Erector spinae plane block improves postoperative recovery after laminectomy and discectomy surgery: a retrospective cohort study

BMC Anesthesiology

Research

Barbara Versyck¹  Valerie M. M. van Meegen²  R. Arthur Bouwman³  Renee J. C. van den Broek⁴  Hazem Al Khawaja⁵ 

[1] Department of Anesthesiology, Intensive Care and Pain Medicine, Catharina Hospital, Michelangelolaan 2, 5623 EJ, Eindhoven, the Netherlands;Department of Anesthesiology, AZ Turnhout, Steenweg Op Merksplas 44, 2300, Turnhout, Belgium;Department of Anesthesiology, Intensive Care and Pain Medicine, Catharina Hospital, Michelangelolaan 2, 5623 EJ, Eindhoven, the Netherlands;Department of Anesthesiology, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX, Maastricht, the Netherlands;Department of Anesthesiology, Intensive Care and Pain Medicine, Catharina Hospital, Michelangelolaan 2, 5623 EJ, Eindhoven, the Netherlands;Department of Electrical Engineering, Eindhoven University of Technology, Groene Loper 19, 5612 AP, Eindhoven, the Netherlands;Department of Anesthesiology, Intensive Care and Pain Medicine, Catharina Hospital, Michelangelolaan 2, 5623 EJ, Eindhoven, the Netherlands;Department of Epidemiology, Faculty of Health, Medicine and Life Sciences, CAPHRI School for Public Health and Primary Care, Maastricht University, Universiteitssingel 40, 6229 ER, Maastricht, the Netherlands;Department of Neurosurgery, Catharina Hospital, Michelangelolaan 2, 5623 EJ, Eindhoven, the Netherlands;Department of Neurosurgery, Elisabeth Tweesteden Hospital, Hilvarenbeekseweg 60, 5022 GC, Tilburg, the Netherlands;

关键词: Erector spinae plane block;    Functional recovery;    Laminectomy;    Postoperative pain;    Regional anesthesia;    Spinal surgery;   

DOI  :  10.1186/s12871-023-02271-1

 received in 2023-04-22, accepted in 2023-09-07,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThere is still room for improvement of pain management after spinal surgery. The goal of this study was to evaluate adding the erector spinae block to the standard analgesia regimen. Our hypothesis was that the erector spinae plane block will decrease length of hospital stay, reduce opioid need and improve numeric rating scale pain scores.MethodsThis was a single center retrospective cohort study. We included 418 patients undergoing laminectomy or discectomy from January 2019 until December 2021. The erector spinae plane block was introduced in 2016 by Forero and colleagues and added to our clinical practice in October 2020. Patients who did not receive an erector spinae plane block prior to its implementation in October 2020 were used as control group. The primary outcome measure was functional recovery, measured by length of hospital stay. Secondary outcome measures were perioperative opioid consumption, need for patient-controlled analgesia and numeric rating scale pain scores. Postoperative data collection time points were: at the PACU and after 3, 6, 12 and 24 h postoperatively.ResultsThere was a significant shorter length of hospital stay in patients undergoing single level laminectomy (with erector spinae plane block 29 h (IQR 27–51), without block 53 h (IQR 51–55), p < .001), multiple level laminectomy (with erector spinae plane block 49 h (IQR 31–54), without block 54 h (IQR 52–75), p < .001) and discectomy (with erector spinae plane block 27 h (IQR 25–30), without block 29 h (IQR 28–49), p = .04).ConclusionsErector spinae plane block reduces length of stay after laminectomy surgery.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

Fig. 1