Postoperative quality of recovery with erector spinae plane block or thoracolumbar interfascial plane block after major spinal surgery: a randomized controlled trial

Basit Öğe Kaydı
dc.contributor.authorBilge, Aysegul
dc.contributor.authorBasaran, Betul
dc.date.accessioned2024-01-22T12:22:13Z
dc.date.available2024-01-22T12:22:13Z
dc.date.issued2023
dc.departmentKMÜen_US
dc.description.abstractPurpose: Major spinal surgery causes severe postoperative pain. The present randomized, controlled, prospective study tested the short- and long-term effects of thoracolumbar interfascial and erector spinae plane blocks on patient-centered outcomes for major lumbar spinal surgery.Methods: Sixty adult patients were randomly assigned to receive either bilateral thoracolumbar interfascial plane or erector spinae plane block after anesthesia induction using bupivacaine 0.25%, 20 mL. The primary outcome of this study was the Quality of Recovery-40 score in the postoperative 24th hour. Secondary outcomes were Comprehensive Complication Index scores, postoperative pain scores, opioid consumption, first rescue analgesic administration time, and complication incidence.Results: The recovery scores of both blocks at the postoperative 24th hour were similar, with a median thoracolumbar interfascial plane block of 178 (IQR 173-180) and an erector spinae plane block of 175 (IQR 168.7-182) (p = 0.717). Thoracolumbar interfascial plane block reduced area under the curve pain with movement over 24 h compared with erector spinae plane block (p = 0.024). The pain scores between the groups were similar at all time points (p > 0.05), except the 24th hour with movement in the thoracolumbar interfascial plane block compared with the erector spinae plane block [median 3 (IQR 2-4)] vs. 4 (IQR 3-5), respectively] (p = 0.019). No differences were recorded between the block groups regarding postoperative 24th-h oxycodone consumption, time to first opioid intake, and complication incidence (p > 0.05).Conclusions: Both blocks resulted in similar quality of recovery in the postoperative 24-h period in major spinal surgery and were effective in terms of analgesia.en_US
dc.description.sponsorshipThe authors thank all anesthetists and nurses for assisting with this clinical trial.en_US
dc.description.sponsorshipThe authors thank all anesthetists and nurses for assisting with this clinical trial.en_US
dc.identifier.doi10.1007/s00586-023-07998-6
dc.identifier.issn0940-6719
dc.identifier.issn1432-0932
dc.identifier.pmid37889327en_US
dc.identifier.pmid37889327
dc.identifier.scopus2-s2.0-85174890824
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1007/s00586-023-07998-6
dc.identifier.urihttps://hdl.handle.net/11492/7834
dc.identifier.wosWOS:001094246400003
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Sceince
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringeren_US
dc.relation.ispartofEuropean Spine Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzkmusnmz
dc.subjectErector spinae plane blocken_US
dc.subjectPostoperative analgesiaen_US
dc.subjectQuality of recoveryen_US
dc.subjectSpine surgeryen_US
dc.subjectThoracolumbar interfascial plane blocken_US
dc.titlePostoperative quality of recovery with erector spinae plane block or thoracolumbar interfascial plane block after major spinal surgery: a randomized controlled trialen_US
dc.typeArticle

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu