Page 120 - Sách năm 2022 - Fulltext - hieu final

CASE REPORT: ANALGESIC EFICACY OF ULTRASOUND

ERECTOR SPINAE PLANE BLOCK AFTER OPEN THORACIC AND

UROLOGICAL SURGERY

Nguyen Dinh Tien, Le Thi Phuong Ly, Mai Quang Thai

Hoan My Sai Gon Hospital
ABSTRACT

Introduction: Pain after surgery can lead to complications such as hypertension,

arrhythmia, atelectasis, respiratory failure, pneumonia, reduced mobility,

embolism...increased risk of complications, death after surgery. Erector spinae plane block
is a new regional anesthetic technique in 2016 that is safe and has few contraindications.

This method of anesthesia is more difficult to perform than epidural and paravertebral

techniques, but under ultrasound guidance, it is easier to take a catheter under the spinal

erector muscle, which may allow the use of intermittent or continuous anesthetic.

Objective: To determine the success rate of erector spinae plane block under
ultrasound guidance. The rate of side effects of the procedure.

Subjects and research methods: Survey and evaluate 6 patients with indications for

surgery who received erector spinae plane block for postoperative pain relief at Hoan My

hospital from May 2022 to August 2022.

Results: From May 2022 to August 2022, there were 6 patients who were indicated
for surgery and received erector spinae plane block to relieve postoperative pain. These

surgery includes 4 breast segments, 1 open surgery to lung resection, 1 open surgery to

remove kidney stones. The mean age is 55.3 years old. The patients are all female. The

mean intraoperative amount of Fentanyl was 283.3 mcg. All surgery time is more than 2

hours. Pain score (VAS) after the end of surgery 0 hours, 6 hours, 12 hours, 18 hours, 24
hours were 2.67, 2.50, 2.17, 2.33 and 1.83 respectively. There were no cases recuring

Morphine. No patient has side effects such as LAST, vomiting, itching.

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