Objective To compare the effects of erector spinae plane block (ESPB) and paravertebral block (PVB) on the quality of recovery in obese patients undergoing laparoscopic sleeve gastrectomy.
Methods A total of 107 obese patients undergoing laparoscopic sleeve gastrectomy from January to March 2021,25 males and 82 females,aged 18-45 years,BMI 30-40 kg/m 2,ASA physical status Ⅱ or Ⅲ,were randomly divided into two groups: ESPB group (group E, n = 54) and PVB group (group P, n = 53). Nerve block was performed before induction of general anesthesia,bilateral ESPB was performed in group E and group P received bilateral PVB,the two groups was given 0.33% ropivacaine 20 ml per side. The two groups had the same intraoperative anesthesia scheme and standardized analgesia after operation. The 15-item quality of recovery questionnaire (QoR-15) was evaluated 24 and 48 hours after operation. Numeric rating scales (NRS) scores at rest and during exercise 0.5, 2, 6, 12, 24, 48 hours after operation were recorded. The postoperative analgesic drug dosage within 48 hours,times of pressing and times of effective pressing of analgesic pump,the first time out of bed,the first intestinal exhaust time and hospital stay after operation were recorded. Postoperative nausea and vomiting (PONV) and nerve block related complications were recorded.
Results There were no significant differences in QoR-15 scores 24 and 48 hours after operation,NRS score both at rest and during exercise 0.5,2,6,12,24,48 hours after operation,the postoperative analgesic drug dosage within 48 hours,the times of pressing and the times of effective pressing of analgesic pump,the rate of remedial analgesia within 48 hours after operation,the first time out of bed,the first intestinal exhaust time and hospital stay after operation,and incidence of PONV between the two groups. There was no patient had complications related to nerve block such as bleeding at the puncture site,hematoma,pneumothorax and nerve injury in the two groups.
Conclusion The quality of recovery and analgesic effects in obese patients undergoing laparoscopic sleeve gastrectomy are similar between erector spinae plane block and paravertebral block. |
