The effect of ultrasound-guided erector spinae plane block on postoperative opioid consumption and respiratory recovery in laparoscopic sleeve gastrectomy: a randomized controlled study

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dc.authorscopusidAli Sait Kavaklı / 57192362478
dc.authorwosidAli Sait Kavaklı / L-5699-2016
dc.contributor.authorKaraveli, Arzu
dc.contributor.authorKaplan, Serdar
dc.contributor.authorKavaklı, Ali Sait
dc.contributor.authorKoşar, Mehmet Nuri
dc.contributor.authorMayir, Burhan
dc.date.accessioned2025-05-08T10:42:53Z
dc.date.available2025-05-08T10:42:53Z
dc.date.issued2024
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractBackground The aim of this prospective, randomized, controlled study was to evaluate the effect of ultrasound (US)-guided bilateral erector spinae plane (ESP) block on postoperative opioid consumption and respiratory recovery in patients with obesity undergoing laparoscopic sleeve gastrectomy (LSG). Methods The study was conducted on 40 patients scheduled for LSG. The patients were randomly allocated into either the ESP block group or the control group. The US-guided bilateral ESP block was performed preoperatively. The control group received no intervention. Results Postoperative median [IQR] tramadol consumption was significantly lower in the ESP block group [150.0 [100-200] mg vs 450.0 [400-500] mg, p < 0.0001]. Postoperative spirometric variables were significantly impaired in both groups, compared with preoperative variables (p < 0.0001). Intraoperative median [IQR] fentanyl consumption was 200.0 [200-200] mu g in the ESP block group, and 350.0 [300-400] mu g in the control group (p < 0.0001). Postoperative mean pain scores at rest and during movement were significantly lower in the ESP block group, at all time points (p < 0.05). In terms of mean arterial PH, Horowitz ratio, and PaCO2, there was no statistically significant difference between the groups (p > 0.05). None of the patients experienced postoperative respiratory adverse events and/or block-related complications. Conclusions US-guided bilateral ESP block significantly reduced both intraoperative and postoperative analgesic consumptions and provided effective postoperative pain control for patients with obesity undergoing bariatric surgery. Following bariatric surgery, all patients' postoperative pulmonary functions deteriorated. The effect of US-guided bilateral ESP block on postoperative respiratory recovery could not be clearly demonstrated. Randomized controlled studies with a larger patient population are necessary.
dc.identifier.citationKaraveli, A., Kaplan, S., Kavakli, A. S., Kosar, M. N., & Mayir, B. (2025). The Effect of Ultrasound-Guided Erector Spinae Plane Block on Postoperative Opioid Consumption and Respiratory Recovery in Laparoscopic Sleeve Gastrectomy: A Randomized Controlled Study. Obesity Surgery, 35(1), 112-121.
dc.identifier.doi10.1007/s11695-024-07576-9
dc.identifier.endpage121
dc.identifier.issn0960-8923
dc.identifier.issn1708-0428
dc.identifier.issue1
dc.identifier.pmid39503926
dc.identifier.scopus2-s2.0-85208231464
dc.identifier.scopusqualityQ1
dc.identifier.startpage112
dc.identifier.urihttp://dx.doi.org/10.1007/s11695-024-07576-9
dc.identifier.urihttps://hdl.handle.net/20.500.12713/7235
dc.identifier.volume35
dc.identifier.wosWOS:001349429200002
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorKavaklı, Ali Sait
dc.institutionauthoridAli Sait Kavaklı / 0000-0001-5263-7183
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofObesity surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectBariatric Surgery
dc.subjectFascial Plane Blocks
dc.subjectObesity
dc.subjectPostoperative Analgesia
dc.subjectSpirometry
dc.titleThe effect of ultrasound-guided erector spinae plane block on postoperative opioid consumption and respiratory recovery in laparoscopic sleeve gastrectomy: a randomized controlled study
dc.typeArticle

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