| 18F-059 |
Erector spinae plane block for effective analgesia after total mastectomy
Department of Anesthesiology and Pain Medicine, Chungnam National University Hospital, Daejeon, Korea
Department of Anesthesiology and Pain Medicine, Daejeon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
Department of Anesthesiology and Pain Medicine, Daejeon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
Department of Anesthesiology and Pain Medicine, Daejeon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
Background and objective:
Case reports have suggested that erector spinae plane block (ESPB) may provide multimodal analgesia for patients undergoing breast surgery. Therefore, we performed a retrospective observational study to evaluate the analgesic effects of ESPB in total mastectomy
Methods:
Of 48 patients who underwent total mastectomy, 20 were assigned to the ESPB group and 28 to the control group. Twenty patients in the control group were selected by propensity score matching to the 20 patients in the ESBP group. Patients in the ESPB group were injected with 30 ml 0.375% ropivacaine, followed by catheter insertion for further injections of local anesthetics every 12 hours for 3 days. The primary outcome was total fentanyl consumption during the first 24 hours postoperatively. Secondary outcomes included pain intensity levels (visual analogue scale [VAS]) and postoperative nausea and vomiting (PONV) score.
Results:
Median cumulative fentanyl consumption during the first 24 hours was significantly lower in the ESPB (33.0 interquartile range [IQR], 27.0n the control (92.8 up (p = 0.004). Pain level in the early postoperative stage (< 3 hours) and PONV (0% vs 55%) were also significantly lower in the ESPB than in the control group.
Conclusions:
ESPB after total mastectomy reduces fentanyl consumption and early postoperative pain. ESPB is an excellent option for multimodal analgesia after total mastectomy.
Case reports have suggested that erector spinae plane block (ESPB) may provide multimodal analgesia for patients undergoing breast surgery. Therefore, we performed a retrospective observational study to evaluate the analgesic effects of ESPB in total mastectomy
Methods:
Of 48 patients who underwent total mastectomy, 20 were assigned to the ESPB group and 28 to the control group. Twenty patients in the control group were selected by propensity score matching to the 20 patients in the ESBP group. Patients in the ESPB group were injected with 30 ml 0.375% ropivacaine, followed by catheter insertion for further injections of local anesthetics every 12 hours for 3 days. The primary outcome was total fentanyl consumption during the first 24 hours postoperatively. Secondary outcomes included pain intensity levels (visual analogue scale [VAS]) and postoperative nausea and vomiting (PONV) score.
Results:
Median cumulative fentanyl consumption during the first 24 hours was significantly lower in the ESPB (33.0 interquartile range [IQR], 27.0n the control (92.8 up (p = 0.004). Pain level in the early postoperative stage (< 3 hours) and PONV (0% vs 55%) were also significantly lower in the ESPB than in the control group.
Conclusions:
ESPB after total mastectomy reduces fentanyl consumption and early postoperative pain. ESPB is an excellent option for multimodal analgesia after total mastectomy.
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