Efficacy of Bilateral Erector Spinae Plane Block using Bupivacaine and Ropivacaine for Postoperative Analgesia following Lumbar Spine Surgeries- A Randomised Clinical Study

Introduction: Erector Spinae Plane Block (ESPB) is a safe and simple technique that provides favourable pain relief and reduced postoperative analgesia consumption. Both bupivacaine and ropivacaine have been used in ESPB and have been found to provide good postoperative analgesia. Aim: To compa...

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Autores principales:	Nimi Sreedhar, Hemlata, Megha Kohli Mehrotra, Prem Raj Singh, Ahsan Khaliq Siddiqui, Monica Kohli
Formato:	article
Lenguaje:	EN
Publicado:	JCDR Research and Publications Private Limited 2021
Materias:	postoperative pain postoperative opioid consumption ultrasound-guided block visual analogue scale score Medicine R
Acceso en línea:	https://doaj.org/article/3aab4558735744b7884adefdd0ab76c8
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spelling	oai:doaj.org-article:3aab4558735744b7884adefdd0ab76c82021-11-12T17:30:00ZEfficacy of Bilateral Erector Spinae Plane Block using Bupivacaine and Ropivacaine for Postoperative Analgesia following Lumbar Spine Surgeries- A Randomised Clinical Study10.7860/JCDR/2021/49463.153972249-782X0973-709Xhttps://doaj.org/article/3aab4558735744b7884adefdd0ab76c82021-09-01T00:00:00Zhttps://www.jcdr.net/articles/PDF/15397/49463_CE[Ra1]_F(SHU)_PF1(SC_RK)_PFA(SC_KM)_PN(KM).pdfhttps://doaj.org/toc/2249-782Xhttps://doaj.org/toc/0973-709XIntroduction: Erector Spinae Plane Block (ESPB) is a safe and simple technique that provides favourable pain relief and reduced postoperative analgesia consumption. Both bupivacaine and ropivacaine have been used in ESPB and have been found to provide good postoperative analgesia. Aim: To compare the efficacy of bupivacaine and ropivacaine in bilateral ESPB for postoperative pain relief in lumbar spine surgeries. Materials and Methods: The randomised clinical trial was conducted from July 2019 to June 2020. The study included 60 patients posted for lumbar spine surgeries which were divided randomly into two groups. Group A patients (n=30) received ESPB using 0.25% bupivacaine and group B patients (n=30) received ESPB with 0.2% ropivacaine after induction of GA with endotracheal intubation. Visual Analog Scale (VAS) score, time to first rescue analgesic, haemodynamic changes and any complications were monitored at regular time intervals in the postoperative period. For quantitative data, a parametric test (Student’s t-test) and a non parametric test (Mann-Whitney U test) were used. The Chi-square test was used for parametric analysis of qualitative data. Results: The mean age (in years) in Group A was 36.93±9.47 and Group B was 38.00±8.43. There was significant difference in mean VAS scores between bupivacaine and ropivacaine groups at 4 hours (4.03±0.93 vs 4.57±0.94; p-value=0.033) and at 6 hours (5.63±0.55 vs 5.26±0.64; p-value=0.021), postoperatively. The mean time to first rescue analgesic requirement was significantly higher in bupivacaine group than ropivacaine group (6.33±1.3 vs 5.27±0.97 hours: p-value=0.001). Patients in both the groups remained haemodynamically stable throughout the study period. No significant change in saturation, Electrocardiogram (ECG) changes, postoperative nausea and vomiting was observed in any of the two groups. Conclusion: The ESPB with bupivacaine 0.25% provides better and prolonged analgesic effect postoperatively as compared to ropivacaine 0.2% with acceptable haemodynamic stabilityNimi SreedharHemlataMegha Kohli MehrotraPrem Raj SinghAhsan Khaliq Siddiqui Monica KohliJCDR Research and Publications Private Limitedarticlepostoperative painpostoperative opioid consumptionultrasound-guided blockvisual analogue scale scoreMedicineRENJournal of Clinical and Diagnostic Research, Vol 15, Iss 9, Pp UC19-UC23 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	postoperative pain postoperative opioid consumption ultrasound-guided block visual analogue scale score Medicine R
