scholarly journals Nalbuphine and dexmedetomidine as adjuvants to ropivacaine in ultrasound-guided erector spinae plane block for video-assisted thoracoscopic lobectomy surgery

Medicine ◽  
2021 ◽  
Vol 100 (32) ◽  
pp. e26962
Author(s):  
Jin Rao ◽  
Zhixin Gao ◽  
Gaolin Qiu ◽  
Pei Gao ◽  
Qing Wang ◽  
...  
Keyword(s):  
Erector Spinae ◽  
Ultrasound Guided ◽  
Video Assisted ◽  
Thoracoscopic Lobectomy ◽  
Erector Spinae Plane Block

Ultrasound-guided erector spinae block for post-thoracotomy pain syndrome in video-assisted thoracic surgery

2020 ◽  
Vol 106 (6) ◽  
pp. NP46-NP48
Author(s):  
Emanuele Piraccini ◽  
Giulia Biondi ◽  
Eleonora De Lorenzo ◽  
Ruggero M. Corso ◽  
Stefano Maitan
Keyword(s):  
Thoracic Surgery ◽  
Treatment Period ◽  
Local Anesthetic ◽  
Pain Syndrome ◽  
Erector Spinae ◽  
Ultrasound Guided ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted ◽  
Erector Spinae Plane Block ◽  
Pain Scores

This article describes our experience with 5 patients with post-thoracotomy pain syndrome after video-assisted thoracoscopic lobectomies, treated with weekly erector spinae plane block. We injected corticosteroid and local anesthetic. At the end of the treatment period, pain scores decreased significantly. Our experience suggests that erector spinae plane block may have a role in the treatment of post-thoracoscopy pain syndrome.

scholarly journals Comparison of ultrasound-guided erector spinae plane block and thoracic paravertebral block for postoperative analgesia after video-assisted thoracic surgery: a randomized controlled non-inferiority clinical trial

2019 ◽  
Vol 45 (1) ◽  
pp. 10-15 ◽  
Author(s):  
Yasuko Taketa ◽  
Yumi Irisawa ◽  
Taro Fujitani
Keyword(s):  
Thoracic Surgery ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Paravertebral Block ◽  
Erector Spinae ◽  
Ultrasound Guided ◽  
Thoracic Paravertebral Block ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted ◽  
Erector Spinae Plane Block

Background and objectivesThe anesthetic characteristics of ultrasound-guided erector spinae plane block (ESPB) remain unclear. We compared the analgesic efficacies of ESPB and thoracic paravertebral block (TPVB) for analgesia after video-assisted thoracic surgery (VATS).MethodIn this prospective randomized non-inferiority trial, 88 patients undergoing VATS randomly received ESPB or TPVB. All patients received continuous infusion of 0.2% levobupivacaine (8 mL/hour) after injection of a 20 mL 0.2% levobupivacaine bolus. The primary outcome was median differences between the groups in postoperative numerical rating scale (NRS) scores at rest, 24 hours postoperatively.ResultsEighty-one patients completed the study. The median difference in NRS scores at rest 24 hours postoperatively was 1 (range 0–1), demonstrating the non-inferiority of ESPB to TPVB. NRS scores at rest were significantly lower in the TPVB group at 1, 2 and 24 hours postoperatively (p=0.02, 0.01 and 0.006, respectively). NRS scores on movement were similar. More dermatomes in parasternal regions were anaesthetized in the TPVB group (p<0.0001). Total plasma levobupivacaine concentrations were significantly lower in the ESPB group within 20 hours postoperatively (p=0.036).ConclusionsThe analgesic effect of ESPB after VATS was non-inferior to that of TPVB 24 hours postoperatively.Trial registration numberUMIN000030658.

The Effects of Erector Spinae Plane Block on Perioperative Opioid Consumption and Rehabilitation in Video Assisted Thoracic Surgery

2021 ◽  
Author(s):  
Sen Zhang ◽  
Xiaodan Han ◽  
Di Zhou ◽  
Minli Sun ◽  
Jing Cang ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
General Anaesthesia ◽  
Opioid Consumption ◽  
Erector Spinae ◽  
Ultrasound Guided ◽  
Postoperative Rehabilitation ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted ◽  
Erector Spinae Plane Block ◽  
Vas Scores

Abstract Background The present study aimed to observe whether the ultrasound-guided continuous erector spinae plane block (ESPB) has an effect on opioid consumption and postoperative rehabilitation in patients who undergo video-assisted thoracic surgery (VATS).Methods In this prospective study, 120 patients aged 20–70 yrs, undergoing elective VATS, were randomly allocated to one of three groups: Group C (General anaesthesia with patient-controlled intravenous analgesia [PCIA]), Group T (General anaesthesia with patient-controlled epidural analgesia [PCEA]), or Group E (General anaesthesia with continuous ESPB and PCIA). The perioperative opioid consumption; VAS scores; preoperative and postoperative QoR-15 score; and postoperative opioid-related adverse events were all assessed.Results The intraoperative sufentanil consumption in group T and E was significantly lower than that in group C (both P < 0.001), and the postoperative sufentanil consumption in group E was also significantly lower than that of group C (P = 0.001). Compared with group C, the VAS scores at rest or during coughing immediately out of the post-anesthesia care unit (PACU), at postoperative 6h, 12h, and 24h, were significantly lower in group T (P < 0.05). However, the VAS scores in group E were lower than those of group C only at rest at postoperative 6h and 12h (P < 0.05), and were significantly higher than those of group T at all study times (P < 0.05).Conclusion Ultrasound-guided continuous ESPB could significantly reduce perioperative opioid consumption in VATS and improve postoperative rehabilitation. However, these effects were inferior to those provided by TEA.Trial registration The present study was prospectively registered at http://www.chictr.org/cn /(Registration number: ChiCTR1900023050); Registration date: May 8,2019

scholarly journals Internet of Things-Based Ultrasound-Guided Erector Spinae Plane Block Combined with Edaravone Anesthesia in Thoracoscopic Lobectomy

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Xiuyan Wang ◽  
Xuan Zhou ◽  
Lin Li ◽  
Cuijie Liu
Keyword(s):  
Gaussian Noise ◽  
Speckle Noise ◽  
Edge Computing ◽  
Erector Spinae ◽  
Ultrasound Images ◽  
Ultrasound Guided ◽  
Edge Information ◽  
Computing Algorithm ◽  
Thoracoscopic Lobectomy ◽  
Erector Spinae Plane Block

This paper aimed to study the application value of Internet of Things (IoT) edge computing algorithm-based ultrasound-guided erector spinae plane block combined with edaravone anesthesia in thoracoscopic lobectomy. A total of 110 patients undergoing thoracoscopic resection were selected as subjects. The patients were anesthetized with erector spinae plane block combined with edaravone before surgery and underwent chest ultrasound scan. IoT edge computing algorithm was constructed and applied to ultrasound images of patients to enhance and denoise the images. It was found that, in different mixed noise mixtures (Gaussian noise 10% + speckle noise 90%; Gaussian noise 30% + speckle noise 70%), the edge computing algorithm can still maintain the edge information of the output image, showing better performance on edge information detection and denoising compared with the Prewitt and Canny operator. In addition, visual analog scale (VAS) scores decreased with postoperative time after edaravone anesthesia induction and erector spinae plane block lobectomy and reached the lowest level after five days. In short, erector spinae plane block combined with edaravone showed good sedative and analgesic effects on patients undergoing thoracoscopic lobectomy. Ultrasound images processed by IoT edge computing algorithm showed high accuracy in the identification of lung lesions, which was worth applying to clinical diagnosis.

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