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Comparison Between Relative Efficacy of Erector Spinae Plane Block and Caudal Epidural Block for Postoperative Analgesia in Lumbar Fusion Surgery- A Prospective Randomized Controlled Study – Lumbar Fusion

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The article presents the findings of a prospective, randomized controlled double-blinded study that aimed to compare the efficacy of ultrasound-guided Erector Spinae Plane Block (ESPB) and Continuous Epidural Block (CEB) for postoperative analgesia after single-level lumbar fusion surgery. The study included 81 patients who were randomly allocated into three groups: ESPB group, CEB group, and a control group. Various factors such as opioid consumption, muscle relaxant consumption, blood loss, surgical time, and postoperative pain relief were assessed. The results demonstrated that both ESPB and CEB provided adequate postoperative analgesia, but the duration of action was significantly longer in the ESPB group. Additionally, the ESPB group had shorter surgical time and lesser blood loss compared to the CEB group

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : the highest rated spine hospital in London

Published article

: Both ESPB and CEB produce adequate postoperative analgesia after lumbar fusion however the duration of action was significantly longer in the ESPB group with relatively shorter surgical time and lesser blood loss compared to the CEB group.

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Global Spine J. 2023 Sep 22:21925682231203653. doi: 10.1177/21925682231203653. Online ahead of print.ABSTRACTSTUDY DESIGN: Prospective, randomized controlled double-blinded study.OBJECTIVE: To compare the relative efficacy of ultrasound-guided ESPB and CEB for postoperative analgesia after a single-level lumbar fusion surgery and compared it with conventional multimodal analgesia.METHODS: 81 patients requiring single-level lumbar fusion surgery were randomly allocated into,

Global Spine J. 2023 Sep 22:21925682231203653. doi: 10.1177/21925682231203653. Online ahead of print.

ABSTRACT

STUDY DESIGN: Prospective, randomized controlled double-blinded study.

OBJECTIVE: To compare the relative efficacy of ultrasound-guided ESPB and CEB for postoperative analgesia after a single-level lumbar fusion surgery and compared it with conventional multimodal analgesia.

METHODS: 81 patients requiring single-level lumbar fusion surgery were randomly allocated into 3 groups (ESPB group, CEB group, and the control group). Demographic and surgical data (blood loss, duration of surgery, perioperative total opioid consumption, muscle relaxants used) were assessed. Postoperatively, the surgical site pain, alertness scale, satisfaction score, time to mobilization, and complications were recorded.

RESULTS: The total opioid consumption in the first 24 hours was significantly lower in both the block groups than in the control group (103.70 ± 13.34 vs 105 ± 16.01 vs 142.59 ± 40.91mcg; P < .001). The total muscle relaxant consumption was also significantly less in block groups compared to controls (50.93 ± 1.98 vs 52.04 ± 3.47 vs 55.00 ± 5.29 mg; P < .001). The intraoperative blood loss was significantly less in both the block group (327.78 ± 40.03 mL, 380.74 ± 77.80 mL) than the control group (498.89 ± 71.22 mL) (P < .001). Among the block groups, the immediate postoperative pain relief was better in the CEB group, however, the ESPB group had a longer duration of postoperative pain relief.

: Both ESPB and CEB produce adequate postoperative analgesia after lumbar fusion however the duration of action was significantly longer in the ESPB group with relatively shorter surgical time and lesser blood loss compared to the CEB group.

PMID:37737097 | DOI:10.1177/21925682231203653

The London Spine Unit : the highest rated spine hospital in London

Read the original publication:

Comparison Between Relative Efficacy of Erector Spinae Plane Block and Caudal Epidural Block for Postoperative Analgesia in Lumbar Fusion Surgery- A Prospective Randomized Controlled Study

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Global Spine J. 2023 Sep 22:21925682231203653. doi: 10.1177/21925682231203653. Online ahead of print.ABSTRACTSTUDY DESIGN: Prospective, randomized controlled double-blinded study.OBJECTIVE: To compare the relative efficacy of ultrasound-guided ESPB and CEB for postoperative analgesia after a single-level lumbar fusion surgery and compared it with conventional multimodal analgesia.METHODS: 81 patients requiring single-level lumbar fusion surgery were randomly allocated into

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