Effect Of Intraoperative Erector Spinae Block For Faster Recovery And Reduced Post-Operative Pain In Patients Undergoing Discectomies & Spinal Decompression
Objective: To evaluate the efficacy of intraoperative Erector Spinae Block (ESB) in reducing postoperative pain and facilitating recovery in patients undergoing spinal surgeries. Methods: A prospective cohort study was conducted at the Orthopedic Department of Dr. Ziauddin Hospital Karachi, Pakis...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Rawalpindi Medical University
2024-09-01
|
| Series: | Journal of Rawalpindi Medical College |
| Online Access: | https://www.journalrmc.com/index.php/JRMC/article/view/2564 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832087017143402496 |
|---|---|
| author | Arham Azizi Athar Muniruddin Siddiqui Naseem Munshi Muhammad Salman Masroor Zahra Salahuddin Muhammad Hassan |
| author_facet | Arham Azizi Athar Muniruddin Siddiqui Naseem Munshi Muhammad Salman Masroor Zahra Salahuddin Muhammad Hassan |
| author_sort | Arham Azizi |
| collection | DOAJ |
| description |
Objective: To evaluate the efficacy of intraoperative Erector Spinae Block (ESB) in reducing postoperative pain and facilitating recovery in patients undergoing spinal surgeries.
Methods: A prospective cohort study was conducted at the Orthopedic Department of Dr. Ziauddin Hospital Karachi, Pakistan from 15th June 2022 to March 31st, 2023. Patients aged 30 to 50 years undergoing spinal surgeries such as discectomies and spinal decompressions with ASA status I or II were included in the study. Participants were divided into two groups: those receiving ESB (n=33) and a control group receiving standard pain management (n=33). The primary outcome measured was the intensity of postoperative pain, assessed using the Visual Analog Scale (VAS) at 6 hours, 12 hours, and 24 hours post-surgery. Secondary outcomes were the length of hospital stay and the presence of nausea and vomiting.
Results: Significant reductions in pain scores were observed in the ESB group compared to the control group at 6 hours (median scores: 5 vs. 7, p=0.003), 12 hours (5 vs. 6, p=0.028), and 24 hours (3 vs. 4, p=0.038) post-intervention. The ESB group had a shorter median hospital stay (2 days) compared to the control group (3 days), with this difference being statistically significant (p=0.001).
Conclusion: ESB is an effective and safe technique for managing postoperative pain in spinal surgery patients. It offers significant benefits over traditional pain management approaches, including reduced pain scores, lower opioid consumption, and shorter hospital stays.
|
| format | Article |
| id | doaj-art-5400b17eb7f8425c98035d6e6a7c218d |
| institution | Kabale University |
| issn | 1683-3562 1683-3570 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Rawalpindi Medical University |
| record_format | Article |
| series | Journal of Rawalpindi Medical College |
| spelling | doaj-art-5400b17eb7f8425c98035d6e6a7c218d2025-02-06T08:34:59ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702024-09-0128310.37939/jrmc.v28i3.2564Effect Of Intraoperative Erector Spinae Block For Faster Recovery And Reduced Post-Operative Pain In Patients Undergoing Discectomies & Spinal Decompression Arham AziziAthar Muniruddin SiddiquiNaseem Munshi0Muhammad Salman MasroorZahra SalahuddinMuhammad HassanZiauddin Medical Hospital Objective: To evaluate the efficacy of intraoperative Erector Spinae Block (ESB) in reducing postoperative pain and facilitating recovery in patients undergoing spinal surgeries. Methods: A prospective cohort study was conducted at the Orthopedic Department of Dr. Ziauddin Hospital Karachi, Pakistan from 15th June 2022 to March 31st, 2023. Patients aged 30 to 50 years undergoing spinal surgeries such as discectomies and spinal decompressions with ASA status I or II were included in the study. Participants were divided into two groups: those receiving ESB (n=33) and a control group receiving standard pain management (n=33). The primary outcome measured was the intensity of postoperative pain, assessed using the Visual Analog Scale (VAS) at 6 hours, 12 hours, and 24 hours post-surgery. Secondary outcomes were the length of hospital stay and the presence of nausea and vomiting. Results: Significant reductions in pain scores were observed in the ESB group compared to the control group at 6 hours (median scores: 5 vs. 7, p=0.003), 12 hours (5 vs. 6, p=0.028), and 24 hours (3 vs. 4, p=0.038) post-intervention. The ESB group had a shorter median hospital stay (2 days) compared to the control group (3 days), with this difference being statistically significant (p=0.001). Conclusion: ESB is an effective and safe technique for managing postoperative pain in spinal surgery patients. It offers significant benefits over traditional pain management approaches, including reduced pain scores, lower opioid consumption, and shorter hospital stays. https://www.journalrmc.com/index.php/JRMC/article/view/2564 |
| spellingShingle | Arham Azizi Athar Muniruddin Siddiqui Naseem Munshi Muhammad Salman Masroor Zahra Salahuddin Muhammad Hassan Effect Of Intraoperative Erector Spinae Block For Faster Recovery And Reduced Post-Operative Pain In Patients Undergoing Discectomies & Spinal Decompression Journal of Rawalpindi Medical College |
| title | Effect Of Intraoperative Erector Spinae Block For Faster Recovery And Reduced Post-Operative Pain In Patients Undergoing Discectomies & Spinal Decompression |
| title_full | Effect Of Intraoperative Erector Spinae Block For Faster Recovery And Reduced Post-Operative Pain In Patients Undergoing Discectomies & Spinal Decompression |
| title_fullStr | Effect Of Intraoperative Erector Spinae Block For Faster Recovery And Reduced Post-Operative Pain In Patients Undergoing Discectomies & Spinal Decompression |
| title_full_unstemmed | Effect Of Intraoperative Erector Spinae Block For Faster Recovery And Reduced Post-Operative Pain In Patients Undergoing Discectomies & Spinal Decompression |
| title_short | Effect Of Intraoperative Erector Spinae Block For Faster Recovery And Reduced Post-Operative Pain In Patients Undergoing Discectomies & Spinal Decompression |
| title_sort | effect of intraoperative erector spinae block for faster recovery and reduced post operative pain in patients undergoing discectomies spinal decompression |
| url | https://www.journalrmc.com/index.php/JRMC/article/view/2564 |
| work_keys_str_mv | AT arhamazizi effectofintraoperativeerectorspinaeblockforfasterrecoveryandreducedpostoperativepaininpatientsundergoingdiscectomiesspinaldecompression AT atharmuniruddinsiddiqui effectofintraoperativeerectorspinaeblockforfasterrecoveryandreducedpostoperativepaininpatientsundergoingdiscectomiesspinaldecompression AT naseemmunshi effectofintraoperativeerectorspinaeblockforfasterrecoveryandreducedpostoperativepaininpatientsundergoingdiscectomiesspinaldecompression AT muhammadsalmanmasroor effectofintraoperativeerectorspinaeblockforfasterrecoveryandreducedpostoperativepaininpatientsundergoingdiscectomiesspinaldecompression AT zahrasalahuddin effectofintraoperativeerectorspinaeblockforfasterrecoveryandreducedpostoperativepaininpatientsundergoingdiscectomiesspinaldecompression AT muhammadhassan effectofintraoperativeerectorspinaeblockforfasterrecoveryandreducedpostoperativepaininpatientsundergoingdiscectomiesspinaldecompression |