JOCS
Journal of Comprehensive Surgery

The aim of the Comprehensive Surgery is to publish original research articles of the highest scientific and clinical value at the international level in all surgical fields.

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Original Article
The efficacy of erector spinae plane block (ESPB) applied under ultrasonography guidance in percutaneous nephrolithotomy operations
Abstract
Aims: This study aimed to evaluate the effect of erector spinae block (ESPB) applied preoperatively under ultrasonography guidance in percutaneous nephrolithotomy (PNL) operations in terms of the intraoperative need for opioids, postoperative analgesia, and patient satisfaction.
Methods: Of 60 patients who were 18 to 65-year-old and evaluated as American Society of Anesthesiologists (ASA) risk I-II-III were planned to undergo elective PNL. The patients were randomly separated into two groups as the Block group-administered ESPB under sedation in the preoperative period and the Control group-administered no ESPB. All the operations were performed under general anesthesia. The study data were analyzed using Mann-Whitney U-test and the Independent Samples t-test.
Results: Demographic data of the patients were not different between the groups (p>0.05). Neither intraoperative opioids nor analgesics were required for any of the patients in the ESPB group whereas intraoperative opioids and analgesic drugs had to be administered to all of the patients in the control group (p<0.001). The postoperative patient satisfaction scores in the ESPB group were found statistically higher than that of the control group (p<0.001).
Conclusion: The results demonstrated that ESPB applied preoperatively under USG guidance reduced the need for intraoperative opioids and postoperative analgesia in PNL operations. This, in turn, increased patient satisfaction by maintaining patient comfort after surgery.

Keywords : Erector spinae plane block, percutaneous nephrolithotomy, preemptive analgesia, ultrasonography

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Article available in :
Volume 1, Issue 2, 2023
Page : 34-39
https://doi.org/10.51271/JOCS-0009
Article Information
Received : 27 Nis 2023
Accepted : 19 May 2023
Published : 28 May 2023
Corresponding Author :

Ahmet Tuğrul Şahin: Tokat Gaziosmanpasa University School of Medicine, Department of Anesthesiology and Reanimation, Tokat, Turkey

[email protected]
Citation : Şahin AT, Aydın G, Akçaboy ZN, et al. The efficacy of erector spinae plane block (ESPB) applied under ultrasonography guidance in percutaneous nephrolithotomy operations. J Compr Surg. 2023;1(2):34-39.

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