KẾT QUẢ BƯỚC ĐẦU KIỂM SOÁT ĐAU SAU PHẪU THUẬT VÙNG NGỰC BẰNG KỸ THUẬT GÂY TÊ MẶT PHẲNG CƠ DỰNG SỐNG TẠI BỆNH VIỆN QUÂN Y 7A

Abstract

Objective: To evaluate the preliminary effectiveness of ultrasound-guided erector spinae plane block (ESPB) using levobupivacaine combined with adrenaline in postoperative pain control for thoracic surgery at Military Hospital 7A. Subjects and Methods: This prospective case series included 10 female patients classified as ASA I–II who underwent breast tumor resection with axillary lymph node dissection between March and July 2025. All patients received ESPB under ultrasound guidance using 15 mL of 0.2% levobupivacaine combined with 400 µg adrenaline prior to general anesthesia. Postoperative pain control was assessed using the Visual Analog Scale (VAS) at rest and during movement at 2, 6, 12, and 24 hours postoperatively. Vital signs, adverse effects and patient satisfaction were also recorded. Results: VAS scores at rest remained below 3 during the first 12 hours, increasing to an average of 4.9 at 24 hours. VAS scores during movement ranged from 3.1 to 5.9, significantly higher than at rest and progressively increased over time. Vital signs remained stable, and no complications were observed. Patient satisfaction reached 100%. Conclusion: ESPB with levobupivacaine and adrenaline provided effective postoperative analgesia following breast surgery, particularly within the first 12 hours. The technique was safe, easy to perform, and demonstrated promising applicability in enhanced recovery after surgery (ERAS) protocols.