Efficacy of Lumbar Erector Spinae Plane Block for Postoperative Analgesia in Hip Arthroplasty Patients– A Prospective Case Series
Vol 3 | Issue 2 | July-December 2022 | Page 98-101 | Bharati A. Adhye, Sandeep M. Diwan, Rajeev Joshi, Parag K. Sancheti
DOI: 10.13107/ijra.2022.v03i02.062
Authors: Bharati A. Adhye [1], Sandeep M. Diwan [1], Rajeev Joshi [1], Parag K. Sancheti [2]
[1] Department of Anesthesiology, Sancheti Hospital, Pune, Maharashtra, India.
[2] Department of Orthopaedics, Sancheti Hospital, Pune, Maharashtra, India.
Address of Correspondence
Dr. Bharati A. Adhye,
Chief Anaesthesiologist, Department of Anesthesiology, Sancheti Hospital, Pune, Maharashtra, India.
E-mail: bharatiadhye@gmail.com
Abstract
The Thoracic Erector spinae plane block (ESPB) has been incorporated in multimodal analgesia protocols since 2016. In a series of 20 Total Hip Arthroplasty (THA) patients, done under spinal anaesthesia, we studied the efficacy of Lumbar Erector spinae plane block (L-ESPB) for post operative analgesia. L-ESPB was administered at L4 with Ropivacaine 0.2% (0.4 mg/kg). Time to first analgesia (TTFA) request (mean 15.03 hours) and total opioid consumption in first 24 hours (mean 27.5 mg Tramadol) was noted. A median NRS at TTFA was 3.5. Our study demonstrates L-ESPB as an effective alternate technique for postoperative analgesia in THA patients.
Keywords: Lumber ESP block, Hip Arthroplasty
References
1. Singh R, Bajaj JK, Singh D. Comparison of psoas compartment block and epidural block for postoperative analgesia in hip surgeries. Astrocyte 2018;4(4):221.
2. Capdevila X, Macaire P, Dadure C, Choquet O, Biboulet P, Ryckwaert Y, et al. Continuous psoas compartment block for postoperative analgesia after total hip arthroplasty: new landmarks, technical guidelines, and clinical evaluation. Anesth Analg. 2002;94(6):1606-1613.
3. Grant CR, Checketts MR. Analgesia for primary hip and knee arthroplasty: the role of regional anaesthesia. Contin Educ Anaesthesia, Crit Care Pain. 2008;8(2):56-61.
4. Forero M, Adhikary SD, Lopez H, Tsui C, Chin KJ. The erector spinae plane block: a novel analgesic technique in thoracic neuropathic pain. Reg Anesth Pain Med. 2016;41(5):621-627.
5. Tsui BCH, Fonseca A, Munshey F, McFadyen G, Caruso TJ. The erector spinae plane (ESP) block: a pooled review of 242 cases. J Clin Anesth. 2019;53:29-34.
6. Chin KJ, Adhikary S Das, Forero M. Erector spinae plane (ESP) block: A new paradigm in regional anesthesia and analgesia. Curr Anesthesiol Rep. 2019;9(3):271-280.
7. Tulgar S, Ermis MN, Ozer Z. Combination of lumbar erector spinae plane block and transmuscular quadratus lumborum block for surgical anaesthesia in hemiarthroplasty for femoral neck fracture. Indian J Anaesth. 2018;62(10):802.
8. Tulgar S, Senturk O. Ultrasound guided Erector Spinae Plane block at L-4 transverse process level provides effective postoperative analgesia for total hip arthroplasty. J Clin Anesth. 2017;44:68.
9. Ahiskalioglu A, Tulgar S, Celik M, Ozer Z, Alici HA, Aydin ME. Lumbar erector spinae plane block as a main anesthetic method for hip surgery in high risk elderly patients: initial experience with a magnetic resonance imaging. Eurasian J Med. 2020;52(1):16.
10. Tulgar S, Aydin ME, Ahiskalioglu A, De Cassai A, Gurkan Y. Anesthetic techniques: focus on lumbar erector spinae plane block. Local Reg Anesth. 2020;13:121.
