Abstract
The literature was analyzed to determine the efficacy of ESP blocks on postoperative pain scores and postoperative total opioid consumption (TOC) in adults undergoing general anesthesia for posterior spinal surgery. Posterior spine procedures consisted of lumbar discectomies, laminoplasties, decompressions, single and multi-level fusions with and without instrumentation, and posterior internal fixation for fractures. Most studies compared the treatment (ESP block) group to the control group which consisted of no block, or a sham block performed with normal saline injection. One RCT performed in 2022, compared the ESP block group to the standard wound infiltration technique (control group) with equal doses of local anesthetic (LA) in patients undergoing lumbar spine surgery.5 Standard technique was defined as instilling LA using an intramuscular needle into the subcutaneous tissue and paravertebral muscles.5 All evidence sources evaluated postoperative pain as a primary dependent variable by using the Numeric Rating Scale (NRS) or Visual Analog Scale (VAS) at specific time intervals in the postoperative phase. Both scales measure pain on a 0-10 level; with 0 meaning no pain and 10 meaning the worst pain.
Sigma Membership
Non-member
Type
Other Graduate Paper
Format Type
Text-based Document
Study Design/Type
Literature Review
Research Approach
Translational Research/Evidence-based Practice
Keywords:
Erector Spinae Plane Block, Postoperative Pain, Analygesia, Opioid Consumption, Spine Surgery
Advisor
Tritt, Matt
Degree
Doctoral-Other
Degree Grantor
Bryan College of Health Sciences
Degree Year
2023
Recommended Citation
Champane, Brooke, "The erector spinae plane block for improving recovery after spinal surgery" (2024). Group: Bryan College of Health Sciences Doctor of Nurse Anesthesia Practice (DNAP) Collection. 36.
https://www.sigmarepository.org/group_bryan_dnap/36
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Review Type
Faculty Approved: Degree-based Submission
Acquisition
Proxy-submission
Full Text of Presentation
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