Analgesic efficacy of erector spinae plane block in patients undergoing major gynecologic surgery: A randomized controlled study
DC Field | Value | Language |
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dc.contributor.author | Bang, Yu Jeong | - |
dc.contributor.author | Lee, Eun Kyung | - |
dc.contributor.author | Jeong, Heejoon | - |
dc.contributor.author | Kang, RyungA | - |
dc.contributor.author | Ko, Justin Sangwook | - |
dc.contributor.author | Hahm, Tae Soo | - |
dc.contributor.author | Seong, You Jin | - |
dc.contributor.author | Lee, Yoo-Young | - |
dc.contributor.author | Jeong, Ji Seon | - |
dc.date.accessioned | 2024-02-14T05:30:29Z | - |
dc.date.available | 2024-02-14T05:30:29Z | - |
dc.date.issued | 2024-05 | - |
dc.identifier.issn | 0952-8180 | - |
dc.identifier.issn | 1873-4529 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/72052 | - |
dc.description.abstract | Study objective: To investigate the analgesic efficacy of erector spinae plane block (ESPB) in major gynecologic surgery, expressed as cumulative opioid consumption 24 h after surgery. Design: A single-center, patient-assessor blinded, randomized controlled study. Setting: Samsung medical center (tertiary university hospital), between February 2022 to January 2023. Patients: Eighty-eight females undergoing major surgery with long midline incision for gynecologic malignancy. Interventions: Patients were randomly assigned to receive standard systemic analgesia (Control group) or ESPB (ESPB group). ESPB was performed bilaterally at the level of the 9th thoracic vertebra with a mixture of 20 mL of 0.5% ropivacaine and 100 μg of epinephrine. Measurements: The primary outcome was cumulative opioid consumption at 24 h postoperatively. Secondary outcomes included opioid consumption and pain severity during the 72 h after surgery. The variables regarding postoperative recovery and patient-centered outcomes were compared. Main results: The mean cumulative opioid consumption 24 h after surgery was 35.8 mg in the ESPB group, which was not significantly different from 41.4 mg in the control group (mean difference, 5.5 mg; 95% CI -1.7 to 12.8 mg; P = 0.128). However, patient satisfaction regarding analgesia was significantly higher in the ESPB group compared with the control group at 24 h postoperative (median difference, −1; 95% CI -3 to 0; P = 0.038). There were no significant differences in the variables associated with postoperative recovery. Conclusion: ESPB did not reduce opioid consumption during the 24 h postoperative but attenuated pain intensity during the early period after surgery. © 2023 Elsevier Inc. | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Elsevier Inc. | - |
dc.title | Analgesic efficacy of erector spinae plane block in patients undergoing major gynecologic surgery: A randomized controlled study | - |
dc.type | Article | - |
dc.identifier.doi | 10.1016/j.jclinane.2023.111362 | - |
dc.identifier.bibliographicCitation | Journal of Clinical Anesthesia, v.93 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.wosid | 001149584700001 | - |
dc.identifier.scopusid | 2-s2.0-85180951815 | - |
dc.citation.title | Journal of Clinical Anesthesia | - |
dc.citation.volume | 93 | - |
dc.type.docType | Article | - |
dc.publisher.location | 미국 | - |
dc.subject.keywordAuthor | Erector spinae plane block | - |
dc.subject.keywordAuthor | Major gynecologic surgery | - |
dc.subject.keywordAuthor | Opioid consumption | - |
dc.subject.keywordAuthor | Postoperative pain | - |
dc.subject.keywordAuthor | Quality of recovery after surgery | - |
dc.subject.keywordPlus | POSTOPERATIVE ANALGESIA | - |
dc.subject.keywordPlus | CYTOREDUCTIVE SURGERY | - |
dc.subject.keywordPlus | ENHANCED RECOVERY | - |
dc.subject.keywordPlus | PAIN MANAGEMENT | - |
dc.relation.journalResearchArea | Anesthesiology | - |
dc.relation.journalWebOfScienceCategory | Anesthesiology | - |
dc.description.journalRegisteredClass | scopus | - |
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