GIÁ HIỆU QUẢ GIẢM ĐAU SAU MỔ SỎI ĐƯỜNG MẬT CỦA PHƯƠNG PHÁP GÂY TÊ MẶT PHẲNG CƠ DỰNG SỐNG

Abstract

Objective: To evaluate the effectiveness of ESPB in postoperative pain control for biliary stone surgery and its adverse effects. Materials and methods: A total of 60 patients undergoing biliary stone surgery were randomized to Group I (receiving preoperative bilateral single-injection ESPB at the level of T7 transverse process with 20mL of Ropivacain 0.25% plus Dexamethasone 0.04%), and Group II (control group). Results: For the ESP group, when compared to the control group, the time of first analgesic requirement was significantly prolonged (3.60±2.45 hours vs 0.66±0.31 hours), the consumption of morphine in the first 12 and 24 hours postoperatively, and the VAS scores during rest and movement within postoperative 18 hours were significantly reduced. The incidence of postoperative vomiting/nausea, and pruritus of these 2 groups were similar and there were no complications of ESPB. Conclusions:  ESPB is a safe and effective method for postoperative pain control for biliary stone surgery.