Asset Details
Do you wish to reserve the book?
The Effect of Ultrasound-Guided Erector Spinae Plane Block on Postoperative Opioid Consumption and Respiratory Recovery in Laparoscopic Sleeve Gastrectomy: A Randomized Controlled Study
Hey, we have placed the reservation for you!
By the way, why not check out events that you can attend while you pick your title.
Oops! Something went wrong.
Looks like we were not able to place the reservation. Kindly try again later.
Are you sure you want to remove the book from the shelf?
The Effect of Ultrasound-Guided Erector Spinae Plane Block on Postoperative Opioid Consumption and Respiratory Recovery in Laparoscopic Sleeve Gastrectomy: A Randomized Controlled Study
Do you wish to request the book?
The Effect of Ultrasound-Guided Erector Spinae Plane Block on Postoperative Opioid Consumption and Respiratory Recovery in Laparoscopic Sleeve Gastrectomy: A Randomized Controlled Study
Please be aware that the book you have requested cannot be checked out. If you would like to checkout this book, you can reserve another copy
We have requested the book for you!
Your request is successful and it will be processed during the Library working hours. Please check the status of your request in My Requests.
Oops! Something went wrong.
Looks like we were not able to place your request. Kindly try again later.
Journal Article
The Effect of Ultrasound-Guided Erector Spinae Plane Block on Postoperative Opioid Consumption and Respiratory Recovery in Laparoscopic Sleeve Gastrectomy: A Randomized Controlled Study
2025
Overview
Background
The aim of this prospective, randomized, controlled study was to evaluate the effect of ultrasound (US)-guided bilateral erector spinae plane (ESP) block on postoperative opioid consumption and respiratory recovery in patients with obesity undergoing laparoscopic sleeve gastrectomy (LSG).
Methods
The study was conducted on 40 patients scheduled for LSG. The patients were randomly allocated into either the ESP block group or the control group. The US-guided bilateral ESP block was performed preoperatively. The control group received no intervention.
Results
Postoperative median [IQR] tramadol consumption was significantly lower in the ESP block group [150.0 [100–200] mg vs 450.0 [400–500] mg,
p
< 0.0001]. Postoperative spirometric variables were significantly impaired in both groups, compared with preoperative variables (
p
< 0.0001). Intraoperative median [IQR] fentanyl consumption was 200.0 [200–200] µg in the ESP block group, and 350.0 [300–400] µg in the control group (
p
< 0.0001). Postoperative mean pain scores at rest and during movement were significantly lower in the ESP block group, at all time points (
p
< 0.05). In terms of mean arterial PH, Horowitz ratio, and PaCO
2
, there was no statistically significant difference between the groups (
p
> 0.05). None of the patients experienced postoperative respiratory adverse events and/or block-related complications.
Conclusions
US-guided bilateral ESP block significantly reduced both intraoperative and postoperative analgesic consumptions and provided effective postoperative pain control for patients with obesity undergoing bariatric surgery. Following bariatric surgery, all patients’ postoperative pulmonary functions deteriorated. The effect of US-guided bilateral ESP block on postoperative respiratory recovery could not be clearly demonstrated. Randomized controlled studies with a larger patient population are necessary.
Publisher
Springer US,Springer Nature B.V
