Background & Aims

Outpatient laparoscopic cholecystectomy is a very common surgery in Algeria. it is associated with post-operative pain The erector spinae block is a recent, simple technique with a low complication rate. This practice could be an asset in the management of pain induced by laparoscopic surgery. The objective of the study was to evaluate the impact of this block in the management of pain for laparoscopic cholecystectomy surgery.

Methods

Materials and methods

This was a prospective, single-center observational study. Adult patients undergoing laparoscopic ambulatory cholecystectomy surgery and consenting to loco-regional analgesia were included. Minor patients, pregnant women, and urgent surgeries or surgeries leading to prolonged hospitalization were excluded. The erector spinae block was performed preoperatively, under general anesthesia, ultrasound-guided with a dose of 20 ml of xylocaine 2% on the right side at the level of T7. The judgment criteria included the assessment of pain, the consumption of morphine or level 2 analgesics and their adverse effects, immediately postoperatively, and 24 hours after the operation.

Results

Results

We did not observe any difference regarding morphine dosages in SSPI (1.20 ± 2.8; 0.47 ± 1.5; p = 0.38); side effects (4 vs 2; p = 0.38), length of stay, failure to leave the department (1 vs 0, p = 1) as well as shoulder pain upon discharge. There were no complications related to the erector spinae block throughout the duration of the study.

Conclusions

Conclusion

En conclusion, notre travail montre une baisse significative dans le recours aux antalgiques de secours en service de chirurgie ambulatoire avec une technique simple et à faible risque de complications. D’autres études sont nécessaires pour confirmer que le bloc érecteur du rachis est une technique d’anesthésie loco-régionale appropriée, en complément d’une analgésie multimodale, dans la prise en charge des patients opérés de cholécystectomie par voie coelioscopique.

References

Référence Bibliographique

J. Ivanusic, Y. Konishi, et M. J. Barrington, « A cadaveric study investigating the mechanism of action of erector spinae blockade », Reg. Anesth. Pain Med., vol. 43, no 6, p. 567?571, 2018.

Presenting Author

Widad Kouachi

Poster Authors

Widad KOUACHI

Associate professor

Hca Algeria

Lead Author

E-mail

Topics

  • Models: Acute Pain