USE OF THE ERECTOR SPINAE PLANE BLOCK IN SPINAL SURGERIES

ABSTRACT Postoperative pain management in spinal surgeries remains a challenge, and the erector spinae plane (ESP) block has emerged as a promising analgesic technique, offering significant benefits in pain reduction and opioid consumption. This prospective case series aimed to evaluate the efficacy...

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Main Authors: ALLAN JOSE LIMA BUENO, ANDRE MOREIRA CASTILHO, ELIANE CRISTINA DE SOUZA SOARES, FABIANO SOARES CARNEIRO, PEDRO AUGUSTO TORRES
Format: Article
Language:English
Published: Sociedade Brasileira de Coluna (SBC) 2024-11-01
Series:Coluna/Columna
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512024000300401&lng=en&tlng=en
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author ALLAN JOSE LIMA BUENO
ANDRE MOREIRA CASTILHO
ELIANE CRISTINA DE SOUZA SOARES
FABIANO SOARES CARNEIRO
PEDRO AUGUSTO TORRES
author_facet ALLAN JOSE LIMA BUENO
ANDRE MOREIRA CASTILHO
ELIANE CRISTINA DE SOUZA SOARES
FABIANO SOARES CARNEIRO
PEDRO AUGUSTO TORRES
author_sort ALLAN JOSE LIMA BUENO
collection DOAJ
description ABSTRACT Postoperative pain management in spinal surgeries remains a challenge, and the erector spinae plane (ESP) block has emerged as a promising analgesic technique, offering significant benefits in pain reduction and opioid consumption. This prospective case series aimed to evaluate the efficacy and safety of ESP block in patients undergoing elective lumbar surgeries. Patients aged 18 to 60 years undergoing surgeries of up to two levels were included, with bilateral ESP blocks performed in conjunction with general anesthesia before the start of surgery. Data were collected in the Post-Anesthesia Care Unit, at 6, 12, 24, and 48 hours postoperatively. The analysis included pain intensity, opioid use, and the occurrence of side effects. Results demonstrated that the ESP block provided satisfactory analgesia, with low morphine usage and no significant adverse effects. Postoperative pain was effectively controlled, with no prolonged hospitalization or block-related complications. Although this study is limited by its case series design, the findings suggest that ESP block may be an effective strategy for pain management in lumbar surgeries. Level of Evidence IV; Case series.
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publisher Sociedade Brasileira de Coluna (SBC)
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series Coluna/Columna
spelling doaj-art-1bf2288f31044844b46a46a35acd21242025-08-20T02:48:30ZengSociedade Brasileira de Coluna (SBC)Coluna/Columna2177-014X2024-11-0123310.1590/s1808-185120242303285063USE OF THE ERECTOR SPINAE PLANE BLOCK IN SPINAL SURGERIESALLAN JOSE LIMA BUENOhttps://orcid.org/0000-0002-1521-0065ANDRE MOREIRA CASTILHOhttps://orcid.org/0000-0002-6790-2370ELIANE CRISTINA DE SOUZA SOAREShttps://orcid.org/0000-0001-6243-7206FABIANO SOARES CARNEIROhttps://orcid.org/0000-0003-2224-608XPEDRO AUGUSTO TORREShttps://orcid.org/0000-0002-7456-9668ABSTRACT Postoperative pain management in spinal surgeries remains a challenge, and the erector spinae plane (ESP) block has emerged as a promising analgesic technique, offering significant benefits in pain reduction and opioid consumption. This prospective case series aimed to evaluate the efficacy and safety of ESP block in patients undergoing elective lumbar surgeries. Patients aged 18 to 60 years undergoing surgeries of up to two levels were included, with bilateral ESP blocks performed in conjunction with general anesthesia before the start of surgery. Data were collected in the Post-Anesthesia Care Unit, at 6, 12, 24, and 48 hours postoperatively. The analysis included pain intensity, opioid use, and the occurrence of side effects. Results demonstrated that the ESP block provided satisfactory analgesia, with low morphine usage and no significant adverse effects. Postoperative pain was effectively controlled, with no prolonged hospitalization or block-related complications. Although this study is limited by its case series design, the findings suggest that ESP block may be an effective strategy for pain management in lumbar surgeries. Level of Evidence IV; Case series.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512024000300401&lng=en&tlng=enSurgical ProceduresOperativePainSpineAnesthesia Recovery PeriodAnalgesicsOpioid.
spellingShingle ALLAN JOSE LIMA BUENO
ANDRE MOREIRA CASTILHO
ELIANE CRISTINA DE SOUZA SOARES
FABIANO SOARES CARNEIRO
PEDRO AUGUSTO TORRES
USE OF THE ERECTOR SPINAE PLANE BLOCK IN SPINAL SURGERIES
Coluna/Columna
Surgical Procedures
Operative
Pain
Spine
Anesthesia Recovery Period
Analgesics
Opioid.
title USE OF THE ERECTOR SPINAE PLANE BLOCK IN SPINAL SURGERIES
title_full USE OF THE ERECTOR SPINAE PLANE BLOCK IN SPINAL SURGERIES
title_fullStr USE OF THE ERECTOR SPINAE PLANE BLOCK IN SPINAL SURGERIES
title_full_unstemmed USE OF THE ERECTOR SPINAE PLANE BLOCK IN SPINAL SURGERIES
title_short USE OF THE ERECTOR SPINAE PLANE BLOCK IN SPINAL SURGERIES
title_sort use of the erector spinae plane block in spinal surgeries
topic Surgical Procedures
Operative
Pain
Spine
Anesthesia Recovery Period
Analgesics
Opioid.
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512024000300401&lng=en&tlng=en
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