11. González SJDL, Pomés J, Prats-Galino A, Gracia J, Martínez-Camacho A, SalaBlanch X. Estudio anatómico de la distribución del volumen administrado tras bloqueo en el plano profundo del erector espinal a nivel lumbar. Rev Esp Anestesiol Reanim. 2019;66(8):409-416.
12. R. Shane T, Matthew R, Levin B.S., Marios Loukas, Eric A. Potts, Aaron A. Cohen-Gadol. Anatomy and landmarks for the superior and middle cluneal nerves: application to posterior iliac crest harvest and entrapment syndromes. J. Neurosurg: Spine/ Volume13/ September 2010
13. Diwan S, Nair A. Lumbar erector spinae plane block obtunding knee and ankle reflexes. Saudi J Anaesth. 2021;15(2):222.
| How to Cite this Article: Adhye BA, Diwan SM, Joshi R, Sancheti PK | Efficacy of Lumbar Erector Spinae Plane Block for Postoperative Analgesia in Hip Arthroplasty Patients– A Prospective Case Series | International Journal of Regional Anaesthesia | July-December 2022; 3(2): 98-101. |
Make Money Online OVER $1,200 PER DAY with bitcoin UP! Click Here: https://datastudio.google.com/embed/reporting/cd04c8bd-8457-4c4d-b398-797c5997b40b/page/64r4C
buy anabolic online europe! Click Here: https://issuetracker.google.com/issues/253215425
I cannot thank you enough for such great writing and all people to their up to the point reviews.
נערות ליווי בחולון
Maybe one day I will write a book based on this perfect writing. Great job really.
דירות דיסקרטיות בתל אביב
I cannot thank you enough for such great writing and all people to their up to the point reviews.
escort girls in Haifa
I cannot thank you enough for such great writing and all people to their up to the point reviews.
escort girls
$5,000 FREE EXCHANGE BONUSES BELOW PlaseFuture FREE $3,000 BONUS + 0% Maker Fees + PROMOCODE FOR NEWS USERS OF THE EXCHANGE [M0345IHZFN] — 0.01 BTC site: https://buycrypto.in.net Our site is a secure platform that makes it easy to buy, sell, and store cryptocurrency like Bitcoin, Ethereum, and More. We are available in over 30 countries worldwide.
Free. Sign up to receive $100, Trade to receive $5500. Click Here: https://millionairego.page.link/free
Artificial intelligence creates content for the site, no worse than a copywriter, you can also use it to write articles. 100% uniqueness :). Click Here: https://stanford.io/3FXszd0
https://www.heart2heartmessages.com/forum/general-discussion/kazino-chervona-polyana Казино червона поляна 4DSaawt25ssvggss
https://www.theloganguards.com/forum/welcome-to-the-forum/north-star-casino North star casino 4DSaawt25ssvggss
https://www.think-foundation.com/forum/education-forum/onlayn-kazino-gruzii Онлайн казино грузии 4DSaawt25ssvggss
https://www.darbypetersonrealtor.com/forum/real-estate-forum/promokod-kazino-ukrayina-2022 Промокод казино україна 2022 4DSaawt25ssvggss
do you want play casino but you are afraid of losing? 토토총판 go to my website its easy to play and no more losestreak ! 😉 😉
промокод melbet на сегодня. Click Here: https://bit.ly/3YSgux0
промокод мелбет на ставку. Click Here: http://lynks.ru/geshi/php/?melbet_promokod_pri_registracii_2020.html
I cannot say that this information did not make me think about many thing in life.
שירותי ליווי
This is a post that I will definitely be referring back to.
I cannot say that this information did not make me think about many thing in life.
נערות ליווי בהרצליה
KPSS: Türkiye’de kamu kurumlarında çalışmak isteyen kişilerin girmek zorunda olduğu sınavdır. Bu sınav genellikle Nisan ve Ekim aylarında yapılır ve öğrencilerin Türkçe, matematik, sosyal bilimler, genel kültür, bilgi ve yeterliliklerini ölçer. Başarılı olan adaylar belirlenen pozisyonlara atanabilir.
I cannot even add more, good review and quite up to date. It is quite professional statement.
Here I also find good informantion:
דירות דיסקרטיות בחיפה
I cannot even add more, good review and quite up to date. It is quite professional statement.
Here I also find good informantion:
Escorts.co.il
Great or not great but useful for sure.
