Comparison of continuous thoracic epidural analgesia with bilateral erector spinae plane block for perioperative pain management in cardiac surgery

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dc.contributor.authorNagaraja, PSen_US
dc.contributor.authorRagavendran, Sen_US
dc.contributor.authorSingh, Naveen Gen_US
dc.contributor.authorAsai, Omshubhamen_US
dc.contributor.authorBhavya, Gen_US
dc.contributor.authorManjunath, Nen_US
dc.contributor.authorRajesh, Ken_US
dc.date.accessioned2019-12-02T09:43:22Z
dc.date.available2019-12-02T09:43:22Z
dc.date.issued2018-07
dc.description.abstractObjective: Continuous thoracic epidural analgesia (TEA) is compared with erector spinae plane (ESP) block for the perioperative pain management in patients undergoing cardiac surgery for the quality of analgesia, incentive spirometry, ventilator duration, and intensive care unit (ICU) duration. Methodology: A prospective, randomized comparative clinical study was conducted. A total of 50 patients were enrolled, who were randomized to either Group A: TEA (n = 25) or Group B: ESP block (n = 25). Visual analog scale (VAS) was recorded in both the groups during rest and cough at the various time intervals postextubation. Both the groups were also compared for incentive spirometry, ventilator, and ICU duration. Statistical analysis was performed using the independent Student's t-test. A value of P < 0.05 was considered statistically significant. Results: C omparable VAS scores were revealed at 0 h, 3 h, 6 h, and 12 h (P > 0.05) at rest and during cough in both the groups. Group A had a statistically significant VAS score than Group B (P ≤ 0.05) at 24 h, 36 h, and 48 h but mean VAS in either of the Group was ≤4 both at rest and during cough. Incentive spirometry, ventilator, and ICU duration were comparable between the groups. Conclusion: ESP block is easy to perform and can serve as a promising alternative to TEA in optimal perioperative pain management in cardiac surgery.en_US
dc.identifier.affiliationsDepartment of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, Indiaen_US
dc.identifier.affiliationsDepartment of CTVS, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, Indiaen_US
dc.identifier.citationNagaraja PS, Ragavendran S, Singh Naveen G, Asai Omshubham, Bhavya G, Manjunath N, Rajesh K. Comparison of continuous thoracic epidural analgesia with bilateral erector spinae plane block for perioperative pain management in cardiac surgery. Annals of Cardiac Anaesthesia. 2018 Jul; 21(3): 323-327en_US
dc.identifier.issn0971-9784
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/185745
dc.languageenen_US
dc.publisherWolters Kluwer - Medknowen_US
dc.relation.issuenumber3en_US
dc.relation.volume21en_US
dc.source.urihttps://dx.doi.org/10.4103/aca.ACA_16_18en_US
dc.subjectErector spinae plane blocken_US
dc.subjectthoracic epidural analgesiaen_US
dc.subjectvisual analog scaleen_US
dc.titleComparison of continuous thoracic epidural analgesia with bilateral erector spinae plane block for perioperative pain management in cardiac surgeryen_US
dc.typeJournal Articleen_US
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