1
|
Hochberg U, Brill S, Ofir D, Salame K, Lidar Z, Regev G, Khashan M. Is the Erector Spinae Plane Block Effective for More than Perioperative Pain? A Retrospective Analysis. J Clin Med 2022; 11:jcm11164902. [PMID: 36013141 PMCID: PMC9410308 DOI: 10.3390/jcm11164902] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Revised: 08/11/2022] [Accepted: 08/19/2022] [Indexed: 12/30/2022] Open
Abstract
Introduction: The thoracic Erector Spinae Plane Block (ESPB) is an ultrasound-guided block that has gained popularity and is widely used in acute pain setups. However, data regarding its role in chronic and cancer-related pain are anecdotal. Material and Methods: The study is a retrospective analysis of patients who underwent ESPB. The cohort was divided into subgroups based on three determinants: etiology, pain type, and chronicity. Results: One hundred and ten patients were included, and genders were affected equally. The average age was 61.2 ± 16.1 years. The whole group had a statistically significant reduction in a numerical rating scale (NRS) (7.4 ± 1.4 vs. 5.0 ± 2.6, p-value > 0.001). NRS reduction for 45 patients (41%) exceeded 50% of the pre-procedural NRS. The mean follow-up was 7.9 ± 4.6 weeks. Baseline and post-procedure NRS were comparable between all subgroups. The post-procedural NRS was significantly lower than the pre-procedural score within each group. The proportion of patients with over 50% improvement in NRS was lower for those with symptom duration above 12 months (p-value = 0.02). Conclusions: Thoracic ESPB is a simple and safe technique. The results support the possible role of ESPB for chronic as well as cancer-related pain.
Collapse
Affiliation(s)
- Uri Hochberg
- Division of Anesthesiology, Institute of Pain Medicine, Tel Aviv Sourasky Medical Center, Tel Aviv 6423906, Israel
- Sackler School of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel
- Correspondence: ; Tel.: +972-3-6974477
| | - Silviu Brill
- Division of Anesthesiology, Institute of Pain Medicine, Tel Aviv Sourasky Medical Center, Tel Aviv 6423906, Israel
- Sackler School of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel
| | - Dror Ofir
- Sackler School of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel
- Spine Surgery Unit, Neurosurgical Department, Tel Aviv Medical Center, Tel Aviv 6423906, Israel
| | - Khalil Salame
- Sackler School of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel
- Spine Surgery Unit, Neurosurgical Department, Tel Aviv Medical Center, Tel Aviv 6423906, Israel
| | - Zvi Lidar
- Sackler School of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel
- Spine Surgery Unit, Neurosurgical Department, Tel Aviv Medical Center, Tel Aviv 6423906, Israel
| | - Gilad Regev
- Sackler School of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel
- Spine Surgery Unit, Neurosurgical Department, Tel Aviv Medical Center, Tel Aviv 6423906, Israel
| | - Morsi Khashan
- Sackler School of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel
- Spine Surgery Unit, Neurosurgical Department, Tel Aviv Medical Center, Tel Aviv 6423906, Israel
| |
Collapse
|