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Erector spinae plane block vs interscalene brachial plexus block for postoperative analgesia management in patients who underwent shoulder arthroscopy.
BMC Anesthesiol. 2022 05 12; 22(1):142.BA

Abstract

BACKGROUND

Interscalene brachial plexus block (ISB) is the gold standard method used for postoperative analgesia after arthroscopic shoulder surgery. Ultrasound guided erector spinae plane block (ESPB) is an interfascial plane block. The aim of this study is to compare the analgesic efficacy of ESPB and ISB after shoulder arthroscopy. The primary outcome is the comparison of the perioperative and postoperative opioid consumptions.

METHODS

Sixty patients with ASA score I-II planned for arthroscopic shoulder surgery were included in the study. ESPB was planned in Group ESPB (n = 30), and ISB was planned in Group ISB (n = 30). Intravenous fentanyl patient-controlled analgesia was administered to both groups in the postoperative period. Intraoperative and postoperative opioid and analgesic consumption of both groups, side effects and complications related to opioid use, postoperative pain scores and rescue analgesic use were recorded in the first 48 h postoperatively.

RESULTS

Pain scores were significantly higher in the ESPB group in the first 4 h postoperatively than in the ISB group (p < 0.05). The total fentanyl consumption and number of patients using rescue analgesics in the postoperative period were significantly higher in the ESPB group (p < 0.05). The incidence of nausea in the postoperative period was significantly higher in the ESPB group (p < 0.05).

CONCLUSIONS

In our study, it was seen that ISB provided more effective analgesia management compared to ESPB in patients underwent shoulder arthroscopy surgery.

Links

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Authors+Show Affiliations

Kapukaya F
Department of Anesthesiology and Reanimation, School of Medicine, Istanbul Medipol University, Istanbul, Turkey.
Ekinci M
Department of Anesthesiology and Reanimation, Bursa City Hospital, Bursa, Turkey.
Ciftci B
Department of Anesthesiology and Reanimation, School of Medicine, Istanbul Medipol University, Istanbul, Turkey. bciftci@medipol.edu.tr.
Atalay YO
Department of Anesthesiology and Reanimation, School of Medicine, Istanbul Medipol University, Istanbul, Turkey.
Gölboyu BE
Department of Anesthesiology and Reanimation, School of Medicine, Katip Çelebi University, Izmir, Turkey.
Kuyucu E
Department of Orthopedics and Traumatology, Medical Park Bahçelievler Hospital, Istanbul, Turkey.
Demiraran Y
Department of Anesthesiology and Reanimation, School of Medicine, Istanbul Medipol University, Istanbul, Turkey.

MeSH

Analgesia, Patient-ControlledAnalgesicsAnalgesics, OpioidArthroscopyBrachial Plexus BlockFentanylHumansPain, PostoperativePostoperative PeriodShoulder

Pub Type(s)

Journal Article

Language

eng

PubMed ID

35550031

Citation

Kapukaya, Furkan, et al. "Erector Spinae Plane Block Vs Interscalene Brachial Plexus Block for Postoperative Analgesia Management in Patients Who Underwent Shoulder Arthroscopy." BMC Anesthesiology, vol. 22, no. 1, 2022, p. 142.
Kapukaya F, Ekinci M, Ciftci B, et al. Erector spinae plane block vs interscalene brachial plexus block for postoperative analgesia management in patients who underwent shoulder arthroscopy. BMC Anesthesiol. 2022;22(1):142.
Kapukaya, F., Ekinci, M., Ciftci, B., Atalay, Y. O., Gölboyu, B. E., Kuyucu, E., & Demiraran, Y. (2022). Erector spinae plane block vs interscalene brachial plexus block for postoperative analgesia management in patients who underwent shoulder arthroscopy. BMC Anesthesiology, 22(1), 142. https://doi.org/10.1186/s12871-022-01687-5
Kapukaya F, et al. Erector Spinae Plane Block Vs Interscalene Brachial Plexus Block for Postoperative Analgesia Management in Patients Who Underwent Shoulder Arthroscopy. BMC Anesthesiol. 2022 05 12;22(1):142. PubMed PMID: 35550031.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Erector spinae plane block vs interscalene brachial plexus block for postoperative analgesia management in patients who underwent shoulder arthroscopy. AU - Kapukaya,Furkan, AU - Ekinci,Mursel, AU - Ciftci,Bahadir, AU - Atalay,Yunus Oktay, AU - Gölboyu,Birzat Emre, AU - Kuyucu,Ersin, AU - Demiraran,Yavuz, Y1 - 2022/05/12/ PY - 2022/01/07/received PY - 2022/05/05/accepted PY - 2022/5/13/entrez PY - 2022/5/14/pubmed PY - 2022/5/18/medline KW - Erector spinae plane block KW - Interscalene brachial plexus block KW - Postoperative analgesia KW - Shoulder arthroscopy SP - 142 EP - 142 JF - BMC anesthesiology JO - BMC Anesthesiol VL - 22 IS - 1 N2 - BACKGROUND: Interscalene brachial plexus block (ISB) is the gold standard method used for postoperative analgesia after arthroscopic shoulder surgery. Ultrasound guided erector spinae plane block (ESPB) is an interfascial plane block. The aim of this study is to compare the analgesic efficacy of ESPB and ISB after shoulder arthroscopy. The primary outcome is the comparison of the perioperative and postoperative opioid consumptions. METHODS: Sixty patients with ASA score I-II planned for arthroscopic shoulder surgery were included in the study. ESPB was planned in Group ESPB (n = 30), and ISB was planned in Group ISB (n = 30). Intravenous fentanyl patient-controlled analgesia was administered to both groups in the postoperative period. Intraoperative and postoperative opioid and analgesic consumption of both groups, side effects and complications related to opioid use, postoperative pain scores and rescue analgesic use were recorded in the first 48 h postoperatively. RESULTS: Pain scores were significantly higher in the ESPB group in the first 4 h postoperatively than in the ISB group (p < 0.05). The total fentanyl consumption and number of patients using rescue analgesics in the postoperative period were significantly higher in the ESPB group (p < 0.05). The incidence of nausea in the postoperative period was significantly higher in the ESPB group (p < 0.05). CONCLUSIONS: In our study, it was seen that ISB provided more effective analgesia management compared to ESPB in patients underwent shoulder arthroscopy surgery. SN - 1471-2253 UR - https://www.unboundmedicine.com/medline/citation/35550031/Erector_spinae_plane_block_vs_interscalene_brachial_plexus_block_for_postoperative_analgesia_management_in_patients_who_underwent_shoulder_arthroscopy_ DB - PRIME DP - Unbound Medicine ER -
Grapherence [↓1 ↑28]

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