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Published: 2021-12-01
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DOI: https://doi.org/10.52852/tcncyh.v147i11.474
Issue
Vol. 147 No. 11 (2021)
Section
Các bài báo
How to Cite
Đức, T. V. ., Phương, V. H., Oanh, Đồng T. T., Quỳnh, N. T., Nhung, L. T. ., Chung, N. V., Hương, H. T. ., & Tú, N. H. (2021). The analgestic effect of erector spinae plane block for open cardiac surgery. Journal of Medical Research, 147(11), 219-227. https://doi.org/10.52852/tcncyh.v147i11.474

The analgestic effect of erector spinae plane block for open cardiac surgery

Đức Trần Việt, Vũ Hoàng Phương, Đồng Thị Tú Oanh, Nguyễn Thị Quỳnh, Lê Thị Nhung, Nguyễn Văn Chung, Hoàng Thị Hương, Nguyễn Hữu Tú

Main Article Content

Abstract

Open cardiac surgeries may cause severe post operative pain. The erector spinae plane block (ESPB) would have adequate analgesia effect and have decreased postoperative opioid consumption. The objective of the study was to evaluate the effect of ESPB for open cardiac surgery. A clinical trial study from June 2020 to June 2021 was carried out at Hanoi Medical University Hospital. 54 elective open cardiac patients from 18 to 80 years old received continuous bilateral ESPB before induction of anesthesia. The ropivacain dose was counted based on patient’s weight with combination of paracetamol i.v postoperation. The visual analogue scale (VAS), mean blood pressure were recorded at rest and at 0, 6, 12, 18, 24, 36, 48 hours postextubation, the arterial blood gas was recorded 24 and 48 hours postextubation. Result shown that the mean VAS less than 3 at rest; less or equal to 4 at the time of movement. 7.4% of patients need morphine bolus and 3.7% one need morphine PCA. ESPB did not affect the mean blood pressure and the results of ABG were normal. There was no complication such as bleeding, pain, infection at ESPB site, postoperative nausea/vomitting or local anesthetic systemic toxicity. We suggest that ESPB is a safe, effective analgestic method for open cardiac surgery.

Article Details

Keywords

Erector spinae plane block (ESPB), open cardiac surgery, analgesia.

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