Ultrasound-Guided Erector Spinae Plane Block and Thoracic Paravertebral Block for Postoperative Analgesia Management following Video-Assisted Thoracic Surgery: A Prospective, Randomized, Controlled Study Video Yardımcılı Torakal Cerrahi Sonrası Postoperatif Analjezi Yönetimi için Ultrasonografi Rehberliğinde Yapılan Erektor Spina Plan Bloğu ve Torakal Paravertebral Blok Etkinliği: Prospektif, Randomize, Kontrollü Çalışma

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Çiftçi B., Ekinci M., ÇELİK E. C., Tukac İ. C., Gölboyu B. E., GÜNLÜOĞLU M. Z., ...Daha Fazla

Anestezi Dergisi, cilt.28, sa.3, ss.170-178, 2020 (Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 28 Sayı: 3
  • Basım Tarihi: 2020
  • Doi Numarası: 10.5222/jarss.2020.07769
  • Dergi Adı: Anestezi Dergisi
  • Derginin Tarandığı İndeksler: Scopus, Academic Search Premier, Central & Eastern European Academic Source (CEEAS), EMBASE, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.170-178
  • Anahtar Kelimeler: Erector spinae plane block, Postoperative analgesia, Thoracic paravertebral block, Video-assisted thoracic surgery
  • İstanbul Medipol Üniversitesi Adresli: Evet

Özet

Objective: Evaluation of the effectiveness of ultrasound (US)-guided erector spinae plane block (ESPB) and thoracic paravertebral block (TPVB) compared to no intervention control group for postoperative pain management in video assisted thoracic surgery (VATS) patients. Method: Three groups - Group ESPB, Group TPVB and the control group (n=30 per group) were included in this prospective, randomized, controlled study. The US-guided blocks were performed preoperatively in the ESPB and TPVB groups. Intravenous patient-controlled postoperative analgesia via fentanyl was administered in all of the patients. The patients were evaluated using visual analogue scale (VAS) scores, opioid consumption, and adverse events. Results: At all time intervals fentanyl consumption and VAS scores were significantly lower both in ESPB and TPVB groups compared to the control group (p<0.001). Block procedure time was significantly lower and success of one time puncture was higher in Group ESPB as compared with that in Group TPVB (p<0.001). Conclusion: ESPB and TPVB provide more effective analgesia compared to control group in patients who underwent video-assisted thoracic surgery. ESPB had a shorter procedural time and higher success of single-shot technique compared to TPVB.