UNLEASHING THE POWER OF THE ERECTOR SPINAE PLANE BLOCK: ENHANCING POST-OPERATIVE ANALGESIA IN LUMBAR SPINE SURGERY

Document Type : Original Article

Authors

Department of Anaesthesia, Smt.kashibai Navale Medical College and Hospital, Maharashtra Univeristy of Health Sciences, Pune, Maharashtra, India.

10.21608/asja.2024.282235.1091

Abstract

Introduction: The emerging role of Bilateral Ultrasound-Guided Erector Spinae Plane (ESP) Block as a novel and promising technique for Effective postoperative pain management needs to be evaluated after lumbar spine surgery.
Materials and Methods: Prospective, randomized single blinded study. ASA I and II patients in age group of 18-65 years posted for lumbar spine surgery. Patients were randomised in two groups of 30 each. Group A received ultra sound guided ESP block with 0.2% ropivacaine postoperatively before extubation. Group B did not receive block and analgesic was given once VAS >4. Postoperative vital parameters and VAS scores were assessed at regular intervals up to 24 hours.
Results: In the ESPB group, prolonged duration of analgesia (10.01±1.89 hours VS 2.11±0.82 hours) was noted when compared with non-ESPB group (p value <0.05). The Visual Analog Scale (VAS) scores in ESPB group were significantly lower than non-ESPB group (p value <0.05). Hemodynamic parameters were significantly stable in ESPB group than non ESPB group (p<0.05). Conclusion: To conclude, bilateral US-guided ESP block is an effective way of providing prolonged postoperative analgesia after lumbar spine surgery with reduced requirement of rescue analgesics in the first 24 hours without any complications.

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