blocks. Pharmacological form prolongation drug duration liposomal bupivacaine are considered. Neuromodulation context is outlined as a potential future direction. The growing use outside theatre environment current thinking managing rebound after block regression also discussed. Recent relevant evidence summarised, unanswered questions outlined, priorities for ongoing investigation suggested.
Язык: Английский
Процитировано
4
Journal of Clinical Anesthesia, Год журнала: 2024, Номер 97, С. 111528 - 111528
Опубликована: Июнь 20, 2024
Язык: Английский
Процитировано
4