EXPLORING POTENTIAL OF ULTRASOUND GUIDED ERECTOR SPINAE PLANE (US-ESP) BLOCK FOR POST-OPERATIVE ANALGESIA IN SPINE SURGERIES: A PILOT STUDY
Journal Title: Journal of Indira Gandhi Institute of Medical Sciences - Year 2019, Vol 5, Issue 1
Abstract
Introduction US-ESP block is a quite newer block described by Forero et al in 2016. [1] ESP blocks ventral as well as dorsal rami of spinal nerves that innervates bony vertebrae and paraspinal muscles. Level and extent of block depends on level of injection and amount of local anaesthetic injected, as the erector spinae fascia extends from nuchal fascia cranially to sacrum caudally and the drug spreads unhindered over several levels in both directions. [2] We have explored the effectiveness of bilateral US-ESP block for post-operative analgesia after spine surgeries. Aims and objectives- Our primary aim was to evaluate effectiveness of bilateral US-ESP block for postoperative analgesia and opioid sparing effect in thoraco-lumbar spine surgeries. Secondary aim was to look for any side effects and patient satisfaction after ESP block. Material and Methods- This study was conducted in our institute over period of three months from June to August 2018. This is an observational study where15 patients between age group 18 to 50 years of ASA-PS I and II, posted for spinal surgeries were selected. Exclusion criteria were patient refusal, ASA PS III or more, spine abnormalities, deranged coagulation profile and allergic to study drug i.e. bupivacaine and dexamethasaone. After taking institute ethical committee clearance, 15 patients between age group of 18 to 60 years of ASA PS I or II posted for routine thoraco/lumbar spine surgery, were randomly selected. Randomization was done using computer generated random number table. Informed written consent were taken for the procedure.
Authors and Affiliations
Nidhi Arun
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