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274729

Analgesic Efficacy of Sonar-guided Erector Spinae Plane Block versus Thoracic Paravertebral Block after open cholecystectomy: A Double-Blind Randomized Trial

Article

Last updated: 29 Dec 2024

Subjects

-

Tags

Anesthesia and Intensive Care

Abstract

Background and Aims: Erector spinae plane block (ESB) and Paravertebral block (PVB) are formats for post-operative analgesia. This study compares the analgesic effects of both after open cholecystectomy. Methods: fifty patients with ASA physical status I or II and ages 18 - 65 years who had open cholecystectomy surgery were randomly assigned to one of two groups: sonar guided ESB (Group 1, n = 25) or sonar guided PVB (Group 2, n = 25). After induction of general anesthesia all patients received 20 mL 0.5% bupivacaine in each technique of the study. Patients were estimated for post-operative analgesia using Visual analogue scale (VAS) at 0, 2, 4, 6, 12 and 24 h after surgery. Results: Post-operative VAS scores were lower in ESB at 4, 6, 12 and 24 h (P < 0.05). The time for first rescue analgesic requirement was significantly longer in ESB group (416 ± 68 min) than PVB group (371 ± 67 min). Regarding complications there were no significant adverse effects noted in two groups. Conclusion: Sonar-guided ESB reduced post-operative pain scores and prolonged the duration of analgesia compared to PVB after open cholecystectomy

DOI

10.21608/aumj.2022.274729

Keywords

Anesthesia, Pain, Analgesia, Post-operative, Bupivacaine, open cholecystectomy

Authors

First Name

Mostafa

Last Name

Mohamed

MiddleName

-

Affiliation

Department of Anesthesia, Faculty of Medicine, Aswan University, Egypt

Email

mostafa.abdelwarth@aswu.edu.eg

City

-

Orcid

-

Volume

2

Article Issue

2

Related Issue

38265

Issue Date

2022-12-01

Receive Date

2022-12-04

Publish Date

2022-12-31

Page Start

233

Page End

244

Print ISSN

2735-3109

Online ISSN

2735-3117

Link

https://aumj.journals.ekb.eg/article_274729.html

Detail API

https://aumj.journals.ekb.eg/service?article_code=274729

Order

274,729

Type

Original Article

Type Code

2,278

Publication Type

Journal

Publication Title

Aswan University Medical Journal

Publication Link

https://aumj.journals.ekb.eg/

MainTitle

Analgesic Efficacy of Sonar-guided Erector Spinae Plane Block versus Thoracic Paravertebral Block after open cholecystectomy: A Double-Blind Randomized Trial

Details

Type

Article

Created At

23 Jan 2023