RT Journal Article
SR Electronic
T1 EP204 A prospective double-blinded randomized control trial comparing erector spinae plane block to spinal analgesia for postoperative pain in lung hydatid cyst peadiatric surgery
JF Regional Anesthesia & Pain Medicine
JO Reg Anesth Pain Med
FD BMJ Publishing Group Ltd
SP A151
OP A151
DO 10.1136/rapm-2023-ESRA.265
VO 48
IS Suppl 1
A1 Mansour, Maha Ben
A1 Trimech, Imen
A1 Koobaa, Ines
A1 Sammari, Sarra
A1 Youssef, Sabrine Ben
A1 Mama, Nadine
A1 Chakroun, Sawsen
A1 Gahbiche, Mourad
YR 2023
UL http://rapm.bmj.com/content/48/Suppl_1/A151.2.abstract
AB Background and Aims Lung hydatid cyst surgery causes considerable postoperative pain, and it can lead to postoperative pulmonary problems particularly in children . The erector spinae plane (ESP) block is a recently described , is simple to perform, and numerous studies have established the analgesic efficacy of ESP block in a variety of therapeutic settings. To compare the analgesic efficacies of erector spinae plane (ESP) block and spinal analgesia (SA) in lung hydatid cyct (LHC) of peadiatric surgeryMethods eighty patients undergoing LHC, divided into two groups: group SA (had morphine spinal analgesia at a dose 3 micogramme/kg) and group ESP (patients had an ultrasound-guided ESP block at the end of surgery with 0.3 ml/kg Ropivacaine). The primary outcome was to compare pain scores at rest 24 h postoperatively between the 2 groups. Secondary outcomes included post operative FLACC scores for 48 h, procedural time, use of rescue medication, adverse events, and parental satisfactionResults Patients with ESP block had a better FLACC score than those with SA but no statistical difference at a specific time. Cumulative Paracetamol consumption was higher in the ESP block group (p=0.047). The incidence of overall adverse events in the SA group was higher than in the ESP block group (p=0.045).Conclusions Erector spinae plane block may be inferior to SA for analgesia following LHC, but it could have tolerable analgesia and a better side effect profile than SA. Therefore, it could be an alternative to SA or thoracic epidural analgesia as a component of multimodal analgesia in children population.