Assessment of efficacy of continuous erector spinae plane block in comparison with continuous thoracic epidural analgesia after major thoracic surgery
Regional Anesthesia and Acute Pain Management,
Год журнала:
2025,
Номер
unknown
Опубликована: Апрель 15, 2025
AIMS:
Comparative
assessment
of
the
analgesic
effectiveness
continuous
erector
spinae
muscles
plane
block
as
a
component
multimodal
analgesia
and
thoracic
epidural
blockade
in
complex
pain
management
during
major
surgery.
MATERIALS
AND
METHODS:
A
prospective,
randomized,
blinded
study
was
based
on
results
an
analysis
quality
level
relief
early
postoperative
period
66
patients
who
underwent
open
surgeries,
received
using
ultrasound-guided
(ESPB),
combination
with
nonsteroidal
anti-inflammatory
drugs
(NSAIDs)
paracetamol,
or
prolonged
Thoracic
(TEA)
NSAIDs
paracetamol
from
November
2022
to
December
2023.
The
includes
visual
analog
scale
(VAS)
at
rest,
movement
coughing,
after
24,
72
hours
7th
day
Vital
capacity
(VC)
peak
expiratory
flow
rate
(PEF)
were
assessed
all
stages
spirometry
flowmetry.
In
addition,
incidence
nausea,
vomiting,
skin
itching,
urinary
retention
severity
sedative
effect
according
Ramsay
taken
into
account.
An
made
influence
studied
methods
dynamics
blood
concentration
C-reactive
protein
(CRP),
substance
P,
interleukin-6
(IL-6)
tumor
necrosis
factor-α
(TNF-α)
indirect
indicators
level.
RESULTS:
When
assessing
VAS,
no
significant
differences
between
groups
obtained.
satisfactory
both
groups.
laboratory
parameters,
statistically
intergroup
found
any
stage
study.
Changes
inflammatory
stress
response
markers
(CRP,
IL-6,
TNF-α,
P)
equivalent
External
respiration
parameters
had
There
side
effects
narcotic
analgesics
recorded
groups.CONCLUSIONS:
Prolonged
provides
effective
surgery,
comparable
can
be
used
alternative
it.
Язык: Английский
Effectiveness and Safety of Erector Spinae Plane Block vs. Conventional Pain Treatment Strategies in Thoracic Surgery
Journal of Clinical Medicine,
Год журнала:
2025,
Номер
14(9), С. 2870 - 2870
Опубликована: Апрель 22, 2025
Background:
An
erector
spinae
plane
block
(ESPB)
has
gained
popularity
due
to
its
effectiveness
and
simplicity
for
pain
relief.
However,
it
is
uncertain
whether
an
ESPB
provides
superior
analgesia
after
a
VATS
or
thoracotomy
compared
other
regional
systemic
analgesic
techniques.
Methods:
A
retrospective
cohort
study
was
conducted
from
January
June
2023
comparing
with
intravenous
combination
(IV–CA)
in
patients
thoracic
epidural
(TEA)
patients.
The
primary
endpoint
the
opioid
demand
during
first
two
hours
post-anesthesia
care
unit
(PACU).
secondary
outcomes
included
scores
adverse
events.
Results:
total
of
61.2%
165
56.9%
72
were
treated
ESPB.
Following
VATS,
decreased
median
piritramide
(7.5
[3.0
12.0]
vs.
10.5
[6.5
15.5]
mg,
p
<
0.01).
thoracotomy,
increased
(12.0
[6.0
15.0]
3.0
[0.0
9.0]
events
similar
between
groups.
Conclusions:
reduces
IV–CA,
providing
patients,
associated
TEA.
attractive
add-on
IV–CA
while
TEA
remains
gold
standard
thoracotomy.
Язык: Английский
Pro's and con's of different blocks for postoperative analgesia after video-assisted thoracic surgery
Current Opinion in Anaesthesiology,
Год журнала:
2024,
Номер
unknown
Опубликована: Дек. 6, 2024
Purpose
of
review
Although
there
are
a
lot
studies
examining
the
effects
different
blocks
for
postoperative
analgesia
after
video-assisted
thoracic
surgery
(VATS),
results
controversial.
Recent
findings
Paravertebral
block,
serratus
anterior
plane
block
and
erector
spinae
appear
to
be
effective
beneficial
post-VATS
analgesia,
but
probably
in
manners.
Summary
All
three
can
suggested
daily
practice,
choice
should
based
on
personal
experience
preference
anesthetist.
Better
required
objective
decision.
Язык: Английский