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Volume: 36  Issue: 1   Year: 2023
  The Turkish Society of Algology | Ağrı Dergisi Ağrı: 35 (4)
Volume: 35  Issue: 4 - 2023
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FRONT MATTER
1.Front Matter

Pages I - V

REVIEW
2.Plan A blocks
Hadi Ufuk Yörükoğlu, Sevim Cesur, Can Aksu, Alparslan Kuş
PMID: 37886870  doi: 10.14744/agri.2022.02256  Pages 187 - 194

EXPERIMENTAL AND CLINICAL STUDIES
3.The relationship between screen exposure and neck disability, headache, stress, depression, and anxiety in university students
Halil Yılmaz, Evrim Göz
PMID: 37886871  doi: 10.14744/agri.2023.48657  Pages 195 - 204

4.The effect of lumbar multifidus cross-sectional areas on transforaminal epidural steroid injection: An observational clinical study
Rekib Saçaklıdır, Efe Soydemir, Savaş Şencan, Osman Hakan Gündüz
PMID: 37886869  doi: 10.14744/agri.2022.42744  Pages 205 - 211

5.Effect of physical activity level on pain, functionality, and quality of life in migraine patients
Gamze Sağlı Diren, Pınar Kaya Ciddi, Gizem Ergezen, Mustafa Şahin
PMID: 37886861  doi: 10.14744/agri.2022.26504  Pages 212 - 219

6.The effect of consecutive facet medial branch radiofrequency denervation and dorsal root ganglion pulse radiofrequency therapy on lumbar facet joint pain
Gülçin Gazioğlu Türkyılmaz, Şebnem Rumeli
PMID: 37886865  doi: 10.14744/agri.2022.42713  Pages 220 - 227

7.The effect of erector spinae plane block on the use of anesthetic medications in lumbar spine surgery
Masoud Nashibi, Parisa Sezari, Farhad Safari, Houman Teymourian, Sogol Asgari, Kamran Mottaghi
PMID: 37886866  doi: 10.14744/agri.2022.48992  Pages 228 - 235

8.The investigation of antidepressant and anxiolytic effects of pregabalin and its mechanisms of action in rats
Şule Aydın, Cansu Kılıç Tatlıcı, Mustafa Erhan Çivgin, Zeynep Gül Yazıcı, Cafer Yıldırım, Setenay Dinçer Öner, Fatma Sultan Kılıç
PMID: 37886867  doi: 10.14744/agri.2022.98474  Pages 236 - 243

9.Pain beliefs of cancer patients and associated factors
Ülkü Özdemir, Aysel Tokaç Akdeniz
PMID: 37886863  doi: 10.14744/agri.2022.55798  Pages 244 - 253

INTERVENTIONAL TREATMENT
10.Comparison of the effectiveness of transversus abdominis plane block with laparoscopy or ultrasonography in laparoscopic cholecystectomy operations
İlter Soytürk, Zahide Doğanay, Hale Kefeli Çelik
PMID: 37886858  doi: 10.14744/agri.2022.01709  Pages 254 - 264

CASE REPORTS
11.Intravenous methylprednisolone as a transition treatment in red ear syndrome: A case report
Serdar Kokar, Uğur Uygunoğlu
PMID: 37886860  doi: 10.14744/agri.2021.23911  Pages 265 - 268

12.A rare cause of headache; case report of trigeminal neuralgia concomitant with idiopathic intracranial hypertension
Burcu Özalp Horsanalı, Hüsnü Yılmaz, Meltem Uyar, Can Eyigör
PMID: 37886859  doi: 10.14744/agri.2021.14471  Pages 269 - 272

13.The effectiveness of the erector spinae plane block using methylprednisolone and bupivacaine in post-herpetic neuralgia: Case series
Uğur Peksöz, Ümran Öner, Mine Çelik
PMID: 37886862  doi: 10.14744/agri.2021.43926  Pages 273 - 277

LETTER TO THE EDITOR
14.An unexpected circumstance detected in a patient presenting with radicular low back pain
Alper Mengi, Uğur Uygunoğlu
PMID: 37886868  doi: 10.14744/agri.2023.15013  Pages 278 - 280
Abstract | Full Text PDF

15.The effectiveness of high dose steroid in post-corona severe headache
Nermin Tepe, Oktay Faysal Tertemiz
PMID: 37886864  doi: 10.14744/agri.2022.33410  Pages 281 - 283
Abstract | Full Text PDF

OTHER
16.Reviewer List

Page 284
Abstract | Full Text PDF

The effect of erector spinae plane block on the use of anesthetic medications in lumbar spine surgery [Ağrı]
Ağrı. 2023; 35(4): 228-235 | DOI: 10.14744/agri.2022.48992  

The effect of erector spinae plane block on the use of anesthetic medications in lumbar spine surgery