spellingShingle	postoperative pain postoperative opioid consumption ultrasound-guided block visual analogue scale score Medicine R Nimi Sreedhar Hemlata Megha Kohli Mehrotra Prem Raj Singh Ahsan Khaliq Siddiqui Monica Kohli Efficacy of Bilateral Erector Spinae Plane Block using Bupivacaine and Ropivacaine for Postoperative Analgesia following Lumbar Spine Surgeries- A Randomised Clinical Study
description	Introduction: Erector Spinae Plane Block (ESPB) is a safe and simple technique that provides favourable pain relief and reduced postoperative analgesia consumption. Both bupivacaine and ropivacaine have been used in ESPB and have been found to provide good postoperative analgesia. Aim: To compare the efficacy of bupivacaine and ropivacaine in bilateral ESPB for postoperative pain relief in lumbar spine surgeries. Materials and Methods: The randomised clinical trial was conducted from July 2019 to June 2020. The study included 60 patients posted for lumbar spine surgeries which were divided randomly into two groups. Group A patients (n=30) received ESPB using 0.25% bupivacaine and group B patients (n=30) received ESPB with 0.2% ropivacaine after induction of GA with endotracheal intubation. Visual Analog Scale (VAS) score, time to first rescue analgesic, haemodynamic changes and any complications were monitored at regular time intervals in the postoperative period. For quantitative data, a parametric test (Student’s t-test) and a non parametric test (Mann-Whitney U test) were used. The Chi-square test was used for parametric analysis of qualitative data. Results: The mean age (in years) in Group A was 36.93±9.47 and Group B was 38.00±8.43. There was significant difference in mean VAS scores between bupivacaine and ropivacaine groups at 4 hours (4.03±0.93 vs 4.57±0.94; p-value=0.033) and at 6 hours (5.63±0.55 vs 5.26±0.64; p-value=0.021), postoperatively. The mean time to first rescue analgesic requirement was significantly higher in bupivacaine group than ropivacaine group (6.33±1.3 vs 5.27±0.97 hours: p-value=0.001). Patients in both the groups remained haemodynamically stable throughout the study period. No significant change in saturation, Electrocardiogram (ECG) changes, postoperative nausea and vomiting was observed in any of the two groups. Conclusion: The ESPB with bupivacaine 0.25% provides better and prolonged analgesic effect postoperatively as compared to ropivacaine 0.2% with acceptable haemodynamic stability
format	article
author	Nimi Sreedhar Hemlata Megha Kohli Mehrotra Prem Raj Singh Ahsan Khaliq Siddiqui Monica Kohli
author_facet	Nimi Sreedhar Hemlata Megha Kohli Mehrotra Prem Raj Singh Ahsan Khaliq Siddiqui Monica Kohli
author_sort	Nimi Sreedhar
title	Efficacy of Bilateral Erector Spinae Plane Block using Bupivacaine and Ropivacaine for Postoperative Analgesia following Lumbar Spine Surgeries- A Randomised Clinical Study
title_short	Efficacy of Bilateral Erector Spinae Plane Block using Bupivacaine and Ropivacaine for Postoperative Analgesia following Lumbar Spine Surgeries- A Randomised Clinical Study
title_full	Efficacy of Bilateral Erector Spinae Plane Block using Bupivacaine and Ropivacaine for Postoperative Analgesia following Lumbar Spine Surgeries- A Randomised Clinical Study
title_fullStr	Efficacy of Bilateral Erector Spinae Plane Block using Bupivacaine and Ropivacaine for Postoperative Analgesia following Lumbar Spine Surgeries- A Randomised Clinical Study
title_full_unstemmed	Efficacy of Bilateral Erector Spinae Plane Block using Bupivacaine and Ropivacaine for Postoperative Analgesia following Lumbar Spine Surgeries- A Randomised Clinical Study
title_sort	efficacy of bilateral erector spinae plane block using bupivacaine and ropivacaine for postoperative analgesia following lumbar spine surgeries- a randomised clinical study
publisher	JCDR Research and Publications Private Limited
publishDate	2021
url	https://doaj.org/article/3aab4558735744b7884adefdd0ab76c8
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Efficacy of Bilateral Erector Spinae Plane Block using Bupivacaine and Ropivacaine for Postoperative Analgesia following Lumbar Spine Surgeries- A Randomised Clinical Study

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