Use of Erector Spinae Plane Block in Thoracic Surgery Leads to Rapid Recovery From Anesthesia
| Autor: | Rayan Rashid, Yanick Baribeau, Ivan Urits, Aidan Sharkey, Feroze Mahmood, Robina Matyal, Qianqian Zhang, Huma Fatima, Omar Chaudhary, Philip E. Hess, Sidharta P. Gangadharan, Santiago Krumm |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine Spirometry Vital capacity medicine.medical_specialty Paraspinal Muscles 030204 cardiovascular system & hematology Pulmonary function testing 03 medical and health sciences FEV1/FVC ratio 0302 clinical medicine medicine Humans Aged Retrospective Studies Ultrasonography Pain Postoperative medicine.diagnostic_test Thoracic Surgery Video-Assisted business.industry Chronic pain Nerve Block Retrospective cohort study Middle Aged medicine.disease 030228 respiratory system Cardiothoracic surgery Anesthesia Anesthesia Recovery Period Female Surgery Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | The Annals of Thoracic Surgery. 110:1153-1159 |
| ISSN: | 0003-4975 |
| DOI: | 10.1016/j.athoracsur.2020.03.117 |
| Popis: | Background Ultrasound guidance has resulted in a continuous evolution in techniques for pain control for video-assisted thoracoscopic surgery (VATS). The objective of this study was to compare erector spinae plane block with intercostal block as multimodal analgesia to elucidate quality of postoperative pain control and preservation of pulmonary function after VATS. Methods A consecutive cohort of patients undergoing elective VATS was enrolled in the study and divided into erector spinae plane block and intercostal block groups. Spirometry and visual analog scale pain score exams were performed to measure forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), FEV1/FVC ratio, and forced expiratory flow in intervals of 25% to 75%. Chronic pain was assessed by reviewing surgical follow-up notes. Results Seventy-eight patients were included. Comparing the erector spinae plane block group with the intercostal block group found significant improvement in visual analog scale pain score (3.2 vs 6.4, P Conclusions Erector spinae plane block improves acute and chronic pain control and preserves lung function. Thus, it has the potential for enhanced recovery from VATS as part of a multimodal analgesia regimen. |
| Databáze: | OpenAIRE |
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