Continuous ultrasound-guidederector spinae plane block for post-operative pain management in lumbar spine surgery: A case series

Object The authors undertook this meta-analysis to assess the efficacy and safety of nonsteroidal antiinflammatory drugs (NSAIDs) in addition to opioid analgesics on perioperative pain management in lumbar spine surgery. Methods The authors searched MEDLINE, Excerpta Medica (EMBASE), The Cochrane Library, CINAHL, PsycINFO, Allied and Complementary Medicine (AMED), and Science Citation Index Expanded databases. In addition, they manually searched key journals and their references. They included randomized trials comparing the use of NSAIDs in addition to opioid analgesics versus opioid analgesics alone after posterior lumbar discectomy, laminectomy, or spinal fusion. Two independent reviewers performed an assessment of the quality of the methods. Results Seventeen studies comprising 400 patients who received NSAIDs in addition to opioid analgesics and 389 patients receiving opioid analgesics alone were included. Patients receiving NSAIDs in addition to opioid analgesics had lower pain scores and consumed fewer opioids than the group receiving opioid analgesics alone. There was no difference in the incidence of adverse effects. Conclusions This meta-analysis provides evidence that the addition of NSAIDs to opioid analgesics in lumbar spine surgery provided better pain control than opioid analgesics alone.

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Erector Spinae Plane (ESP) Block For Postoperative Pain Management In Lumbar Spine Surgery

Case Medical Research ◽

10.31525/ct1-nct03997227 ◽

2019 ◽

Author(s):

Keyword(s):

Lumbar Spine ◽

Pain Management ◽

Postoperative Pain ◽

Spine Surgery ◽

Postoperative Pain Management ◽

Erector Spinae ◽

Lumbar Spine Surgery

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Bilateral Ultasound Guided Erector Spinae Plane Block for Postoperative Pain Management in Lumbar Spine Surgery

Journal of Neurosurgical Anesthesiology ◽

10.1097/ana.0000000000000518 ◽

2019 ◽

Vol 31 (3) ◽

pp. 354 ◽

Cited By ~ 13

Author(s):

Swati Singh ◽

Neeraj K. Chaudhary

Keyword(s):

Lumbar Spine ◽

Pain Management ◽

Postoperative Pain ◽

Spine Surgery ◽

Postoperative Pain Management ◽

Erector Spinae ◽

Lumbar Spine Surgery ◽

Erector Spinae Plane Block

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EVALUATION OF PAIN SYNDROME AND EFFICIENCY OF PAIN MANAGEMENT IN LUMBAR SPINE SURGERY

EUREKA Health Sciences ◽

10.21303/2504-5679.2019.001068 ◽

2019 ◽

Vol 6 ◽

pp. 29-34

Author(s):

Mykola Lyzohub ◽

Marine Georgiyants ◽

Kseniia Lyzohub

Keyword(s):

Neuropathic Pain ◽

Lumbar Spine ◽

Pain Management ◽

Spinal Anesthesia ◽

Spine Surgery ◽

Multimodal Analgesia ◽

Opioid Consumption ◽

Total Intravenous Anesthesia ◽

Lumbar Spine Surgery ◽

Intravenous Anesthesia

Multimodal analgesia for lumbar spine surgery is still a controversial problem, because of possible fusion problems, significant neuropathic component of pain, and influence of anesthesia type. Aim of the study was to assess the efficacy of pain management after lumbar spine surgery considering characteristics of pain, type of anesthesia and analgesic regimen. Material and methods. 254 ASA I-II patients with degenerative lumbar spine disease were enrolled into prospective study. Patients were operated either under spinal anesthesia (SA) or total intravenous anesthesia (TIVA). In postoperative period patients got either standard pain management (SPM – paracetamol±morphine) or multimodal analgesia (MMA – paracetamol+parecoxib+pregabalin±morphine). Results. We revealed neuropathic pain in 53.9 % of patients, who were elected for lumbar spine surgery. VAS pain score in patients with neuropathic pain was higher, than in patients with nociceptive pain. Total intravenous anesthesia was associated with greater opioid consumption during the first postoperative day. Multimodal analgesia based on paracetamol, parecoxib and pregabalin allowed to decrease requirements for opioids, postoperative nausea and dizziness. Pregabalin used for evening premedication had equipotential anxiolytic effect as phenazepam without postoperative cognitive disturbances. Conclusions. Multimodal analgesia is opioid-sparing technique that allows to decrease complications. Spinal anesthesia is associated to a decreased opioid consumption in the 1st postoperative day.

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