Masoud Nashibi1, Parisa Sezari2, Farhad Safari3, Houman Teymourian4, Sogol Asgari5, Kamran Mottaghi3
1Department of Anesthesiology, Fellowship of Neuroanesthesia, Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2Department of Anesthesiology, Anesthesiology Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3Department of Anesthesiology, Loghman Hakim Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4Department of Anesthesiology, Shohada e Tajrish Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
5Department of Anesthesiology, Fellowship of Neuroanesthesia, Anesthesiology Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Objectives: To reduce the drug side effects and facilitate the emergence from anesthesia after complex spine surgery, various methods have been proposed. One of these methods is ESPB, which has been less studied. Hence, we conducted this study to evaluate the effectiveness of ESPB on the use of anesthetic drugs in lumbar spine surgery.
Methods: In this study, 70 patients undergoing lumbar spine fusion surgery were studied. Patients were randomly divided into two groups: the case group (n=35), in which bilateral ESPB was done, and the control group (n=35). After standard anesthesia protocols, anesthesia was maintained with isoflurane in both groups. Intraoperative isoflurane and perioperative opioid consumption were recorded. Statistical analysis was performed using SPSS software version 21.
Results: Intraoperative use of fentanyl in the case group was significantly lower than the control group (14.29±21.5 vs. 65.96±73.33 µg, p<0.001). Furthermore, isoflurane consumption in the intervention group compared to the controls was significantly lower (20.71±5.02 versus 28.83±8.68 mL, p<0.001). Moreover, the emergence time was significantly shorter in the case group than in the control group (8.49±4.30 minutes versus 15.00±4.94, p<0.001). In the post-anesthesia care unit 1 h after surgery, the pain scores in the case group were significantly lower than the controls (p<0.001).
Conclusion: ESPB under ultrasound guidance is an effective method of regional anesthesia/analgesia for lumbar spine surgery (fusion) by decreasing the consumption of anesthetics during and following the surgery.

Keywords: Anesthetia, erector spinae plane block, isoflurane, lumbar spine, neuroanesthesia, pain, surgery, ultrasound-guided nerve blocks.


Erektör spina plan bloğunun bel omurgası cerrahisinde anestezik ilaç kullanımı üzerindeki etkisi

Masoud Nashibi1, Parisa Sezari2, Farhad Safari3, Houman Teymourian4, Sogol Asgari5, Kamran Mottaghi3
1Anesteziyoloji Anabilim Dalı, Nöroanestezi Bursu, Anesteziyoloji Araştırma Merkezi, Shahid Beheshti Tıp Bilimleri Üniversitesi, Tahran, İran
2Anesteziyoloji Bölümü, Anesteziyoloji Araştırma Merkezi, Loghman Hakim Hastanesi, Shahid Beheshti Tıp Bilimleri Üniversitesi, Tahran, İran
3Loghman Hakim Hastanesi, Anesteziyoloji Bölümü, Tıp Fakültesi, Shahid Beheshti Tıp Bilimleri Üniversitesi, Tahran, İran
4Shohada e Tajrish Hastanesi, Anesteziyoloji Bölümü, Tıp Fakültesi, Shahid Beheshti Tıp Bilimleri Üniversitesi, Tahran, İran
5Anesteziyoloji Anabilim Dalı, Nöroanestezi Bursu, Anesteziyoloji Araştırma Merkezi, Loghman Hakim Hastanesi, Shahid Beheshti Tıp Bilimleri Üniversitesi, Tahran, İran

Amaç: Karmaşık omurga cerrahisi sonrası ilaç yan etkilerini azaltmak ve anesteziden çıkışı kolaylaştırmak amacıyla çeşitli yöntemler önerilmiştir. Bu yöntemlerden biri daha az çalışılmış olan ESPB’dir. Bu yüzden, bu çalışmayı ESPB’nin bel omurgası cerrahisinde anestezik ilaç kullanımı üzerindeki etkinliğini değerlendirmek amacıyla yürüttük.
Gereç ve Yöntem: Bu çalışmada, bel omurgası füzyon cerrahisi geçiren 70 hasta incelendi. Hastalar rastgele iki gruba ayrıldı: Bilateral ESPB uygulanan olgu grubu (n=35) ve kontrol grubu (n=35). Standart anestezi protokollerinden sonra, her iki grupta anestezi isofluran ile sürdürüldü. Ameliyat sırasındaki isofluran ve perioperatif opioid tüketimi kaydedildi. İstatistiksel analiz SPSS yazılımı versiyon 21 kullanılarak yapıldı.
Bulgular: Olgu grubunda intraoperatif fentanil kullanımı kontrol grubuna göre anlamlı derecede düşüktü (14.29±21.5 ve 65.96±73.33 µg, p<0.001). Ayrıca, müdahale grubunda isofluran tüketimi kontrol grubuna göre anlamlı derecede daha düşüktü (20.71±5.02 ve 28.83±8.68 mL, p<0.001). Ayrıca, olgu grubunda çıkış süresi kontrol grubuna göre anlamlı derecede daha kısaydı (8.49±4.30 dakika ve 15.00±4.94, p<0.001). Cerrahi sonrası bir saatte anestezi bakım ünitesinde, olgu grubunun fentanil dozu ve ağrı skorları kontrol grubuna göre anlamlı derecede düşüktü (sırasıyla, p=0.030 ve <0.001).
Sonuç: Ultrason eşliğinde ESPB, cerrahi sırasında ve sonrasında anesteziklerin tüketimini azaltarak bel omurgası cerrahisi (füzyon) için etkili bir bölgesel anestezi/analjezi yöntemidir.

Anahtar Kelimeler: Erektör spina plan bloğu, bel omurgası, cerrahi, anestezi, isofluran, ağrı, nöroanestezi, ultrason ile yönlendirilmiş sinir blokları.


Masoud Nashibi, Parisa Sezari, Farhad Safari, Houman Teymourian, Sogol Asgari, Kamran Mottaghi. The effect of erector spinae plane block on the use of anesthetic medications in lumbar spine surgery. Ağrı. 2023; 35(4): 228-235

Corresponding Author: Kamran Mottaghi, Iran


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