Nhận Xét Tác Dụng Giảm Đau Sau Mổ Thay Khớp Háng Của Phương Pháp Gây Tê Mặt Phẳng Cơ Dựng Sống Thắt Lưng
Year: 2023
Type: article
Abstract: Background: Pain after hip replacement surgery is usually moderate or severe. There are many methods for pain relief after hip replacement surgery. However, the currently-applied post-operative pain management methods have some side effects and complications. Lumbar erector spinae plane block is a safe and effective technique for hip arthroplasty. Objectives: To observe the effectiveness of lumbar erector spinae plane block (LESP) in pain relief after hip arthroplasty and the adverse effects of the procedure. Methods: A descriptive study was carried out on 6 patients who were indicated for hip arthroplasty. After the surgery, the patients had a catheter placed in the plane of the erector spinae muscle at the lumbar level (LESP L3) in the operating room. In the recovery room, when VAS ≥ 4, the patients were administered Anaropin 0.5% via ESP L3 catheter, and a continuous analgesia regimen following standard protocol was set up. The patients were monitored and their pain score was assessed after 24 hours, and 48 hours at the study times; (maximum VAS scores at rest and during mobility). Results: The maximum VAS score at rest was 0.5 and that during mobility was 2.5 on the first day. These scores were 0.3 at rest and 2.3 during mobility on the second day. The proportion of patients who were strongly satisfied and satisfied was 100%. No adverse effects were recorded in this study. Conclusions: The lumbar erector spinae plane block can be applied to relieve postoperative pain in hip arthroplasty.
Institution: Vinmec Da Nang Hospital
Language: Vietnamese
Subfield: Anesthesiology and Pain Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W7216701516