Erector spinae plane block versus intraarticular injection of local anesthetic for postoperative analgesia in patients undergoing shoulder arthroscopy: A randomized controlled study
Abdelraheem, T., Ewais, W., Lotfy, M. (2021). Erector spinae plane block versus intraarticular injection of local anesthetic for postoperative analgesia in patients undergoing shoulder arthroscopy: A randomized controlled study. EKB Journal Management System, 37(1), 501-506. doi: TEJA-2021-0120
Taysser M Abdelraheem; Waleed Mohamed Ewais; Mohamed Ahmed Lotfy. "Erector spinae plane block versus intraarticular injection of local anesthetic for postoperative analgesia in patients undergoing shoulder arthroscopy: A randomized controlled study". EKB Journal Management System, 37, 1, 2021, 501-506. doi: TEJA-2021-0120
Abdelraheem, T., Ewais, W., Lotfy, M. (2021). 'Erector spinae plane block versus intraarticular injection of local anesthetic for postoperative analgesia in patients undergoing shoulder arthroscopy: A randomized controlled study', EKB Journal Management System, 37(1), pp. 501-506. doi: TEJA-2021-0120
Abdelraheem, T., Ewais, W., Lotfy, M. Erector spinae plane block versus intraarticular injection of local anesthetic for postoperative analgesia in patients undergoing shoulder arthroscopy: A randomized controlled study. EKB Journal Management System, 2021; 37(1): 501-506. doi: TEJA-2021-0120

Erector spinae plane block versus intraarticular injection of local anesthetic for postoperative analgesia in patients undergoing shoulder arthroscopy: A randomized controlled study

Egyptian Journal of Anaesthesia
Volume 37, Issue 1, January 2021, Pages 501-506    PDF (1.89 M)
DOI: TEJA-2021-0120
Authors
Taysser M Abdelraheem; Waleed Mohamed Ewais; Mohamed Ahmed Lotfy
Abstract
Background
To improve the outcome after shoulder arthroscopy, effective pain control is needed. We aimed to compare the efficacy of ultrasound (US) guided erector spinae plane block (ESPB) versus the intraarticular injection (IAI) of bupivacaine in managing postoperative pain in patients undergoing shoulder arthroscopy.
Methods
This prospective randomized, double-blind, parallel-controlled trial was conducted on sixty patients aged 18–60 years of either gender, BMI < 40 kg/m, American Society of Anesthesiologists physical status I–II, posted for elective shoulder arthroscopy. Patients were randomly allocated into two equal groups. Group IA: received IAI using 20 ml of bupivacaine 0.25% done through the surgical port by the surgeon after closure of the shoulder capsule and sham ESBP. Group ES: received US guided ESPB at the T2 level using 20 ml bupivacaine 0.25% after the end of surgery and sham IAI.
Results
Postoperative visual analogue scale (VAS), heart rate and mean arterial blood pressure were significantly decreased at 30 min, 1 h, 2 h, 8 h, 12 h and 24 h in group ES compared to group IA. VAS increased at 4 h, 6 h in group ES compared to group IA. The time of first postoperative analgesic requirement was significantly increased in group ES compared to group IA. The total diclofenac consumption over 1st 24 hrs postoperatively was decreased in group ES compared to group IA.
Conclusion
US-guided ESPB controlled postoperative pain effectively in patients undergoing shoulder surgeries with superiority over IAI of bupivacaine.
Keywords
Erector spinae plane block; Intraarticular Injection; Shoulder arthroscopy; Postoperative Analgesia
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