Application of erector spinae plane block to the posterior scoliosis correction and fusion with the guidance of ultrasonic(PDF)
《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]
- Issue:
- 2020年第11期
- Page:
- 1394-1397
- Research Field:
- 医学影像物理
- Publishing date:
Info
- Title:
- Application of erector spinae plane block to the posterior scoliosis correction and fusion with the guidance of ultrasonic
- Author(s):
- LIU Ping; WU Qian; YANG Lei; YAO Shanglong
- Department of Anesthesiology, Xiehe Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430022, China
- Keywords:
- Keywords: guidance of ultrasonic erector spinae plane block posterior scoliosis corection postoperative analgesia
- PACS:
- R614.2
- DOI:
- DOI:10.3969/j.issn.1005-202X.2020.11.010
- Abstract:
- Abstract: Objective Under the guidance of ultrasonic, to explore the application of erector spinae plane block to the general anesthesia surgery of posterior scoliosis correction and fusion and its effects on postoperative analgesia. Methods A total of 40 patients with posterior scoliosis correction and fusion were sampled, and these patients are all in level I-II of the ASA class. According to random number table, all patients were divided into ESPB group (group E) and control group (group C), with 20 patients in each group. In E group, ESPB was conducted at the level of T5 and T10 when 30 minutes before the anesthesia induction, while in group C, the same amount of normal saline was injected. 20 minutes after the injection, the method of evaluating pain with acupuncture was used to monitor the sensory blockade. Both groups underwent the same induction and maintenance of anesthesia, narcotrend was used to monitor the depth of anesthesia and sedation during the operation, and sufentanil was adopted for intravenous patient-controlled analgesia after the operation. The dosage of anesthetic, time to awaken, visual analogue scales at rest (2, 4, 6, 12, and 14 h after operation respectively), the 24 h PCA (patient-controlled analgesia) dosage of sufentanil, and the times of PCA compression were recorded. The adverse reactions (nausea and vomiting, respiratory depression) and the complications (infection of puncture site, hematoma, local anesthetic poisoning) were also recorded. Results The dosage of anesthetic, time to awaken, VAS score, the dosage of sufentanil and the times of PCA compression in E group are all less than those in group C (P<0.05). However, the differences in VAS score at 24 h after the operation between the two groups have no statistical significance. In E group, there were no complications such as infection of puncture site, hematoma and local anesthetic poisoning. Conclusion Under the guidance of ultrasound, ESPB can provide efficient analgesia for the posterior scoliosis correction and fusion, shorten time to awaken and reduce the usage of opioids during the perioperative period.
Last Update: 2020-12-02