Key result
Bilateral ultrasound-guided erector spinae plane block significantly reduced total 24-hour postoperative fentanyl consumption (76 µg vs 161 µg, p<0.0001) compared to intravenous patient-controlled analgesia alone in patients undergoing laparoscopic cholecystectomy.
Why the study?
Laparoscopic cholecystectomy causes moderate to severe pain, motivating the evaluation of the efficacy and safety of ultrasound-guided bilateral erector spinae plane block.
Does bilateral ultrasound-guided erector spinae plane block improve postoperative analgesia in patients undergoing laparoscopic cholecystectomy?
Comparison
Bilateral ESPB with IV PCA vs IV PCA only
Design
Retrospective cohort study
Authors
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May reduce opioid use after laparoscopic cholecystectomy; hypothesis-generating and requires randomized confirmation before practice change.
Cohort (n=200)
Does bilateral ultrasound-guided erector spinae plane block improve postoperative analgesia in patients undergoing laparoscopic cholecystectomy?
Absolute Event Rate: 76% vs 161%
p-value: p=<0.0001
Bilateral ultrasound-guided ESPB provides better analgesia, reduces opioid consumption, and shortens hospital stay after laparoscopic cholecystectomy.
Karaca et al. (2020) conducted a cohort in Postoperative pain after laparoscopic cholecystectomy (n=200). Bilateral ultrasound-guided erector spinae plane block (ESPB) vs. Intravenous patient-controlled analgesia (PCA) alone was evaluated on Total fentanyl consumption during the 24-hour postoperative period (µg) (p=<0.0001). Bilateral ultrasound-guided erector spinae plane block significantly reduced total 24-hour postoperative fentanyl consumption (76 µg vs 161 µg, p<0.0001) compared to intravenous patient-controlled analgesia alone in patients undergoing laparoscopic cholecystectomy.
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