COMPARISON OF ANALGESIC EFFICACY AND DURATION OF ERECTOR SPINAE BLOCK WITH GENERAL ANAESTHESIA AND MULTIMODAL ANALGESIA WITH GENERAL ANAESTHESIA IN SPINE SURGERIES- A PROSPECTIVE, RANDOMIZED STUDY
Main Article Content
Keywords
analgesic efficacy, erector spinae block, multimodal analgesia, spine surgery
Abstract
Background: Perioperative pain management is an essential component of the anaesthetic procedures in patients undergoing spinal surgery that ensures patient comfort, fewer complications and early mobilization. The present study aimed to compare the efficacy of erector spinae block (ESB) with multimodal analgesia (MMA) using Paracetamol, Magnesium sulphate and Dexamethasone.
Materials and Methods: The prospective study was done on 100 patients, randomly allocated into two groups (N=50). Group I received Erector spinae block using 0.25% Bupivacaine 20 ml each side and Group II received multimodal analgesia which includes injection Paracetamol 20 mg/kg/BW, Magnesium sulphate 30 mg/kg/BW and Dexamethasone 0.1 mg/kg/BW. The following parameters were recorded: mean arterial pressure, heart rate, SpO2, serum cortisol, random blood sugar, VAS score and first rescue analgesia, Independent t test was used for the comparison between the groups.
Results: The hemodynamic stability in terms of mean arterial pressure was significantly better in ESB group (p<0.001). The mean VAS scores and postoperative serum cortisol level were significantly lower in ESB group (p<0.001). And the time required for first rescue analgesia was significantly longer in ESB group (p<0.001).
Conclusion: The analgesic efficacy is better in ESB than MMA in spine surgeries.
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Dr Sunita Sharma
MBBS, MD, Associate professor, Department of Neuro anesthesia, Mahatma Gandhi University of Medical Sciences & Technology, Jaipur. ORCID ID-0000-0001-5969-2118,
Dr Ayush Gupta
Post Graduate Resident, Department of Anesthesia, Mahatma Gandhi University of Medical Sciences & Technology, Mahatma Gandhi Medical College & Hospital, Jaipur, Rajasthan, 302022. India, Ph: 8009420240
Dr Vijay Mathur
MBBS, MD, Prof. & Head, Department of Neuro anesthesia, Mahatma Gandhi University of Medical Sciences & Technology, Jaipur. ORCID ID- 0000-0002-5039-9633
Dr Ravindra Sisodia
MBBS, DNB, PDCC, Assistant Professor, Department of Neuro-anesthesia, Mahatma Gandhi University of Medical Sciences & Technology, Jaipur. ORCID ID- 0000-0002-1218-5415
Dr Swati Gupta
MBBS, Post Graduate Resident, Anesthesia, Mahatma Gandhi University of Medical Sciences & Technology, Jaipur. ORCID ID-0000-0002-3510-5975
Dr Shubham Khandelwal
MBBS, MD, Associate Professor, Department of Anaesthesiology, Mahatma Gandhi University of Medical Sciences & Technology, Jaipur.