Comparison of Bilateral Erector Spinae Plane Block and Thoracic Epidural Analgesia in Open Heart Surgery

Ebru Canakci; Nilay Taş; Aysenur Kirdemir; Ismail Elmali; Melih Ürkmez

Makale detayları

Comparison of Bilateral Erector Spinae Plane Block and Thoracic Epidural Analgesia in Open Heart Surgery

Yazarlar:

Ebru Canakci | Nilay Taş | Aysenur Kirdemir | Ismail Elmali | Melih Ürkmez

Yayıncı:

Ordu University

Ana Başlıklar:

Health Care Administration

Dergi:

Middle Black Sea Journal of Health Science Vol.9 Issue 4, pp.638-651

Belge Tipi:

Makale

Yayın Tarihi:

10/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001302419

pISSN:

2149-7796

Anahtar kelimeler:

Özet:

 Objective: In our study, it was aimed to compare the postoperative analgesic efficacy of bilateral USG-guided erector spinae plane block ESP block and thoracic epidural analgesia TEA in patients who underwent open heart surgery. Methods: No interventional multimodal analgesia technique was applied to the patients in the control group, only iv patient-controlled analgesia iv PCA device was inserted at the end of the operation. The duration of postoperative mechanical ventilation MV, the amount of opioid consumed in the first 24 hours, and the visual analog scale VAS scores during postoperative 1st, 2nd, 4th, 6th, 12th, 24th hours while restingcoughing were recorded. Results: There was a notable difference there among the groups in terms of the amount of postoperative opioid consumption p0.001. There was a notable difference there among the groups in the resting VAS scores at the postoperative 1st, 2nd, 4th, 12th, and 24th hours p0.001, p0.002, p0.002, p0.051, p0.001, p0.021 respectively. There was a notable difference there among the groups in the VAS scores while coughing at the postoperative 1st, 2nd, 4th, 6th, and 24th hours p0.001, p0.001, p0.001 p0.008, p0.051, p0.006 respectively. Conclusion: We think that ESP block is a good alternative to TEA, which is shown as the gold standard in pain control after open heart surgery.

 Objective: In our study, it was aimed to compare the postoperative analgesic efficacy of bilateral USG-guided erector spinae plane block ESP block and thoracic epidural analgesia TEA in patients who underwent open heart surgery. Methods: No interventional multimodal analgesia technique was applied to the patients in the control group, only iv patient-controlled analgesia iv PCA device was inserted at the end of the operation. The duration of postoperative mechanical ventilation MV, the amount of opioid consumed in the first 24 hours, and the visual analog scale VAS scores during postoperative 1st, 2nd, 4th, 6th, 12th, 24th hours while restingcoughing were recorded. Results: There was a notable difference there among the groups in terms of the amount of postoperative opioid consumption p0.001. There was a notable difference there among the groups in the resting VAS scores at the postoperative 1st, 2nd, 4th, 12th, and 24th hours p0.001, p0.002, p0.002, p0.051, p0.001, p0.021 respectively. There was a notable difference there among the groups in the VAS scores while coughing at the postoperative 1st, 2nd, 4th, 6th, and 24th hours p0.001, p0.001, p0.001 p0.008, p0.051, p0.006 respectively. Conclusion: We think that ESP block is a good alternative to TEA, which is shown as the gold standard in pain control after open heart surgery.

 Objective: In our study, it was aimed to compare the postoperative analgesic efficacy of bilateral USG-guided erector spinae plane block ESP block and thoracic epidural analgesia TEA in patients who underwent open heart surgery. Methods: No interventional multimodal analgesia technique was applied to the patients in the control group, only iv patient-controlled analgesia iv PCA device was inserted at the end of the operation. The duration of postoperative mechanical ventilation MV, the amount of opioid consumed in the first 24 hours, and the visual analog scale VAS scores during postoperative 1st, 2nd, 4th, 6th, 12th, 24th hours while restingcoughing were recorded. Results: There was a notable difference there among the groups in terms of the amount of postoperative opioid consumption p0.001. There was a notable difference there among the groups in the resting VAS scores at the postoperative 1st, 2nd, 4th, 12th, and 24th hours p0.001, p0.002, p0.002, p0.051, p0.001, p0.021 respectively. There was a notable difference there among the groups in the VAS scores while coughing at the postoperative 1st, 2nd, 4th, 6th, and 24th hours p0.001, p0.001, p0.001 p0.008, p0.051, p0.006 respectively. Conclusion: We think that ESP block is a good alternative to TEA, which is shown as the gold standard in pain control after open heart surgery.

 Objective: In our study, it was aimed to compare the postoperative analgesic efficacy of bilateral USG-guided erector spinae plane block ESP block and thoracic epidural analgesia TEA in patients who underwent open heart surgery. Methods: No interventional multimodal analgesia technique was applied to the patients in the control group, only iv patient-controlled analgesia iv PCA device was inserted at the end of the operation. The duration of postoperative mechanical ventilation MV, the amount of opioid consumed in the first 24 hours, and the visual analog scale VAS scores during postoperative 1st, 2nd, 4th, 6th, 12th, 24th hours while restingcoughing were recorded. Results: There was a notable difference there among the groups in terms of the amount of postoperative opioid consumption p0.001. There was a notable difference there among the groups in the resting VAS scores at the postoperative 1st, 2nd, 4th, 12th, and 24th hours p0.001, p0.002, p0.002, p0.051, p0.001, p0.021 respectively. There was a notable difference there among the groups in the VAS scores while coughing at the postoperative 1st, 2nd, 4th, 6th, and 24th hours p0.001, p0.001, p0.001 p0.008, p0.051, p0.006 respectively. Conclusion: We think that ESP block is a good alternative to TEA, which is shown as the gold standard in pain control after open heart surgery.

Makale detayları

Comparison of Bilateral Erector Spinae Plane Block and Thoracic Epidural Analgesia in Open Heart Surgery

Yazarlar:

Ebru Canakci | Nilay Taş | Aysenur Kirdemir | Ismail Elmali | Melih Ürkmez

Yayıncı:

Ordu University

Ana Başlıklar:

Health Care Administration

Dergi:

Middle Black Sea Journal of Health Science Vol.9 Issue 4, pp.638-651

Belge Tipi:

Makale

Yayın Tarihi:

10/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001302419

pISSN:

2149-7796

Erectors pinae plane block

thoracic epidural analgesia

postoperative analgesia management

Sayı

Makale detayları

Comparison of Bilateral Erector Spinae Plane Block and Thoracic Epidural Analgesia in Open Heart Surgery

Yazarlar: Ebru Canakci | Nilay Taş | Aysenur Kirdemir | Ismail Elmali | Melih Ürkmez

Yayıncı: Ordu University

Ana Başlıklar: Health Care Administration

Dergi: Middle Black Sea Journal of Health Science Vol.9 Issue 4, pp.638-651

Belge Tipi: Makale

Yayın Tarihi: 10/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001302419

pISSN: 2149-7796

Erectors pinae plane block

thoracic epidural analgesia

postoperative analgesia management

Sayı

Yazarlar:

Ebru Canakci | Nilay Taş | Aysenur Kirdemir | Ismail Elmali | Melih Ürkmez

Yayıncı:

Ordu University

Ana Başlıklar:

Health Care Administration

Dergi:

Middle Black Sea Journal of Health Science Vol.9 Issue 4, pp.638-651

Belge Tipi:

Makale

Yayın Tarihi:

10/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001302419

pISSN:

2149-7796