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Efficacy of ultrasound-guided bilateral erector spinae plane block in pediatric laparoscopic cholecystectomy: Case series

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Efficacy_of_Ultrasound-Guided_Bilateral_Erector_Sp.pdf (173.5Kb)
Tarih
2019
Yazar
Karaca, Omer
Pinar, Huseyin Ulas
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Özet
Postoperative opioid administration can cause various side effects, such as drowsiness, respiratory distress, postoperative nausea, and vomiting. The use of non-opioid medications as part of a multimodal analgesia method has been increasingly suggested in the management of acute postsurgical pain. Erector spinae plane block (ESPB), which is a regional anesthesia technique, blocks both visceral and somatic nerve fibers.Though it is infrequently used in young patients, presently described is a series of cases in which ESPB was successfully used in the performance of pediatric laparoscopic cholecystectomy. Ultrasound-guided bilateral ESPB was performed on 4 patients who underwent a laparoscopic cholecystectomy. An injection of 0.25% bupivacaine was administered into the interfascial area on each side in the pre-incisional period after the anesthesia induction (total anesthetic: 2.5 mg/kg). Postoperative pain control was planned at 10 mg/kg intravenous paracetamol every 8 hours. Numeric rating scale pain scores were less than 3 points in the post-anesthetic care unit, and at 1, 2, 4, 8, 12, and 24 hours. No rescue analgesic (1 mg/kg tramadol) was needed. None of the typical complications, such as drowsiness or nausea, were observed and no block-related complications were recorded. Bilateral ESPB that is a part of multimodal analgesia regimen can provide effective analgesia for pediatric laparoscopic cholecystectomy patients in the first 24 hours postoperatively.
Bağlantı
https://www.researchgate.net/publication/336079641_Efficacy_of_Ultrasound-Guided_Bilateral_Erector_Spinae_Plane_Block_for_Pediatric_Laparoscopic_Cholecystectomy_Case_Series/fulltext/5d8d607d458515202b6cec08/Efficacy-of-Ultrasound-Guided-Bilateral-Erector-Spinae-Plane-Block-for-Pediatric-Laparoscopic-Cholecystectomy-Case-Series.pdf
http://hdl.handle.net/11727/4875
Koleksiyonlar
  • PubMed İndeksli Yayınlar Koleksiyonu [1656]
  • Sağlık Hizmetleri Meslek Yüksekokulu / Vocational School of Health Services [59]
  • Scopus İndeksli Yayınlar Koleksiyonu [2051]
  • TR-Dizin İndeksli Yayınlar Koleksiyonu [797]
  • Wos İndeksli Yayınlar Koleksiyonu [2860]

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