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329791

Ultrasound-guided erector spinae plane block in patients undergoing pediatric abdominal surgery: a randomized study

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Last updated: 05 Jan 2025

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Abstract

Background
Erector spinae plane block (ESPB) can provide effective analgesia in pediatric abdominal surgery Additionally, when used as an analgesic method in abdominal surgery, ESPB may increase regional intra-abdominal tissue oxygen saturation (rSO) throughout the operation. However, the number of related studies conducted on pediatric patients is insufficient.
Results
Fifty-two patients undergoing lower abdominal surgery were allocated into two groups, the ESPB (E) and the control (C). Group E received general anesthesia plus unilateral ultrasound-guided ESPB, and group C received general anesthesia alone. Intraoperative fentanyl consumption, Face, Legs, Activity, Cry, Consolability (FLACC) score, time to first rescue analgesia and adverse events were recorded over the first 24 h postoperatively. The rSO level was evaluated in both groups throughout the operation. The FLACC score was significantly lower in group E than in group C (<0.05). Four patients in group E required intraoperative fentanyl compared to 12 patients in group C (<0.05). The first rescue analgesic administration time was significantly longer in group E than in group C (<0.05). No significant difference in rSO values was detected between the groups (>0.05). However, in group E, rSO values were significantly increased after the block compared to the postinduction values.
Conclusions
ESPB provides effective perioperative analgesia in children undergoing low abdominal surgery. Although there was no significant difference in rSO values between the groups, ESPB administration consistently increases rSO over time.
Trial registration
The trial was registered at ClinicalTrials.gov before patient enrolment (-13.12.2018).

DOI

10.1186/s42077-022-00246-x

Keywords

Erector spinae plane block, FLACC scale, Tissue oxygen saturation

Authors

First Name

Parvin

Last Name

Pınar

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Serdar

Last Name

Yeşiltaş

MiddleName

-

Affiliation

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Email

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City

-

Orcid

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First Name

Meltem

Last Name

Türkay

MiddleName

-

Affiliation

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Email

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City

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Orcid

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First Name

Kazım

Last Name

Karaaslan

MiddleName

-

Affiliation

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Email

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City

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Orcid

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First Name

Ayda

Last Name

Türköz

MiddleName

-

Affiliation

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Email

aydaturkoz@gmail.com

City

-

Orcid

0000-0002-5913-6469

Volume

14

Article Issue

1

Related Issue

44741

Issue Date

2022-01-01

Receive Date

2022-04-28

Publish Date

2022-05-15

Print ISSN

1687-7934

Online ISSN

2090-925X

Link

https://asja.journals.ekb.eg/article_329791.html

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https://asja.journals.ekb.eg/service?article_code=329791

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329,791

Publication Type

Journal

Publication Title

Ain-Shams Journal of Anesthesiology

Publication Link

https://asja.journals.ekb.eg/

MainTitle

Ultrasound-guided erector spinae plane block in patients undergoing pediatric abdominal surgery: a randomized study

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Article

Created At

20 Dec 2024