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Research Paper | Anaesthesiology | Volume 15 Issue 3, March 2026 | Pages: 344 - 350 | India
Analgesic Efficacy of Ultrasound Guided Erector Spinae Plane Block on Lumbar Spine Surgeries
Abstract: Background: Pain is multifactorial, involving nociceptive (surgical site), neuropathic (nerve irritation) and inflammatory components. Postoperative pain can adversely affect recovery phase, prolong hospital stays, and reduce overall quality of life. Effective postoperative pain management is critical for enhancing recovery outcomes and patient satisfaction. ESPB is a new interfacial block that provides broad analgesia by block dorsal and ventral rami of spinal nerves, reducing opioid consumption both perioperatively and postoperatively. Objective: This study?s primary objective is to determine the effectiveness of ultrasound-guided ESPB for post-operative analgesia in lumbar spine surgeries. Methods: In a tertiary care hospital, a prospective, randomized controlled study was carried out. Seventy patients posted for lumbar spine surgeries were randomized into control group (n=35) who received general anesthesia without any nerve block and intervention group (n=35), who received ultrasound guided bilateral ESP block at the level of spinal surgery with 0.25% bupivacaine 20 mL after standard general anesthesia. Total intraoperative fentanyl consumption, total rescue analgesia, VAS score and OBAS to evaluate pain, overall patient satisfaction and any side effects were compared at 24 hours. Results: Intraoperative heart rate, systolic, diastolic and mean blood pressure was significantly lower in intervention group compared to control group(p<0.001). Intraoperative fentanyl consumption is significantly lower in intervention group (5.7 %) versus control group (100%). (p<0.001). Postoperative VAS scores were significantly decreased in intervention group compared to control group (p<0.001). Patient satisfaction scores were more favorable in intervention group (4.2 ± 1.4 versus (7.8 ± 2.6). Conclusion: Ultrasound guided ESP block significantly reduces postoperative opioid consumption and improves analgesia and patient satisfaction without adverse events undergoing surgeries.
Keywords: Analgesia, Bupivacaine, ESPB, Fentanyl, Visual analog scale, Lumbar spine surgery
How to Cite?: Dr. Riya Sarkar, Dr. Geeta Karki, "Analgesic Efficacy of Ultrasound Guided Erector Spinae Plane Block on Lumbar Spine Surgeries", Volume 15 Issue 3, March 2026, International Journal of Science and Research (IJSR), Pages: 344-350, https://www.ijsr.net/getabstract.php?paperid=SR26304150101, DOI: https://dx.dx.doi.org/10.21275/SR26304150101