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Master Thesis

Erector spinae plane block for postoperative pain control after lumbar spine fusion: a comparative and retrospective study

Abstract : Introduction: Posterior lumbar spine fusion surgery (PLSF) is associated with high postoperative pain. Management with intrathecal morphine (ITM) is the gold standard, but is associated with several adverse effects. The erector spinae plane block (ESPB) is a new ultrasound-guided regional anesthesia technique. It could provide good postoperative pain relief without the adverse effects associated with ITM. The aim of this study was to evaluate EPSB for pain management after PLSF. Methods: We conducted a retrospective and comparative study from 2015 to 2019. Patients admitted for PLSF were included in 3 groups: group 1 with standard multimodal analgesic management, group 2 standard multimodal analgesic plus ESPB and group 3 standard multimodal analgesic plus ITM. The primary outcome was the amount of morphine consumption during the first 24 postoperative hours. Secondary outcomes were the use of morphine rescue therapy, postoperative pain scores, and hospital length of stay. Results: 114 patients were included: 35 in group 1; 38 in group 2 and 41 in group 3. The amount of morphine during the first 24hrs was 83 +/- 46mg; 53/-37 mg and 39 +/-28 mg in groups 1, 2 and 3, respectively (p = 0.001). The use of morphine rescue therapy was 49 %, 16 % and 12 % in groups 1, 2 and 3 p = 0.002. The pain scores and the length of stay were not different between the groups.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03130588
Contributor : Ufr Santé Unicaen <>
Submitted on : Wednesday, February 3, 2021 - 4:49:29 PM
Last modification on : Thursday, April 22, 2021 - 3:27:51 AM

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  • HAL Id : dumas-03130588, version 1

Citation

Pierre-Emmanuel Marsan. Erector spinae plane block for postoperative pain control after lumbar spine fusion: a comparative and retrospective study. Human health and pathology. 2020. ⟨dumas-03130588⟩

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