שירותי ליווי
How come I did not knew about this website before? Simply great information all over like this writing!
נערות ליווי ברמת גן
I cannot say that this information did not make me think about many thing in life.
נערות ליווי
I cannot say that this information did not make me think about many thing in life.
נערות ליווי גיישה
I cannot say that this information did not make me think about many thing in life.
נערות ליווי
How come I did not knew about this website before? Simply great information all over like this writing!
גיישה שירותי ליווי
KPSS: Türkiye’de kamu kurumlarında çalışmak isteyen kişilerin girmek zorunda olduğu sınavdır. Bu sınav genellikle Nisan ve Ekim aylarında yapılır ve öğrencilerin Türkçe, matematik, sosyal bilimler, genel kültür, bilgi ve yeterliliklerini ölçer. Başarılı olan adaylar belirlenen pozisyonlara atanabilir.
YDS, TYT, AYT: Türkiye’de üniversiteye girecek öğrencilerin girmek zorunda olduğu sınavdır. Bu sınav genellikle Haziran ayında yapılır ve öğrencilerin Türkçe, matematik, fen bilimleri, sosyal bilimler ve dil yeterliliği gibi alanlarda bilgi ve becerilerini ölçer. Başarılı olan öğrenciler, istedikleri üniversitelerin istedikleri bölümlerine girebilirler.
It’s really amazing. I find few equally educational blogs. Interesting, and I’m telling you, you’re getting to the point. The problem with the head is that not enough men and women are speaking intelligently. I’m so glad I found this while I was looking for something about this. https://totoguy.com/
Good writing, I’m a normal person who visits a person’s website, maintains excellent operations, and will be a regular visitor for a long time. https://totovi.com/
You pointed out some good points there. I searched the web to find out more about this issue and found that most people would agree with you on this site. https://totoilmi.com/
KPSS: Türkiye’de kamu kurumlarında çalışmak isteyen kişilerin girmek zorunda olduğu sınavdır. Bu sınav genellikle Nisan ve Ekim aylarında yapılır ve öğrencilerin Türkçe, matematik, sosyal bilimler, genel kültür, bilgi ve yeterliliklerini ölçer. Başarılı olan adaylar belirlenen pozisyonlara atanabilir.
Volvo Brakes
KPSS: Türkiye’de kamu kurumlarında çalışmak isteyen kişilerin girmek zorunda olduğu sınavdır. Bu sınav genellikle Nisan ve Ekim aylarında yapılır ve öğrencilerin Türkçe, matematik, sosyal bilimler, genel kültür, bilgi ve yeterliliklerini ölçer. Başarılı olan adaylar belirlenen pozisyonlara atanabilir.
LGS: Türkiye’de nitelikli liseye girmek isteyen öğrencilerin katılmak zorunda olduğu bir sınavdır. Bu sınav genellikle Haziran ayında yapılır ve öğrencilerin matematik, Türkçe, Fen ve Sosyal Bilimler alanlarında bilgi ve becerilerini ölçer. Başarılı olan öğrenciler, istedikleri lise türüne girebilirler.
Wolvo Brakes
instagram followers buy
KPSS: Türkiye’de kamu kurumlarında çalışmak isteyen kişilerin girmek zorunda olduğu sınavdır. Bu sınav genellikle Nisan ve Ekim aylarında yapılır ve öğrencilerin Türkçe, matematik, sosyal bilimler, genel kültür, bilgi ve yeterliliklerini ölçer. Başarılı olan adaylar belirlenen pozisyonlara atanabilir.
YDS, TYT, AYT: Türkiye’de üniversiteye girecek öğrencilerin girmek zorunda olduğu sınavdır. Bu sınav genellikle Haziran ayında yapılır ve öğrencilerin Türkçe, matematik, fen bilimleri, sosyal bilimler ve dil yeterliliği gibi alanlarda bilgi ve becerilerini ölçer. Başarılı olan öğrenciler, istedikleri üniversitelerin istedikleri bölümlerine girebilirler.
As I am looking at your writing, baccaratcommunity I regret being unable to do outdoor activities due to Corona 19, and I miss my old daily life. If you also miss the daily life of those days, would you please visit my site once? My site is a site where I post about photos and daily life when I was free.
