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Published: 2025-09-30
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DOI: https://doi.org/10.52852/tcncyh.v194i9.3859
Issue
Vol. 194 No. 9 (2025)
Section
Các bài báo
How to Cite
Chính Q. M., Nghĩa N. L., Chi, P. T., Lâm, V. T., Hoan, D. T., Công, A. T., Khánh N. N., Quang, N. N., Huyền, N. T. T., Tuấn L. A., Anh Đặng V., Cường N. H., Khánh N. N., Huyền, T. T. T., Sen, T. T. H., Anh, P. Đức, Lua, C. C. P., Chinh, D. P., Huấn P. Đức ., Hưng Đoàn Q., Thắng, B. V., & Việt V. T. (2025). 36. The role of bilateral erector spinae plane block in enhanced recovery after colorectal surgery: experience from Vinmec Times City International Hospital. Journal of Medical Research, 194(9), 363-371. https://doi.org/10.52852/tcncyh.v194i9.3859

36. The role of bilateral erector spinae plane block in enhanced recovery after colorectal surgery: experience from Vinmec Times City International Hospital

Quach Minh Chinh, Ngo Luong Nghia, Phan Thuy Chi, Vu Thanh Lam, Duong Thi Hoan, An Thanh Cong, Nguyen Ngoc Khanh, Nguyen Ngoc Quang, Nguyen Thi Thu Huyen, Le Anh Tuan, Dang Vu Anh, Nguyen Hung Cuong, Nguyen Nam Khanh, Tran Thi Thu Huyen, Tang Thi Huong Sen, Pham Duc Anh, Clara Christina Paula Lua, Duong Phuong Chinh, Pham Duc Huan, Doan Quoc Hung, Bui Van Thang, Vu Tuan Viet

Main Article Content

Abstract

A prospective descriptive cohort study was conducted at Vinmec Times City Hospital from January 2024 to December 2024 in patients undergoing curative colorectal cancer surgery within an Enhanced Recovery After Surgery (ERAS) program, in which pain was managed using bilateral erector spinae plane (ESP) block. The results showed that using bilateral catheters placed in the erector spinae plane with intermittent local anesthetic injection every 6 hours could effectively maintain low pain scores both at rest and during movement. Although 25% of patients had at least one timepoint with a pain score > 3, all responded to nefopam, and none required morphine. No serious complicationsuch as local anesthetic toxicity, infection, or bleeding was observed. Recovery quality indicators (82% had bowel movement within 24 hours, 78% resumed oral intake within 24 hours, nausea rate 7.1%, urinary retention 3.6%) demonstrated that ESP block was effective and could be incorporated as a component of the ERAS protocol in patients undergoing colorectal surgery.

Article Details

Keywords

Erector spinae plane block, Enhanced Recovery After Surgery (ERAS), colorectal surgery, postoperative analgesia

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