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2022 World Conference on Lung Cancer (ePosters)
EP10.01-013. Erector Spinae Plane Block for Post-t ...
EP10.01-013. Erector Spinae Plane Block for Post-thoracotomy Analgesia; Comparison with Intercostal Block; Preliminary Results
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Pdf Summary
This study compares the analgesic effects of intercostal block and erector spinae plane block for post-thoracotomy analgesia. The patients were divided into two groups, and anesthesia was provided using desflurane and fentanyl. In group I, the erector spinae plane block was performed by placing a catheter in the erector spinae plane space. In group II, the intercostal catheter was placed in the intercostal space. Both groups received analgesic infusion, with a total dose of 400 mg/day. Rescue analgesia was provided by intravenous fentanyl patient-controlled analgesia. Demographics were similar between the two groups. The visual analog scale (VAS) scores for pain were lower in group II at 48 and 72 hours after surgery compared to group I. The analgesic requirements were also lower in group II. There were no significant differences between the groups in terms of postoperative mobilization time, length of stay in the intensive care unit, and length of hospital stay. The study concludes that post-thoracotomy pain is a challenging problem, and while thoracic epidural analgesia is currently considered the best method, intercostal catheters may provide advantages in terms of systemic effects and analgesia. Erector spinae plane block is a promising method for analgesia but did not improve pain control in this study. Further studies are needed to determine the most effective method for post-thoracotomy analgesia.
Asset Subtitle
Kubra Alphan Kavak
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Speaker
Kubra Alphan Kavak
Topic
Palliative and Supportive Care
Keywords
analgesic effects
intercostal block
erector spinae plane block
post-thoracotomy analgesia
desflurane
fentanyl
catheter
visual analog scale
rescue analgesia
thoracic epidural analgesia
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