Erector spinae plane (ESP) block is an interfacial plane block with visceral and somatic analgesic activity at paraspinal muscles. This study aims to examine the postoperative analgesic efficacy of ESP block after cesarean section (CS) with Pfannenstiel incision under spinal anesthesia.
The study included 54 patients with mild systemic disease (ASA II patients) who would undergo elective CS under spinal anesthesia. They were randomly divided into an ESP block group (Group E) and a control group (Group C). After the surgery, Group E patients underwent ultrasound-guided bilateral ESP block with 20 ml of 0.25% bupivacaine at the lateral decubitus position, while Group C received no intervention. Patients in both groups received parenteral patient-controlled analgesia. The patients' post-operative 24-hour opioid consumption, regular Visual Analogue Scale (VAS) measurements, and need for rescue analgesics were evaluated. Statistical analysis was performed using SPSS 21 program. Demographic and other data were assessed using independent samples t-test, Mann-Whitney U test, and Chi-square analysis.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
56
No block was performed
Erector spinae plane block was performed, tramadol was administered with patient-controlled analgesia (PCA) and all patients were followed in the ward.
Kahramanmaras Sutcu Imam University
Kahramanmaraş, Turkey (Türkiye)
24-hour opioid consumption
The amount of tramadol consumed in milligrams in the first 24 hours was determined with a patient-controlled analgesia pump.
Time frame: up to 24 hour
Visual Analog Scale (Vas)
pain scores,graded from 0 to 10, 0 no pain, 10 highest pain experienced
Time frame: 0, 30 minutes, 1 hour, 2 hours, 6 hours, 12 hours, 24 hours
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.