KPSS: Türkiye’de kamu kurumlarında çalışmak isteyen kişilerin girmek zorunda olduğu sınavdır. Bu sınav genellikle Nisan ve Ekim aylarında yapılır ve öğrencilerin Türkçe, matematik, sosyal bilimler, genel kültür, bilgi ve yeterliliklerini ölçer. Başarılı olan adaylar belirlenen pozisyonlara atanabilir.
I really like reading through a post that can make men and women think. Also, thank you for allowing me to comment!
Great information shared.. really enjoyed reading this post thank you author for sharing this post .. appreciated
YDS, TYT, AYT: Türkiye’de üniversiteye girecek öğrencilerin girmek zorunda olduğu sınavdır. Bu sınav genellikle Haziran ayında yapılır ve öğrencilerin Türkçe, matematik, fen bilimleri, sosyal bilimler ve dil yeterliliği gibi alanlarda bilgi ve becerilerini ölçer. Başarılı olan öğrenciler, istedikleri üniversitelerin istedikleri bölümlerine girebilirler.
LGS: Türkiye’de nitelikli liseye girmek isteyen öğrencilerin katılmak zorunda olduğu bir sınavdır. Bu sınav genellikle Haziran ayında yapılır ve öğrencilerin matematik, Türkçe, Fen ve Sosyal Bilimler alanlarında bilgi ve becerilerini ölçer. Başarılı olan öğrenciler, istedikleri lise türüne girebilirler.
KPSS: Türkiye’de kamu kurumlarında çalışmak isteyen kişilerin girmek zorunda olduğu sınavdır. Bu sınav genellikle Nisan ve Ekim aylarında yapılır ve öğrencilerin Türkçe, matematik, sosyal bilimler, genel kültür, bilgi ve yeterliliklerini ölçer. Başarılı olan adaylar belirlenen pozisyonlara atanabilir.
Hello ! I am the one who writes posts on these topics casinocommunity I would like to write an article based on your article. When can I ask for a review?
This is really interesting, You’re a very skilled blogger. I’ve joined your feed and look forward to seeking more of your magnificent post. Also, I’ve shared your site in my social networks!
Honda Brakes
Hyundai Brakes
LGS: Türkiye’de nitelikli liseye girmek isteyen öğrencilerin katılmak zorunda olduğu bir sınavdır. Bu sınav genellikle Haziran ayında yapılır ve öğrencilerin matematik, Türkçe, Fen ve Sosyal Bilimler alanlarında bilgi ve becerilerini ölçer. Başarılı olan öğrenciler, istedikleri lise türüne girebilirler.
YDS, TYT, AYT: Türkiye’de üniversiteye girecek öğrencilerin girmek zorunda olduğu sınavdır. Bu sınav genellikle Haziran ayında yapılır ve öğrencilerin Türkçe, matematik, fen bilimleri, sosyal bilimler ve dil yeterliliği gibi alanlarda bilgi ve becerilerini ölçer. Başarılı olan öğrenciler, istedikleri üniversitelerin istedikleri bölümlerine girebilirler.
KPSS: Türkiye’de kamu kurumlarında çalışmak isteyen kişilerin girmek zorunda olduğu sınavdır. Bu sınav genellikle Nisan ve Ekim aylarında yapılır ve öğrencilerin Türkçe, matematik, sosyal bilimler, genel kültür, bilgi ve yeterliliklerini ölçer. Başarılı olan adaylar belirlenen pozisyonlara atanabilir.
This is such a great article! Check out my website
Check out my site
I am truly thankful to the owner of this web site who has shared this fantastic piece of writing at at this place.
Good post! We will be linking to this particularly great post on our site. Keep up the great writing
Hi there to all, for the reason that I am genuinely keen of reading this website’s post to be updated on a regular basis. It carries pleasant stuff.
Thanks for writing this!
Great information shared.. really enjoyed reading this post thank you author for sharing this post .. appreciated
Awesome! Its genuinely remarkable post, I have got much clear idea regarding from this post
Makaleniz açıklayıcı yararlı anlaşılır olmuş ellerinize sağlık
Awesome! Its genuinely remarkable post, I have got much clear idea regarding from this post
I am truly thankful to the owner of this web site who has shared this fantastic piece of writing at at this place.
