Application of ultrasound-guided erector spinae plane block in extra-corporeal shock wave lithotripsy for pancreatic duct stones
10.12092/j.issn.1009-2501.2025.01.010
- VernacularTitle:超声引导竖脊肌平面阻滞在胰管结石体外震波碎石术中的应用
- Author:
Yue WANG
1
;
Yong CHENG
1
;
Haiyong TAO
1
;
Xiaoye HE
1
;
Liuxin HU
1
;
Xiaoyi XIE
1
;
Jianrong GUO
1
Author Information
1. 上海市浦东新区公利医院麻醉科,上海 200135
- Publication Type:Journal Article
- Keywords:
ultrasonic guidance;
erector spinae plane block;
intravenous general anesthesia;
opioid-sparing;
pancreatic stone;
extracorporeal shock wave lithotripsy
- From:
Chinese Journal of Clinical Pharmacology and Therapeutics
2025;30(1):85-90
- CountryChina
- Language:Chinese
-
Abstract:
AIM:To evaluate the value of ultra-sound-guided erector spinae plane block(ESPB)combined with opioid-sparing anaesthesia in extra-corporeal shock wave lithotripsy(ESWL)for pancre-atic stones.METHODS:A total of 96 patients(60 males and 36 females,aged 20-65 years,ASA Ⅰ-Ⅱ,BMI 16-30 kg/m2)undergoing elective extracorpo-real shock wave lithotripsy for pancreatic duct stones were selected in our hospital from March 2022 to April 2023.The patients were randomly di-vided into conventional intravenous anesthesia group(group C,48 cases)and ESPB+opioid-sparing group(group E,48 cases).Patients in group C un-derwent general anesthesia with target-controlled infusion of propofol and remifentanil with sponta-neous breathing.Patients in group E underwent ul-trasound-guided bilateral ESPB before intravenous general anesthesia.The changes of hemodynamic indexes(HR,MAP)in the two groups were ob-served and recorded.The anesthetic effect,dosage of remifentanil,quality of anesthesia recovery,postoperative analgesic effect and incidence of perioperative adverse reactions(respiratory depres-sion,nausea and vomiting,pruritus,etc.)were ob-served in the two groups.RESULTS:Compared with group C,the incidence of intraoperative respiratory depression was significantly decreased,the intraop-erative consumption of remifentanil was de-creased,and the postoperative recovery time was shortened in group E(P＜0.05).The VAS scores of rest and cough pain and the incidence of postoper-ative nausea and vomiting were significantly de-creased in group E(P＜0.05).There was no signifi-cant difference in HR and MAP between the two groups(P＞0.05).CONCLUSION:Ultrasound-guided ESPB in ESWL for pancreatic duct stones is satisfac-tory and can save opioids with few complications.
