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279669

Erector Spinae Plane Block: An Analgesic Technique as an Alternative to Transversus Abdominis Plane Block in Abdominoplasty Surgery

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Last updated: 24 Dec 2024

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Abstract

Background: Managing post abdominoplasty pain can be quite challenging. Multimodal analgesia strategies have been used to provide maximum benefit with less side effects. Combining regional anaesthetic techniques with multiple non opioid analgesics can provide efficient postoperative analgesia. Objective: This study aimed at comparing the analgesic efficacy of ultrasound guided erector spinae plane block (ESPB) and ultrasound guided transversus abdominis plane block (TAPB) in abdominoplasty surgery when given as a part of multimodal analgesic strategy. Patients and methods: A total of 69 females ASA I & II physical status patients aged between 25 and 65 years who were scheduled for abdominoplasty surgery under general anaesthesia were included in this study. Patients were allocated to three groups; Control group received only standard general anaesthesia, TAPB group received standard general anaesthesia in addition to TAPB, while ESPB group received standard general anaesthesia and ESPB. We recorded total opioid consumption, time of first analgesic request, visual analogue score and hemodynamic changes in first 24h postoperatively. Results: ESPB and TAPB reduced postoperative opioid consumption and prolonged time till analgesic request than the control group. ESPB prolonged duration of analgesia and reduced postoperative heart rate, while TAPB block was relatively easier and less time consuming. Conclusion: ESPB and TAPB can provide considerable postoperative analgesia following abdominoplasty surgery when being incorporated in a multimodal analgesia regimen. Therefore, we recommend using either technique to lessen pain in patients subjected to abdominoplasty surgery.  

DOI

10.21608/ejhm.2023.279669

Keywords

Erector spinae plane block, Analgesic technique, Transversus Abdominis Plane Block, Abdominoplasty surgery

Authors

First Name

Tamer Elmetwally Abdallah

Last Name

Farahat

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Affiliation

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First Name

Ayat

Last Name

Ebrahim Mohamed Eid

MiddleName

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Affiliation

Mansoura faculty of medicine Department of Anesthesia surgical intensive care and pain medicine

Email

ayatebrahimeid@gmail.com

City

Mansoura

Orcid

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First Name

Mona

Last Name

Hasheesh

MiddleName

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Affiliation

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Email

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Orcid

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First Name

Hanaa M.

Last Name

El Bendary

MiddleName

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Affiliation

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Orcid

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Volume

90

Article Issue

1

Related Issue

38787

Issue Date

2023-01-01

Receive Date

2023-01-10

Publish Date

2023-01-01

Page Start

498

Page End

506

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_279669.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=279669

Order

70

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Erector Spinae Plane Block: An Analgesic Technique as an Alternative to Transversus Abdominis Plane Block in Abdominoplasty Surgery

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Article

Created At

22 Jan 2023