Abstract
Background: The erector spinae plane (ESP) block has been increasingly applied as part of multimodal analgesia. However, its effectiveness in lumbar spine surgery remains controversial. The aim of this study is to assess the efficacy of ESP block in improving analgesia following lumbar surgery.
Methods: The patients who underwent posterior lumbar spinal surgery were randomly allocated into one of three groups with 35 patients each (Group ED = ESP block + dexamethasone IV, Group E = ESP block; Group C = Control). The primary aim was to assess the efficacy of ESP block and compare postoperative opioid consumption and the secondary aim was to evaluate the incidence of opioid-related adverse effects and the patient satisfaction.
Results: Median VAS scores in both ESP block groups were ≤ 3 at all time points. Significant differences were found between groups regarding total morphine consumption, rescue analgesia frequency, and pain intensity. The addition of dexamethasone delayed the onset of morphine use, although the difference was not statistically significant (p > 0.05). Incidence of adverse effects in groups ED and E was lower than in group C (p < 0.05). Patient satisfaction significantly improved with effective postoperative pain management (p < 0.05).
Conclusion: The erector spinae plane block provides effective postoperative analgesia for lumbar spine surgery, reduces total morphine consumption, prolongs analgesic duration when combined with dexamethasone, and lowers the incidence of adverse effects, and is a safe technique that improves patient satisfaction.
| Published | 2025-12-25 | |
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| Issue | Vol. 15 No. 7 (2025) | |
| Section | Original Articles | |
| DOI | 10.34071/jmp.2025.7.24 | |
| Keywords | Gây tê mặt phẳng cơ dựng sống (ESP block), dexamethason, giảm đau sau phẫu thuật, phẫu thuật kết hợp xương cột sống thắt lưng, thang điểm nhìn hình đồng dạng (VAS) Erector spinae block (ESP), dexamethasone, postoperative analgesia, lumbar spinal surgery, visual analog scale (VAS) |
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Copyright (c) 2025 Hue Journal of Medicine and Pharmacy
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