27. THE ULTRASOUND-GUIDED CONTINUOUS ERECTOR SPINAE PLANE BLOCK FOR POSTOPERATIVE ANALGESIA AFTER THORACIC SURGERY
Main Article Content
Abstract
Background: Pain after thoracic surgery can lead to immobility, ineffective breathing and stasis of secretions, resulting in lung collapse, pneumonia and thrombosis. Therefore, postoperative pain relief is very important to bring comfort to the patient, reducing pulmonary and cardiovascular complications after surgery.
Objectives: Evaluation of the ultrasound-guided continuous erector spinae plane block for postoperative analgesia after thoracic surgery and investigation of hemodynamic, respiratory, complications and side - effects of erector spinae plane block.
Research objects and methods: Descriptive, cross - sectional study. 100 patients at Da Nang Oncology Hospital, ASA I-III under thoracic surgery. Participants received a 30 ml bolus of Levobupivacaine 0.25% followed by infusion of levobupivacaine 0.125% (10-15 ml/h) for 48 hours.
Results: Static VAS scores at 1 hour 1.75 ± 0.61; after 24 hours was 1.53 ± 0.55; after 48 hours was 1.37 ± 0.53. Dynamic VAS scores at 1 hour after surgery was 3.56 ± 0.89; after 24 hours was 2.00 ± 0.71; after 48 hours was 1.96 ± 0.67. Quality of recovery after 24 hours was 129 points (101-146.5 points) and after 48 hours was 138 points (117-149 points) are both greater than 121 points (good quality of recovery). 1 case (1%) of vascular impingement (1%), 4 cases (4%) of nausea or vomiting.
Conclusion: Efficacy, safety, high success rate, low risk of side-effects, complications and good quality of recovery after thoracic surgery.
Article Details
Keywords
Erector spinae plane block, ultrasound, Levobupivacaine, thoracic surgery, quality of recovery
References
[2] Aneurin Moorthy, Aisling N, Eochagain et al, Postoperative recovery with continuous erector spinae plane block or video-assisted paravertebral block after minimally invasive thoracic surgery: a prospective, randomised controlled trial, British Journal of Anaesthesia, 2023, 130 (1): e137-e147.
[3] Bayman EO, A prospective study of chronic pain after thoracic surgery, Anesthesiology, 2017, 126(5), pp. 938-951.
[4] Feray S, Lubach J, Joshi GP et al, PROSPECT guidelines for video-assisted thoracoscopic surgery: a systematic review and procedure-specific postoperative pain management recommendations, Anaesthesia, 2022, 77: 311e25.
[5] Kleif J, Gogenur I, Severity classification of the quality of recovery-15 scoredan observational study, J Surg Res, 2018, 225.
[6] Marco Cavaleri at al, Continuous Erector Spinae Plane Block as Postoperative Analgesic Technique for RoboticAssisted Thoracic Surgery: A Case Series, J Pain Res, 2021.
[7] Özcan Pişkin at al, Effects of continuous erector spinae plane block on postoperative pain in video-assisted thoracoscopic surgery: a randomized controlled study, Gen Thorac Cardiovasc Surg, 2022 Jan, 70(1): 64-71.