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Bilateral erector spinae plane blocks for open posterior lumbar surgery

Journal of Pain Research Apr 09, 2020

Zhang TJ, et al. - Researchers explored whether recovery of posterior lumbar surgery could be enhanced using preoperative erector spinae plane block (ESPB), a newly reported interfascial plane block in pain management. They performed randomization of a total of 60 patients who were undergoing open posterior lumbar decompression surgery under general anesthesia into two groups. T12 group was conducted preoperatively bilateral ESPB with ropivacaine at the T12 level; however, the block was not administered to the control group. The T12 group vs control groups had the mean Modified Observer’s Assessment of Alertness/Sedation scores of 4.2 vs 3.4, respectively, at 10 minutes after extubation; had lower intraoperative sufentanil consumption and postoperative morphine consumption, and; had sooner first time to ambulation after surgery. Findings thereby suggest that recovery after posterior lumbar surgery could be enhanced and perioperative opioid consumption could be reduced via performing preoperative bilateral ESPB at T12.

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