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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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A Study Comparing the Efficacy of Single Shot Versus Continuous Infusion in Erector Spinae Plane Block in Spine Surgeries: A Prospective Randomized Control Study

Punith K. Gowda, Vindhya Prasad, Niharika Mustari, Vishwanath S. Bhaire, Mohammad Ali Abu Taha and Gajanan Fultambkar
Page: 357-362 | Received 15 Jan 2024, Published online: 13 Mar 2024

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https://doi.org/10.36478/10.59218/makrjms.2024.4.357.362

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Abstract

Major lumbar spine surgeries cause severe postoperative pain. The aim of this randomized controlled study is to compare analgesic efficacy of single shot versus continuous infusion in erector spinae plane block. After dividing 50 subjects into two groups of 25 each, the surgeries were performed in prone position under general anesthesia. After surgery, Group A (erector spinae plane block‐single shot)‐patients received 30 ml of 0.2% Ropivacaine and 8mg of dexamethasone (15 ml on each side). Group B (continuous erector spinae block)‐patients received a bolus dose of 30ml 0.2% Ropivacaine and 8 mg dexamethasone (15ml each side) followed by bilateral catheter placement which is connected to Inj Ropivacaine 0.2% infusion. Postoperative mean pain score was significantly less in case of continuous erector spinae group as compared to erector spinae plane block group from 6‐hour post‐surgery till 72 hours post‐surgery (p<0.001). The number of times the rescue analgesics were given to the patients were significantly less in continuous erector spinae block than erctor spinae plane block (p<0.01). The group undergoing continuous erector spinae showed early mobilization as early as post‐operative day 1 and helped in early recovery and discharge from hospital. (p<0.001).

How to cite this article:

Punith K. Gowda, Vindhya Prasad, Niharika Mustari, Vishwanath S. Bhaire, Mohammad Ali Abu Taha and Gajanan Fultambkar. A Study Comparing the Efficacy of Single Shot Versus Continuous Infusion in Erector Spinae Plane Block in Spine Surgeries: A Prospective Randomized Control Study.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.4.357.362
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.4.357.362