Comparison of Bilateral Erector Spinae Plane Block and Thoracic Epidural Analgesia in Open Heart Surgery

Authors : Ebru Canakci, Nilay Taş, Aysenur Kirdemir, Ismail Elmali, Melih Ürkmez

Pages : 638-651

Doi:10.19127/mbsjohs.1297235

View : 87 | Download : 133

Publication Date : 2023-10-29

Article Type : Research Paper

Abstract :Objective: In our study, it was aimed to compare the postoperative analgesic efficacy of bilateral USG-guided erector spinae plane block (ESP) block and thoracic epidural analgesia (TEA) in patients who underwent open heart surgery. Methods: No interventional multimodal analgesia technique was applied to the patients in the control group, only iv patient-controlled analgesia (iv PCA) device was inserted at the end of the operation. The duration of postoperative mechanical ventilation (MV), the amount of opioid consumed in the first 24 hours, and the visual analog scale (VAS) scores during postoperative 1st, 2nd, 4th, 6th, 12th, 24th hours while resting/coughing were recorded. Results: There was a notable difference there among the groups in terms of the amount of postoperative opioid consumption (p=0.001). There was a notable difference there among the groups in the resting VAS scores at the postoperative 1st, 2nd, 4th, 12th, and 24th hours (p<0.001, p=0.002, p=0.002, p=0.051, p=0.001, p=0.021 respectively). There was a notable difference there among the groups in the VAS scores while coughing at the postoperative 1st, 2nd, 4th, 6th, and 24th hours (p<0.001, p<0.001, p<0.001 p=0.008, p=0.051, p=0.006 respectively). Conclusion: We think that ESP block is a good alternative to TEA, which is shown as the gold standard in pain control after open heart surgery
Keywords : Erectors pinae plane block, thoracic epidural analgesia, postoperative analgesia management