Erector spinae plane block vs interscalene brachial plexus block for postoperative analgesia management in patients who underwent shoulder arthroscopy

Furkan Kapukaya, Mursel Ekinci, Bahadir Ciftci, Yunus Oktay Atalay, Birzat Emre Gölboyu, Ersin Kuyucu, Yavuz Demiraran, Furkan Kapukaya, Mursel Ekinci, Bahadir Ciftci, Yunus Oktay Atalay, Birzat Emre Gölboyu, Ersin Kuyucu, Yavuz Demiraran

Abstract

Background: Interscalene brachial plexus block (ISB) is the gold standard method used for postoperative analgesia after arthroscopic shoulder surgery. Ultrasound guided erector spinae plane block (ESPB) is an interfascial plane block. The aim of this study is to compare the analgesic efficacy of ESPB and ISB after shoulder arthroscopy. The primary outcome is the comparison of the perioperative and postoperative opioid consumptions.

Methods: Sixty patients with ASA score I-II planned for arthroscopic shoulder surgery were included in the study. ESPB was planned in Group ESPB (n = 30), and ISB was planned in Group ISB (n = 30). Intravenous fentanyl patient-controlled analgesia was administered to both groups in the postoperative period. Intraoperative and postoperative opioid and analgesic consumption of both groups, side effects and complications related to opioid use, postoperative pain scores and rescue analgesic use were recorded in the first 48 h postoperatively.

Results: Pain scores were significantly higher in the ESPB group in the first 4 h postoperatively than in the ISB group (p < 0.05). The total fentanyl consumption and number of patients using rescue analgesics in the postoperative period were significantly higher in the ESPB group (p < 0.05). The incidence of nausea in the postoperative period was significantly higher in the ESPB group (p < 0.05).

Conclusions: In our study, it was seen that ISB provided more effective analgesia management compared to ESPB in patients underwent shoulder arthroscopy surgery.

Keywords: Erector spinae plane block; Interscalene brachial plexus block; Postoperative analgesia; Shoulder arthroscopy.

Conflict of interest statement

The authors declare that they have no competing interests.

© 2022. The Author(s).

Figures

Fig. 1
Fig. 1
CONSORT flow diagram of the study
Fig. 2
Fig. 2
Patient position under aseptic conditions during T2 ESPB performing
Fig. 3
Fig. 3
Comparison of the static visual analogue scale scores between group ISB and ESPB
Fig. 4
Fig. 4
Comparison of the dynamic visual analogue scale scores between group ISB and ESPB

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