Key result
Bilateral ultrasound-guided erector spinae plane block significantly reduced postoperative numeric rating scores and fentanyl consumption compared to intravenous PCA alone (p<0.0001).
Why the study?
Laparoscopic sleeve gastrectomy causes moderate to severe pain, prompting 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 sleeve gastrectomy?
Population
38 patients who underwent laparoscopic sleeve gastrectomy
Comparison
Bilateral ESPB with IV PCA vs IV PCA alone
Design
Retrospective cohort study
Follow-up
72nd hour
Authors
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Bilateral ESPB was associated with lower pain and opioid use after LSG; leaves open benefit in randomized trials.
Cohort (n=38)
Does bilateral ultrasound-guided erector spinae plane block improve postoperative analgesia in patients undergoing laparoscopic sleeve gastrectomy?
p-value: p=<0.0001
Pre-incisional bilateral ultrasound-guided ESPB provides superior analgesia, reduces opioid consumption, and shortens hospital stay after laparoscopic sleeve gastrectomy.
Karaca et al. (2020) conducted a cohort in Laparoscopic sleeve gastrectomy (n=38). Bilateral erector spinae plane block (ESPB) vs. Intravenous patient controlled analgesia (PCA) only was evaluated on Numeric rating scores (NRS) at passive and active periods (p=<0.0001). Bilateral ultrasound-guided erector spinae plane block significantly reduced postoperative numeric rating scores and fentanyl consumption compared to intravenous PCA alone (p<0.0001).
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