Comparison of Bilateral Erector Spinae Plane Block and Thoracic Epidural Analgesia in Open Heart Surgery

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Abstract
Objective:In our study, it was aimed to compare the postoperative analgesic efficacy of bilateral USG-guided ESP block and TEA in patients who underwent open heart surgery. Method:No interventional multimodal analgesia technique was applied to the patients in the control group, only iv patient-controlled analgesia (iv PCA) device was inserted at the end of the operation. The duration of postoperative mechanical ventilation (MV), the amount of opioid consumed in the first 24 hours, and the visual analog scale (VAS) scores during postoperative 1st, 2nd, 4th, 6th, 12th, 24th hours while resting/coughing were recorded. Results:There was a notabledifference thereamong the groups in terms of the amount of postoperative opioid consumption (p=0.001). There was a notable difference thereamong the groups in the resting VAS scores at the postoperative 1st, 2nd, 4th, 12th, and 24th hours(p<0.001, p=0.002, p=0.002, p=0.051, p=0.001, p=0.021 respectively). There was a notabledifference thereamong the groups in the VAS scores while coughing at the postoperative 1st, 2nd, 4th, 6th, and 24th hours (p<0.001, p<0.001, p<0.001 p=0.008, p=0.051, p=0.006 respectively). Conclusion:We think that ESP block is a good alternative to TEA, which is shown as the gold standard in pain control after open heart surgery
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