Erector spinae plane block as a rescue therapy in following cholecystectomy: a historical cohort study




Hürü C. Gökduman, Department of Anesthesiology, Başaksehir Çam and Sakura City Hospital, University of Health Sciences, İstanbul, Turkey
Taner Abdullah, Department of Anesthesiology, Başaksehir Çam and Sakura City Hospital, University of Health Sciences, İstanbul, Turkey
İşbara A. Enişte, Department of Anesthesiology, Başaksehir Çam and Sakura City Hospital, University of Health Sciences, İstanbul, Turkey
Mert Canbaz, Department of Anesthesiology, İstanbul Faculty of Medicine, University of İstanbul. İstanbul, Turkey
Funda Gümüş-Özcan, Department of Anesthesiology, Başaksehir Çam and Sakura City Hospital, University of Health Sciences, İstanbul, Turkey


Objective: The aim of this study is to evaluate the effect of erector spinae plane block (ESPB) as a rescue therapy in the recovery room. Materials and methods: This single-center historical cohort study included patients who received either ESPB or intravenous meperidine for pain management in the recovery room. Patients' numeric rating scale (NRS) scores and opoid consumptions were evaluated. Results: One hundred and eight patients were included in the statistical analysis. Sixty-two (57%) patients received ESPB postoperatively (pESPB) and 46 (43%) patients were managed with IV meperidine boluses only (IV). The cumulative meperidine doses administered were 0 (0-40) and 30 (10-80) mg for the pESPB and IV groups, respectively (p < 0.001). NRS scores of group pESPB were significantly lower than those of Group IV on T30 and T60. Conclusion: ESPB reduces the frequency of opioid administration and the amount of opioids administered in the early post-operative period. When post-operative rescue therapy is required, it should be considered before opioids.



Keywords: Laparoscopic cholecystectomy. Acute post-operative pain. Regional anesthesia.