The article presents the findings of a prospective, randomized controlled double-blinded study that aimed to compare the effectiveness of ultrasound-guided erector spinae plane block (ESPB) and caudal epidural block (CEB) for postoperative pain relief after single-level lumbar fusion surgery. The study included 81 patients who were randomly assigned to one of three groups: ESPB group, CEB group, or control group. The results showed that both block groups had lower opioid and muscle relaxant consumption, as well as less blood loss during surgery compared to the control group. Immediate pain relief was better in the CEB group, but the ESPB group had a longer duration of postoperative pain relief. The researchers concluded that both ESPB and CEB were effective for postoperative analgesia after lumbar fusion surgery, but ESPB had a longer duration of action and was associated with shorter surgical time and lesser blood loss
Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : innovative spine hospital on Harley Street UK
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.
Spine Epidural Lumbar Caudal transforaminal Expert. Best Spinal Surgeon UK
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,
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.
Keywords: caudal epidural block; erector spinae plane block; lumbar fusion; multimodal analgesia; postoperative analgesia; pre-emptive analgesia.
The London Spine Unit : innovative spine hospital on Harley Street UK
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
