Ultrasound Guided Continuous Erector Spinae Plane Block versus Patient Controlled Analgesia in Open Nephrectomy for Renal Malignancies: A Randomized Controlled Study

Background: It is critical to manage acute postoperative pain for patient satisfaction and better outcome. Erector spinae plane block (ESPB) can produce sensory blocking on both visceral and somatic levels. This study aimed to evaluate the ESPB efficacy in controlling acute postoperative pain in ope...

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Bibliographic Details
Published in:Journal of pain research 2022-01, Vol.15, p.3093-3102
Main Authors: Abdelgalil, Ahmed Salah, Ahmed, Ahmed Mansour, Gamal, Reham M, Elshal, Mamdouh Mahmoud, Bakeer, Ahmed Hussein, Shaker, Ehab Hanafy
Format: Article
Language:English
Subjects:
analgesia
Analgesics
Anesthesia
Blood pressure
Bupivacaine
Cancer
Care and treatment
Catheters
erector spinae plane block
Fentanyl
Heart rate
Morphine
nephrectomy
Original Research
Pain
Patient satisfaction
pca
renal malignancy
Skin
Statistical analysis
Surgery
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Summary:Background: It is critical to manage acute postoperative pain for patient satisfaction and better outcome. Erector spinae plane block (ESPB) can produce sensory blocking on both visceral and somatic levels. This study aimed to evaluate the ESPB efficacy in controlling acute postoperative pain in open nephrectomy for renal malignancies. Methods: This prospective randomized, controlled, open-label trial included 60 cases scheduled for open nephrectomy for renal malignancy under general anesthesia. Cases were assigned randomly into two equal groups. Group E administered continuous preoperative unilateral ESPB (20mL bupivacaine 0.25% bolus then 6 mL/h 0.1% for 48 hours). Group C administered intravenous (IV) patient-controlled analgesia (PCA) morphine (0.01 mg/kg/h). Postoperative analgesia was managed by morphine (3 mg IV in group E or 0.01 mg/kg bolus with a 15-min lockout in group C) to keep the visual analog scale (VAS) scores
ISSN:1178-7090
1178-7090
DOI:10.2147/JPR.S379721