Erector Spinae Plane Block Versus Thoracic Paravertebral Block in Laparoscopic Cholecystectomy: A Randomized Controlled Study.
Erector spinae plane block and thoracic paravertebral block cut 24-hour opioid use versus intravenous analgesia after gallbladder removal
Erector Spinae Plane Block Versus Thoracic Paravertebral Block in Laparoscopic Cholecystectomy: A Randomized Controlled Study.
This randomized, single-blind study aimed to compare the effects of ultrasound-guided erector spinae plane block (erector spinae plane block), thoracic paravertebral block (thoracic paravertebral block) and intravenous (intravenous) analgesia on postoperative pain, opioid consumption and quality of recovery in patients undergoing laparoscopic cholecystectomy (laparoscopic cholecystectomy).
A total of 120 adult patients (ASA I-III) scheduled for elective laparoscopic cholecystectomy were randomized into three groups: erector spinae plane block (GI), thoracic paravertebral block (GII) and intravenous analgesia (GIII).
Intravenous analgesia needed far more rescue opioid than either regional block
Both static and dynamic pain scores were lower in GI and GII compared with GIII at most time points.
Rescue analgesia requirement and patient dissatisfaction were significantly higher in GIII.
QoR-15 scores were significantly improved in GI and GII compared with GIII ( p < 0.001), while no difference was observed between the regional techniques.
Block performance time was shorter with erector spinae plane block than thoracic paravertebral block ( p < 0.001).
Erector spinae plane block and thoracic paravertebral block provided effective analgesia and improved recovery after laparoscopic cholecystectomy compared with intravenous analgesia alone.
Both regional techniques may be considered as components of multimodal analgesia after laparoscopic cholecystectomy.