Some of the sentences sounds like exactly my thoughts! Fabulous place to be.
Эскорт работа в Израиле
Güzel aydınlatıcı makale için teşekkürler daha iyisi samda kayısı umarım faydalı çalışmalarınızın devamı gelir.
Daha önce araştırıp pek Türkçe kaynak bulamadığım sorundu Elinize sağlık eminim arayan çok kişi vardır.
I like the efforts you have put in this, regards for all the great content.
I just like the helpful information you provide in your articles
I just like the helpful information you provide in your articles
I just like the helpful information you provide in your articles
I appreciate you sharing this blog post. Thanks Again. Cool.
This is really interesting, You’re a very skilled blogger. I’ve joined your feed and look forward to seeking more of your magnificent post. Also, I’ve shared your site in my social networks!
Good post! We will be linking to this particularly great post on our site. Keep up the great writing
Awesome! Its genuinely remarkable post, I have got much clear idea regarding from this post
Pretty! This has been a really wonderful post. Many thanks for providing these details.
Awesome! Its genuinely remarkable post, I have got much clear idea regarding from this post
MILFs can be found virtually everywhere, as there will always be women who would want to maintain their good looks and improve their skills in bed. But there’s just something about Arab women that you won’t find anywhere else. Their exotic looks, along with their seemingly conservative approach to sex, men would just want them more given how hard it is to find them. But when these men do get a chance to have a night of passionate sex with an Arab MILF goddess, they won’t be able to look at other women the same again.
naturally like your web site however you need to take a look at the spelling on several of your posts. A number of them are rife with spelling problems and I find it very bothersome to tell the truth on the other hand I will surely come again again.
For the reason that the admin of this site is working, no uncertainty very quickly it will be renowned, due to its quality contents.
Every sex position, from something as basic as missionary to something as complicated as jackhammer, has its own benefits. However, you really can’t beat doggy style’s popularity. Men have this as their most preferred position. So at some point after your sexual awakening, we bet you’ve requested doggy style more times than you can count. We can’t blame you. For one thing, it’s the best position for hitting the g-spot, so she gets tighter around your dick at every thrust, giving you both heightened sensations. However, that’s not the only reason why it’s so popular.
I very delighted to find this internet site on bing, just what I was searching for as well saved to fav
Nice post. I learn something totally new and challenging on websites
Very well presented. Every quote was awesome and thanks for sharing the content. Keep sharing and keep motivating others.
Nice blog here! Also your site loads up fast! What host are you using? Can I get your affiliate link to your host? I wish my web site loaded up as quickly as yours lol
Do you know about the important role your feet play in your daily life? I’m serious. On face value, your feet touch the ground whenever you’re standing, walking or running, and they are extensions of the legs, which help move you. They are the foundation of your body, they are your base of support, and they take you everywhere you go. Your feet deserve love. If any part of your body deserves some extra attention, it’s probably your feet which means keeping your feet healthy can help keep you healthy. But your feet are much more than that. For some, feet can be the source of their fantasy! Wait, what? Fantasizing feet? Yes, you read it right and it is what you called foot fetish!
reseller hosting , bayi hosting , cpanel reseller hosting , linux reseller, reseller reseller hosting
I am truly thankful to the owner of this web site who has shared this fantastic piece of writing at at this place.
I like the efforts you have put in this, regards for all the great content.
This was beautiful Admin. Thank you for your reflections.
Hi there to all, for the reason that I am genuinely keen of reading this website’s post to be updated on a regular basis. It carries pleasant stuff.
Awesome! Its genuinely remarkable post, I have got much clear idea regarding from this post
Very well presented. Every quote was awesome and thanks for sharing the content. Keep sharing and keep motivating others.
I appreciate you sharing this blog post. Thanks Again. Cool.
sanal sunucu , vds , reseller hosting , wordpress hosting , linux hosting , kurumsal hosting , vds satın al ve benzeri tüm makaleler web sitemizde markahost wordpress
naturally like your web site however you need to take a look at the spelling on several of your posts. A number of them are rife with spelling problems and I find it very bothersome to tell the truth on the other hand I will surely come again again.
