Erector spinae plane block for postoperative analgesia in patients undergoing total abdominal hysterectomy: a randomized controlled study original study

• Published in: Journal of pain research 2019-04, Vol.12, p.1393-1398
• Main Authors: Hamed, Mohamed Ahmed, Goda, Abeer Shaban, Basiony, Mohammed Magdy, Fargaly, Omar Sayed, Abdelhady, Mahdy Ahmed
• Format: Article
• Language: English
• Subjects: Aircraft; Analgesia; Anesthesia; Atracurium; Bupivacaine; Clinical trials; Erector spinae plane block; fentanyl consumption; Hysterectomy; Medical societies; Morbidity; Original Research; Pain management; postoperative analgesia; Postoperative pain; Professional associations; Surgery; total abdominal hysterectomy; Women's health
• ISSN: 1178-7090; 1178-7090
• DOI: 10.2147/jpr.s196501

Abdominal hysterectomy is associated with marked postoperative pain and morbidity, but effective postoperative analgesia provides early recovery and ambulation. We intended to assess the efficacy of bilateral erector spinae plane block (ESPB) on postoperative analgesia in females undergoing abdominal hysterectomy under general anesthesia. The design was a prospective, randomized, controlled, single-blind clinical study. Sixty patients with American Society of Anesthesiologists (ASA) physical status classes Ι to ΙΙΙ were scheduled for elective abdominal hysterectomy under general anesthesia, patients were randomly allocated into two equal groups. ESPB patients received ultrasound-guided ESPB at T9 vertebrae level with 20 ml bupivacaine 0.5%. Control group patients did not receive a block. Total fentanyl consumption in the first 24 h and visual analogue scale (VAS) score for pain were evaluated postoperatively. Unpaired Student's t-tests, chi-square tests, and Z tests were used to compare groups. No significant differences were recorded between the groups regarding age, weight, ASA physical status, or surgery duration, Total fentanyl consumption in the first 24 h was significantly higher in the control group than the ESPB group ( =0.003; 485±20.39 mcg vs 445±67.49 mcg, respectively), VAS for pain was significantly higher in the control group for the first 12 h postoperatively. Bilateral ESPB provided effective postoperative analgesia and markedly decreased postoperative fentanyl consumption in patients undergoing an abdominal hysterectomy.