Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Efficacy of Ultrasound‐Guided Erector Spinae Plane Block for Postoperative Analgesia in Modified Radical Mastectomy: A Prospective, Randomized, Clinical Study
Nidhi Dabhi, Bhavesh Dalwadi, Anup Chandnani and Chiragi Bumiya
Page: 35-41 | Received 17 Aug 2023, Accepted 31 Aug 2023, Published online: 01 Sep 2023
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Abstract
Breast surgeries are very painful and effective pain relief helps in deep breathing, coughing and remobilization. ESPB is a novel, attractive alternative technique of analgesia and we aim to compare analgesic efficacy of USG‐guided ESPB with conventional analgesic technique in patients undergoing MRM surgery. Total 72 patients of ASA I‐III were randomly divided in two groups to receive USG guided ESP block (Group E, n = 36) and Multi‐modal IV analgesics (Group C, n = 36). USG guided ESP block using Inj. Ropivacaine 0.375% was given with 23 G spinal needle (cephalo‐caudal trajectory) in the plane between Erector Spinae muscle and T5 transverse process, whereas multi‐modal IV analgesics were used for the control group. Post operative pain relief using VAS scores at predetermined time intervals, time for first rescue analgesia, total number of analgesics, vital parameters, patient satisfaction score and complications were observed, if any. Patients were evaluated for postoperative pain from Time “0” (30 min after extubation) up‐to 24 hrs at predetermined time intervals. In present study, we used Inj. Tramadol 2 mg kg-1 in 100 mL normal saline as rescue analgesic drug. Time for first rescue analgesia in Group E was 15±4.18 hrs while in Group C it was 1.22±0.9. It was significantly prolonged in Group E than Group C (p<0.0001). The median time to first recue analgesic in Group E versus Group C was 12 hrs (12‐18) versus 1 hr (1‐2) respectively, with p‐value of 0.00001. Better satisfaction scores were achieved without any noted side effects in the ESP group. We concluded from our study that USG‐guided erector spinae plane block with general anaesthesia provided a safe and effective postoperative analgesia modality with decreased opioid requirements and better patient satisfaction scores, without complications in patients undergoing MRM surgery.
How to cite this article:
Nidhi Dabhi, Bhavesh Dalwadi, Anup Chandnani and Chiragi Bumiya. Efficacy of Ultrasound‐Guided Erector Spinae Plane Block for Postoperative Analgesia in Modified Radical Mastectomy: A Prospective, Randomized, Clinical Study.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.8.35.41
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.8.35.41