Application of ultrasound-guided erector spinae plane block on intraoperative and postoperative analgesia in patients undergoing chronic empyema
10.12089/jca.2019.02.006
- VernacularTitle:超声引导下竖脊肌平面阻滞在慢性脓胸患者术中及术后镇痛中的效果
- Author:
Yaoping ZHAO
1
;
Shuang YU
;
Shaoqiang ZHENG
;
Yan TAO
;
Geng WANG
Author Information
1. 北京积水潭医院麻醉科
- Keywords:
Chronic empyema;
Decortication of pleural fibreboard;
Ultrasound-guided;
Erector spinae plane block;
Postoperative analgesia
- From:
The Journal of Clinical Anesthesiology
2019;35(2):129-132
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the efficacy of ultrasound-guided erector spinae plane (ESP) block on intraoperative and postoperative analgesia in patients undergoing chronic empyema. Methods Sixty patients scheduled for elective decortication of pleural fibreboard under video-assisted thoracoscopic, 35 males and 25 females, aged 30-70 years, falling into ASA physical status Ⅰ or Ⅱ, were randomized into 2 groups: ESP block combined with general anesthesia group (group E) and only general anesthesia group (group G). Patients in group E received ESP block before general anesthesia, while patients in group G received general anesthesia only. All patients received patient controlled intravenous analgesia (PCIA). The thoracic paravertebral space were recorded using ultrasound. Dermatomes of sensory block on midclavicular line were recorded at 20 min after ESP block. The amount of remifentanil, duration of stay in post-anesthesia care unit, the frequency of PCIA pressing, the pain analog scale (VAS) scores during rest and movement at 1, 4, 12, 24, 48 h after operation were recorded. Results Twenty-four patients in group E showed unclear thoracic paravertebral space, dermatomes of sensory block at 20 min after ESP block were 4.9 ± 1.0 on midclavicular line. The consumption of remifentanil and duration of stay in post-anesthesia care unit and the frequency of PCIA pressing in group E were significantly less than that in group G (P ＜ 0.05). The VAS scores at 1, 4, 12, 24 h in group E were lower than those of group G (P ＜ 0.05). Conclusion The ultrasound-guided erector spinae plane block were safe and effective for patients undergoing chronic empyema, and provided satisfactory intraoperative and postoperative analgesia.
