Investigation of the effect of ultrasonography-guided bilateral erector spinae plane block on postoperative opioid consumption and pain scores in patients undergoing hepatectomy: a prospective, randomized, controlled study

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dc.contributor.authorHacibeyoglu, Gulcin
dc.contributor.authorTopal, Ahmet
dc.contributor.authorKucukkartallar, Tevfik
dc.contributor.authorYilmaz, Resul
dc.contributor.authorArican, Sule
dc.contributor.authorUzun, Sema Tuncer
dc.date.accessioned2024-02-23T14:30:07Z
dc.date.available2024-02-23T14:30:07Z
dc.date.issued2022
dc.departmentNEÜen_US
dc.description.abstractBACKGROUND: There is still a debate about what constitutes effective and safe postoperative analgesia in hepatectomy surgery. Erector spinae plane (ESP) block may be an important part of multimodal analgesia application in hepatectomy surgery. OBJECTIVES: To compare the effects of ultrasound-guided bilateral erector spinae plane block combined with intravenous (iv) patient-controlled analgesia (iv PCA), in comparison with iv PCA alone, in hepatectomy surgery. DESIGN AND SETTINGS: Randomized prospective single-blinded study in a tertiary university hospital. METHODS: Fifty patients scheduled for elective hepatectomy surgery were included in the study. Patients were randomized into the ESP group or the control group. In the ESP group, bilateral ESP block was performed preoperatively and iv PCA was used. In the control group, only iv PCA was used. Numerical rating scale (NRS) scores at rest and coughing, analgesic requirements and occurrences of nausea and vomiting were recorded. RESULTS: Intraoperative and postoperative opioid consumption, rescue analgesia requirement and resting and dynamic NRS scores were significantly lower in the ESP group (P < 0.05). There was no significant difference between two groups in terms of the presence of dynamic pain after the first postoperative hour. While all patients in the control group had nausea and vomiting, 24% of the patients in the ESP group did not have nausea and vomiting. CONCLUSION: This study showed that ESP block can be used as a part of multimodal analgesia, with the benefit of reducing opioid consumption and postoperative nausea and vomiting in hepatectomy surgery.en_US
dc.description.sponsorshipNecmettin Erbakan University Scientific Research Projects (BAP) [201218006]en_US
dc.description.sponsorshipFinancial support for this study was provided by the Necmettin Erbakan University Scientific Research Projects (BAP) Coordinator (project number: 201218006)en_US
dc.identifier.doi10.1590/1516-3180.2020.0757.R1.08062021
dc.identifier.endpage152en_US
dc.identifier.issn1516-3180
dc.identifier.issue1en_US
dc.identifier.pmid35043869en_US
dc.identifier.scopus2-s2.0-85123660522en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage144en_US
dc.identifier.urihttps://doi.org/10.1590/1516-3180.2020.0757.R1.08062021
dc.identifier.urihttps://hdl.handle.net/20.500.12452/15019
dc.identifier.volume140en_US
dc.identifier.wosWOS:000758548000017en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAssociacao Paulista Medicinaen_US
dc.relation.ispartofSao Paulo Medical Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectHepatectomyen_US
dc.subjectPainen_US
dc.subjectAnalgesiaen_US
dc.subjectUltrasonographyen_US
dc.titleInvestigation of the effect of ultrasonography-guided bilateral erector spinae plane block on postoperative opioid consumption and pain scores in patients undergoing hepatectomy: a prospective, randomized, controlled studyen_US
dc.typeArticleen_US

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