Does Erector Spinae Plane Block Have a Visceral Analgesic Effect?: A Randomized Controlled Trial

Abstract The visceral analgesic efficacy of erector spinae plane block (ESPB) is still a matter of debate. This study attempted to investigate the visceral analgesic efficacy of ESPB in clinical setting. After randomized, we performed ultrasound-guided bilateral rectus sheath block (RSB), which was...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Hye-Mee Kwon, Doo-Hwan Kim, Sung-Moon Jeong, Kyu Taek Choi, Sooin Park, Hyun-Jung Kwon, Jong-Hyuk Lee
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2020
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/c5cb086e0ded41a6a0cdd7928d79e614
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:c5cb086e0ded41a6a0cdd7928d79e614
record_format	dspace
spelling	oai:doaj.org-article:c5cb086e0ded41a6a0cdd7928d79e6142021-12-02T14:59:09ZDoes Erector Spinae Plane Block Have a Visceral Analgesic Effect?: A Randomized Controlled Trial10.1038/s41598-020-65172-02045-2322https://doaj.org/article/c5cb086e0ded41a6a0cdd7928d79e6142020-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-65172-0https://doaj.org/toc/2045-2322Abstract The visceral analgesic efficacy of erector spinae plane block (ESPB) is still a matter of debate. This study attempted to investigate the visceral analgesic efficacy of ESPB in clinical setting. After randomized, we performed ultrasound-guided bilateral rectus sheath block (RSB), which was aimed to prevent postoperative somatic pain on all patients who underwent laparoscopic cholecystectomy (LC). Ultrasound-guided bilateral ESPB at T7 level was performed only to the intervention group to provide the visceral analgesic block. The intraoperative requirement for remifentanil (P = 0.021) and the cumulative fentanyl consumption at postoperative 24-hours was significantly lower in the ESPB group (206.5 ± 82.8 μg vs.283.7 ± 102.4 μg, respectively; P = 0.004) compared to non-ESPB group. The ESPB group consistently showed lower accumulated analgesic consumption compared with those in the non-ESPB group at all observed time-points (all P < 0.05) after 2 hours and the degree of the accumulated analgesic consumption reduction was greater (P = 0.04) during the 24-hour postoperative period. Pain severity was lower in the ESPB group at 6-hours postoperatively. The significantly reduced opioid consumption in ESPB group may imply that while preliminary and in need of confirmation, ESPB has potential visceral analgesic effect. Therefore, performing ESPB solely may be feasible in inducing both somatic and visceral analgesia.Hye-Mee KwonDoo-Hwan KimSung-Moon JeongKyu Taek ChoiSooin ParkHyun-Jung KwonJong-Hyuk LeeNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-8 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Hye-Mee Kwon Doo-Hwan Kim Sung-Moon Jeong Kyu Taek Choi Sooin Park Hyun-Jung Kwon Jong-Hyuk Lee Does Erector Spinae Plane Block Have a Visceral Analgesic Effect?: A Randomized Controlled Trial
description	Abstract The visceral analgesic efficacy of erector spinae plane block (ESPB) is still a matter of debate. This study attempted to investigate the visceral analgesic efficacy of ESPB in clinical setting. After randomized, we performed ultrasound-guided bilateral rectus sheath block (RSB), which was aimed to prevent postoperative somatic pain on all patients who underwent laparoscopic cholecystectomy (LC). Ultrasound-guided bilateral ESPB at T7 level was performed only to the intervention group to provide the visceral analgesic block. The intraoperative requirement for remifentanil (P = 0.021) and the cumulative fentanyl consumption at postoperative 24-hours was significantly lower in the ESPB group (206.5 ± 82.8 μg vs.283.7 ± 102.4 μg, respectively; P = 0.004) compared to non-ESPB group. The ESPB group consistently showed lower accumulated analgesic consumption compared with those in the non-ESPB group at all observed time-points (all P < 0.05) after 2 hours and the degree of the accumulated analgesic consumption reduction was greater (P = 0.04) during the 24-hour postoperative period. Pain severity was lower in the ESPB group at 6-hours postoperatively. The significantly reduced opioid consumption in ESPB group may imply that while preliminary and in need of confirmation, ESPB has potential visceral analgesic effect. Therefore, performing ESPB solely may be feasible in inducing both somatic and visceral analgesia.
format	article
author	Hye-Mee Kwon Doo-Hwan Kim Sung-Moon Jeong Kyu Taek Choi Sooin Park Hyun-Jung Kwon Jong-Hyuk Lee
author_facet	Hye-Mee Kwon Doo-Hwan Kim Sung-Moon Jeong Kyu Taek Choi Sooin Park Hyun-Jung Kwon Jong-Hyuk Lee
author_sort	Hye-Mee Kwon
title	Does Erector Spinae Plane Block Have a Visceral Analgesic Effect?: A Randomized Controlled Trial
title_short	Does Erector Spinae Plane Block Have a Visceral Analgesic Effect?: A Randomized Controlled Trial
title_full	Does Erector Spinae Plane Block Have a Visceral Analgesic Effect?: A Randomized Controlled Trial
title_fullStr	Does Erector Spinae Plane Block Have a Visceral Analgesic Effect?: A Randomized Controlled Trial
title_full_unstemmed	Does Erector Spinae Plane Block Have a Visceral Analgesic Effect?: A Randomized Controlled Trial
title_sort	does erector spinae plane block have a visceral analgesic effect?: a randomized controlled trial
publisher	Nature Portfolio
publishDate	2020
url	https://doaj.org/article/c5cb086e0ded41a6a0cdd7928d79e614
work_keys_str_mv	AT hyemeekwon doeserectorspinaeplaneblockhaveavisceralanalgesiceffectarandomizedcontrolledtrial AT doohwankim doeserectorspinaeplaneblockhaveavisceralanalgesiceffectarandomizedcontrolledtrial AT sungmoonjeong doeserectorspinaeplaneblockhaveavisceralanalgesiceffectarandomizedcontrolledtrial AT kyutaekchoi doeserectorspinaeplaneblockhaveavisceralanalgesiceffectarandomizedcontrolledtrial AT sooinpark doeserectorspinaeplaneblockhaveavisceralanalgesiceffectarandomizedcontrolledtrial AT hyunjungkwon doeserectorspinaeplaneblockhaveavisceralanalgesiceffectarandomizedcontrolledtrial AT jonghyuklee doeserectorspinaeplaneblockhaveavisceralanalgesiceffectarandomizedcontrolledtrial
_version_	1718389228045336576

Does Erector Spinae Plane Block Have a Visceral Analgesic Effect?: A Randomized Controlled Trial

Ejemplares similares