Does Erector Spinae Plane Block Have a Visceral Analgesic Effect?: A Randomized Controlled Trial.

ABSTRACT: The visceral analgesic efficacy of erector spinae plane block (ESPB) is still a matter of debate. This study attempted to investigate the visceral analgesic efficacy of ESPB in clinical setting. After randomized, we performed ultrasound-guided bilateral rectus sheath block (RSB), which was aimed to prevent postoperative somatic pain on all patients who underwent laparoscopic cholecystectomy (LC). Ultrasound-guided bilateral ESPB at T7 level was performed only to the intervention group to provide the visceral analgesic block. The intraoperative requirement for remifentanil (P?=?0.021) and the cumulative fentanyl consumption at postoperative 24-hours was significantly lower in the ESPB group (206.5?±?82.8??g vs.283.7?±?102.4??g, respectively; P?=?0.004) compared to non-ESPB group. The ESPB group consistently showed lower accumulated analgesic consumption compared with those in the non-ESPB group at all observed time-points (all P?

SUBMITTER: Kwon HM 

PROVIDER: S-EPMC7249264 | biostudies-literature | 2020 May

REPOSITORIES: biostudies-literature