Publication: Comparison of the effectiveness of anesthesia methods on percutaneous kyphoplasty: Erector spinae plane block versus local anesthesia
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Date
2022-06-01
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Abstract
ntroduction: Currently, local or general anesthesia is commonly applied in patients undergoing percutaneous kyphoplasty (PKP)
procedures; however, the best anesthesia method for PKP remains elusive. This study examined the efficacy of erector spinae plane
block (ESPB) in comparison with local anesthesia in terms of postoperative analgesia requirement and pain scores, in patients
undergoing kyphoplasty.
Methods: The files of 42 patients who underwent kyphoplasty were retrospectively reviewed. PKP procedure was either under local
anesthesia (controls, n=20) or using ultrasound-guided ESPB (ESPB group, n=22). Postoperative analgesia requirement and pain
scores assessed by visual analog scale (VAS) were recorded and compared.
Result: All control patients (100.0%) required postoperative analgesia, whereas only five patients (22.7%) in the ESPB group required
postoperative analgesia (p<0.001). At all time-points, ESPB group had significantly lower VAS scores (p<0.001 for 0, 2, and 6 hours).
At two hours, all patients in the ESPB group had 0 VAS score.
Conclusion: ESPB as a sole anesthesia technique for kyphoplasty procedures is a promising method that may reduce the need for
perioperative analgesia and provide superior postoperative pain management, thus allowing pain-free discharge.
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Keywords
TIP, GENEL & DAHİLİ, Klinik Tıp, Klinik Tıp (MED), MEDICINE, GENERAL & INTERNAL, CLINICAL MEDICINE, Clinical Medicine (MED), Erector spinae plane block, percutaneous kyphoplasty, local anesthesia, pain management, postoperative pain, POSTOPERATIVE ANALGESIA, EPIDURAL-ANESTHESIA, PAIN, VERTEBROPLASTY, THORACOTOMY, MANAGEMENT, Erector spinae plane block, percutaneous kyphoplasty, local anesthesia, pain management, postoperative pain
Citation
ORHON ERGÜN M., GÜVENÇ Y., "Comparison of the Effectiveness of Anesthesia Methods on Percutaneous Kyphoplasty: Erector Spinae Plane Block Versus Local Anesthesia", ISTANBUL MEDICAL JOURNAL, cilt.23, sa.2, ss.149-153, 2022