Article Sidebar

PDF
Date Published: 27/04/2023
Abstract Views: 417
Views PDF: 142
DOI: https://doi.org/10.51298/vmj.v525i2.5181
Issue
Vol. 525 No. 2 (2023)
Section
Các bài báo
How to Cite
Lưu , Q. T. ., & Nguyễn, T. H. . (2023). EVALUATION OF THE SENSORY BLOCK RANGE FOLLOWING THE ERECTOR SPINAE PLANE BLOCK AT THE T7 LEVEL. Vietnam Medical Journal, 525(2). https://doi.org/10.51298/vmj.v525i2.5181

EVALUATION OF THE SENSORY BLOCK RANGE FOLLOWING THE ERECTOR SPINAE PLANE BLOCK AT THE T7 LEVEL

Quang Thùy Lưu 1,, Trần Hoàng Nguyễn1
1 Viet Duc hospital

Main Article Content

Abstract

Objective: To evaluate the range of sensory block following ultrasound-guided administration of bilateral ESPB at the level of the T7 transverse process with a fixed single dose. Materials and methods: A total of 30 patients undergoing choledocholithiasis surgery at Viet Duc University Hos. from Jan. 2022 to Sep. 2022 received a preoperative bilateral ESP block under ultrasound guidance at the T7 level and were evaluated for the pinprick cutaneous sensation in the anterolateral abdomen and chest wall, and lower extremities at 30 minutes after injection. Results: Thirty patients were enrolled in the study, with the average duration to perform the block procedure being 11.50±2.36 minutes, and the distance from the skin to the erector spinae plane measured under the ultrasound image was 2.17±0.92 cm on average. There were 2 patients with failed blockade. The mean dermatomal spread was 6.43 (range 2 -10), with the majority of patients having cutaneous sensory block from T6 to T9 and over half of patients having sensory block from T4 to T10. No major complication was recorded in the study. Conclusions: Ultrasound-guided erector spinae plane block at the T7 level provided a good sensory block effect, but sensory block varied widely among patients.

Article Details

Keywords

sensory blockade of erector spinae plane block, postoperative choledocholithiasis surgery pain

References

1. Nguyễn Hồng Thủy, Nguyễn Quốc Anh, Nguyễn Quốc Kính, et al. (2017). Siêu âm đo khoảng cách từ da đến mỏng ngang - màng phổi và chiều dài thực tế kim Tuohy trong gây tê cạnh cột sống ngực. Y học Việt Nam, 450(2), 22–27.
2. Aponte A., Sala-Blanch X., Prats-Galino A., et al. (2019). Anatomical evaluation of the extent of spread in the erector spinae plane block: a cadaveric study. Can J Anesth Can Anesth, 66(8), 886–893.
3. Barrios A., Camelo J., Gomez J., et al. (2020). Evaluation of Sensory Mapping of Erector Spinae Plane Block. Pain Physician, 23(3), E289–E296.
4. Chin K.J., Adhikary S., Sarwani N., et al. (2017). The analgesic efficacy of pre-operative bilateral erector spinae plane (ESP) blocks in patients having ventral hernia repair. Anaesthesia, 72(4), 452–460.
5. Cui Y., Wang Y., Yang J., et al. (2022). The Effect of Single-Shot Erector Spinae Plane Block (ESPB) on Opioid Consumption for Various Surgeries: A Meta-Analysis of Randomized Controlled Trials. J Pain Res, 15, 683–699.
6. De Cassai A., Bonvicini D., Correale C., et al. (2019). Erector spinae plane block: a systematic qualitative review. Minerva Anestesiol, 85(3).
7. Forero M., Adhikary S.D., Lopez H., et al. (2016). The Erector Spinae Plane Block: A Novel Analgesic Technique in Thoracic Neuropathic Pain. Reg Anesth Pain Med, 41(5), 621–627.
8. Ivanusic J., Konishi Y., and Barrington M.J. (2018). A Cadaveric Study Investigating the Mechanism of Action of Erector Spinae Blockade. Reg Anesth Pain Med, 43(6), 567–571.