Abstract | BACKGROUND: Erector spinae plane block (ESPB) has been reported to manage postoperative pain effectively after various types of surgery. However, there has been a lack of study on the effect of ESPB after liver resection. OBJECTIVES: DESIGN: Prospective, randomised controlled study. SETTING: A single tertiary care centre from February 2019 to February 2020. PATIENTS: A total of 70 patients scheduled to undergo laparoscopic liver resection. INTERVENTIONS: MAIN OUTCOME MEASURES: The primary outcome was the cumulative postoperative opioid consumption at 24 h ( morphine equivalent). The secondary outcomes were rescue opioid ( fentanyl) dose in the postanaesthesia care unit (PACU) and pain severity at 1, 6, 12, 24, 48 and 72 h, assessed using a numerical rating scale (NRS) score. RESULTS: The median [IQR] postoperative opioid consumption during 24 hours following surgery was 48.2 [17.1] mg in the control group and 45.5 [35.8] mg in the ESPB group (median difference, 4.2 mg; 95% CI, -4.2 to 13.3 mg; P = 0.259). Conversely, rescue opioid in PACU was 5.3 [5.0] mg in the control group and 3.0 [1.5] mg in the ESPB group (median difference, 2.5 mg; 95% CI, 1.0 to 5.0 mg; P < 0.001). There was no significant difference in NRS scores point between the groups at any time. CONCLUSION: ESPB does not provide analgesic effect within 24 h after laparoscopic liver resection. TRIAL REGISTRATION: Clinical Trial Registry of Korea (https://cris.nih.go.kr.), identifier: KCT0003549).
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Authors | Doyeon Kim, Jong Man Kim, Gyu-Seong Choi, Gunyoung Heo, Gaab Soo Kim, Ji Seon Jeong |
Journal | European journal of anaesthesiology
(Eur J Anaesthesiol)
Vol. 38
Issue Suppl 2
Pg. S106-S112
(08 01 2021)
ISSN: 1365-2346 [Electronic] England |
PMID | 33653982
(Publication Type: Journal Article, Randomized Controlled Trial)
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Copyright | Copyright © 2021 European Society of Anaesthesiology and Intensive Care. Unauthorized reproduction of this article is prohibited. |
Topics |
- Analgesia, Patient-Controlled
- Humans
- Laparoscopy
- Liver
- Nerve Block
- Pain, Postoperative
(diagnosis, etiology, prevention & control)
- Prospective Studies
- Republic of Korea
- Ultrasonography, Interventional
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