Журнал «Медицина неотложных состояний» №2(97), 2019
Вернуться к номеру
Comparison of continuous fentanyl infusion analgesia with bilateral erector spinae plane block for perioperative pain management in thoracic surgery in pediatric patients
Авторы: D.V. Dmytriiev, E.O. Glazov
National Pirogov Memorial Medical University, Vinnytsia, Ukraine
Рубрики: Медицина неотложных состояний
Разделы: Медицинские форумы
Версия для печати
Background. Continuous fentanyl infusion analgesia (FIA) is compared with erector spinae plane (ESP) block for the perioperative pain management in patients undergoing thoracic surgery for the quality of analgesia, incentive spirometry, ventilator duration, and intensive care unit (ICU) duration. Materials and methods. A total of 18 patients were enrolled, who were divided to either Group A: FIA (n = 9) or Group B: ESP block (n = 9). 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. Comparable 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. Conclusions. ESP block is easy to perform and can serve as a promising alternative to FIA in optimal perioperative pain management in pediatric thoracic surgery.