This is my first time pay a quick visit at here and i am really happy to read everthing at one place
This is my first time pay a quick visit at here and i am really happy to read everthing at one place
I just like the helpful information you provide in your articles
naturally like your web site however you need to take a look at the spelling on several of your posts. A number of them are rife with spelling problems and I find it very bothersome to tell the truth on the other hand I will surely come again again.
sanal sunucu , vds , reseller hosting , wordpress hosting , linux hosting , kurumsal hosting , vds satın al ve benzeri tüm makaleler web sitemizde markahost wordpress
I truly appreciate your technique of writing a blog. I added it to my bookmark site list and will
Posta kodları, teslimat adreslerinin doğru olarak tanımlanmasını kolaylaştırır. KİLİS Posta kodu
I very delighted to find this internet site on bing, just what I was searching for as well saved to fav
Posta kodu sorgulama, müşterilerinize daha hızlı teslimat yapmanıza yardımcı olabilir. KASTAMONU Posta kodu
Very well presented. Every quote was awesome and thanks for sharing the content. Keep sharing and keep motivating others.
This is my first time pay a quick visit at here and i am really happy to read everthing at one place
That is actually excellent and useful information. I’m glad you shared us helpful information briefly. Keep us informed like this. Thank you for sharing. 토토사이트
I was looking at the important points that happened to be on the website with friends and suddenly I was appallingly suspected that I did not thank the webblog owner for the strategy. Most young people seemed happy to study them all as a result and now they are actually using them. Thank you for being so thoughtful and then for considering some notable topics that most people really aspire to discover. I sincerely regret not being able to express my appreciation sooner. 메이저놀이터
Hello! I know this is a bit off topic, but I thought I would ask. Are you interested in a guest who writes transaction links or blog articles? My site covers a lot of topics like your site, and I believe we can benefit each other greatly. Feel free to email me if you are interested. I look forward to your reply! Nice blog by the way! 메이저토토사이트
I feel like I’m reading my mind! You seem to know too much about this book, as if you’ve written a book. I think I can deliver the message with a few pictures. But other than that, this is a great blog. an excellent reading I’ll be back for sure. 메이저사이트
This was beautiful Admin. Thank you for your reflections.
certainly like your website but you need to take a look at the spelling on quite a few of your posts. Many of them are rife with spelling problems and I find it very troublesome to inform the reality nevertheless I will definitely come back again.
I very delighted to find this internet site on bing, just what I was searching for as well saved to fav
Rising up on social media is just a click away from you.
How to find love ?
We are dedicated to serving a wide range of users, from 7 to 70, who care about their body and beauty.
vds satın al ile ilgili tüm bilgiler vds satın al
Social Media Panel
vds satın al ile ilgili tüm bilgiler vds satın al
Hackdra is a cyber security company that can provide smart contract auditing, pen-testing, bug bounty, blockchain, web3, and ARM services with AI.
marka host sanal sunucu hizmetlerimarkahost markahost web sitesine gidebilirsiniz
Magnificent beat ! I would like to apprentice while you amend your site, how can i subscribe for a blog web site? The account helped me a acceptable deal. I had been a little bit acquainted of this your broadcast offered bright clear idea
markahost sitesi markahost
marka host sanal sunucu hizmetlerimarkahost markahost web sitesine gidebilirsiniz
markahost sanal sunucu markahost
markahost website markahost
markahost sanal sunucu markahost
websitem için çok işime yaradı teşekkür ederim
I was looking for another article by chance and found your article casinocommunity I am writing on this topic, so I think it will help a lot. I leave my blog address below. Please visit once.
Bilgiler için teşekkür ederim işime son derece yaradı
markahost sanal sunucu markahost
reseller hosting hizmetleri için web sitemizi ziyaret edebilirsiniz reseller hosting
reseller hosting hizmetleri için web sitemizi ziyaret edebilirsiniz reseller hosting
Professional artictle, thanks for sharing..
reseller hosting hizmetleri için web sitemizi ziyaret edebilirsiniz reseller hosting
instagram takipci satın al.
I’ve been looking for photos and articles on this topic over the past few days due to a school assignment, casinosite and I’m really happy to find a post with the material I was looking for! I bookmark and will come often! Thanks 😀
I do not even understand how I ended up here, but I assumed this publish used to be great
http error 500 hatası http error 500