The effect of erector spinae plane block on postoperative analgesia and respiratory function in patients undergoing laparoscopic cholecystectomy: A double-blind randomized controlled trial

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dc.contributor.authorYildiz, Munise
dc.contributor.authorKozanhan, Betul
dc.contributor.authorIyisoy, Mehmet S.
dc.contributor.authorCanitez, Ahmet
dc.contributor.authorAksoy, Nergis
dc.contributor.authorEryigit, Aysenur
dc.date.accessioned2024-02-23T14:12:38Z
dc.date.available2024-02-23T14:12:38Z
dc.date.issued2021
dc.departmentNEÜen_US
dc.description.abstractStudy objective: Laparoscopic cholecystectomy (LC) causes moderate-to-severe postoperative pain. Postoperative pain is one of the leading contributors to respiratory dysfunction following surgery. This study investigated the effect of erector spinae plane (ESP) block on postoperative analgesia and respiratory function in patients undergoing LC. Design: Prospective, randomized, controlled trial. Setting: University of Health Science. Patients: Sixty-eight adult patients undergoing LC. Interventions: Both groups received a standardized analgesia protocol. Patients assigned to the ESP block group received an additional bilateral ESP block. Measurements: The primary outcome was assessed as postoperative pain intensity associated with a lower opioid requirement and significant respiratory function improvement. Main results: Numerical rating scale (NRS) scores both at rest and during coughing were significantly lower in the ESP block group than in the control group at all time intervals (p < 0.001 in each) except for hour 2 postoperatively (p = 0.06 and p = 0.13, respectively). Tramadol consumption at 2 h and 24 h postoperatively was significantly lower in the ESP block group than in the controls (p < 0.001 for each). There was significant preservation in forced expiratory volume in the first second (FEV1) and forced vital capacity (FVC) in the ESP group in comparison to the control group at 2 and 24 h after surgery (p < 0.05 in each). FEV1/FVC and peak expiratory flow rate (PEFR) values were similar in each time interval. Conclusions: Bilateral ESP blocks provides adequate analgesia, allowing for a lower opioid requirement and significant respiratory function improvement after LC; therefore, we concluded that ESP block could be added to the multimodal analgesia protocol in LC.en_US
dc.identifier.doi10.1016/j.jclinane.2021.110403
dc.identifier.issn0952-8180
dc.identifier.issn1873-4529
dc.identifier.pmid34325186en_US
dc.identifier.scopus2-s2.0-85111217581en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1016/j.jclinane.2021.110403
dc.identifier.urihttps://hdl.handle.net/20.500.12452/12138
dc.identifier.volume74en_US
dc.identifier.wosWOS:000704347600027en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofJournal Of Clinical Anesthesiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subject[Keyword Not Available]en_US
dc.titleThe effect of erector spinae plane block on postoperative analgesia and respiratory function in patients undergoing laparoscopic cholecystectomy: A double-blind randomized controlled trialen_US
dc.typeArticleen_US

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