387704

Ultrasound guided erector spinae plane block for percutaneous radiofrequency ablation of liver tumors

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Last updated: 05 Jan 2025

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Abstract

: Percutaneous radiofrequency ablation (PRFA) of hepatic tumors is a painful procedure. Regional anesthesia is currently considered one of the fundamental elements for managing both intra and postoperative pain. We aimed to compare the analgesic efficacy of ultrasound-guided erector spinae plane block (ESPB) versus local anesthetic infiltration for pain relief in patients undergoing PRFA of liver tumors.
: Sixty adult patients undergoing PRFA of primary or secondary liver malignancies were randomized into: Group I (local anesthetic infiltration group) or Group II (right ultrasound-guided ESPB group). Postoperative pain score as a primary outcome, rescue analgesic consumption, number of subjects requiring general anesthesia and incidence of complications were recorded.
: Postoperative pain score was significantly lower in Group II during the first 4 hours postoperatively ( = 0.000*, 0.000*, 0.001*, 0.001* and 0.002*, respectively) as compared to Group I, whereas comparable pain scores were recorded among the study groups at 8, 12, 16, and 24 hours postoperative ( = 0.492, 0.075, 0.893, and 0.094, respectively). Intra and postoperative rescue analgesic requirement was significantly less in Group II than Group I ( = 0.031*, and 0.000*, respectively). Nine patients in Group I and two patients in Group II were converted to general anesthesia. The incidence of adverse events was comparable between the two groups.
: Ultrasound-guided ESPB provided efficient analgesia during intraoperative and early postoperative periods with reduced analgesic requirements and fewer patients needing general anesthesia as compared to local infiltration technique.
: Pan African Clinical Trials Registry (PACTR201705002296409).

DOI

TEJA-2020-0094

Keywords

Liver neoplasms, Radiofrequency ablation, nerve block, Pain, Postoperative

Authors

First Name

Shaimaa F.

Last Name

Mostafa

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Orcid

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First Name

Mona B.

Last Name

El Mourad

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Volume

36

Article Issue

1

Related Issue

51157

Issue Date

2020-01-01

Receive Date

2020-08-26

Publish Date

2020-01-01

Page Start

305

Page End

311

Print ISSN

1110-1849

Online ISSN

1687-1804

Link

https://egja.journals.ekb.eg/article_387704.html

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https://egja.journals.ekb.eg/service?article_code=387704

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387,704

Publication Type

Journal

Publication Title

Egyptian Journal of Anaesthesia

Publication Link

https://egja.journals.ekb.eg/

MainTitle

Ultrasound guided erector spinae plane block for percutaneous radiofrequency ablation of liver tumors

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Article

Created At

21 Dec 2024