Effect of adding fentanyl to bupivacaine in ultra-sound guided erector spinae plane block (ESPB) in modified radical mastectomy surgeries: A randomized trial

Q2 Nursing Perioperative Care and Operating Room Management Pub Date : 2024-12-05 DOI:10.1016/j.pcorm.2024.100453

Karim Ahmed Ismail Ahmed, Nermien Sadek Nasr Abdelmalek, Reem Hamdy Mohammed El kabarity, Eman Mohammed Kamal Abo Seif, Noha Mohammed Abdelaziz

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Abstract

Background

Different adjuvants were added to the nerve block to potentiate its analgesic effect and reduce postoperative narcotic consumption. Our objective was to investigate the impact of incorporating fentanyl into bupivacaine in erector spinae plane block (ESPB) for modified radical mastectomy surgeries.

Patients and Methods

Sixty female patients underwent modified radical mastectomy surgeries under general anesthesia, and then they were divided into two equal groups that received ESPB either with bupivacaine alone or with fentanyl.

Results

The total nalpubhine consumption and visual analogue scale score(VAS) were lower in Group 2 than in Group 1. Additionally, patients in Group 2 underwent a longer period of time without requiring the first dose of rescue analgesia. With regard to hemodynamics, Group 2 patients showed lower mean arterial blood pressure (MAP) and heart rate (HR) than group 1 at the 6th and 12th hours postoperatively.

Conclusion

The findings of our study revealed that incorporating fentanyl into local anesthetics in ESBP prolonged postoperative analgesia, reduced pain scores, and decreased postoperative opioid consumption.

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来源期刊

Perioperative Care and Operating Room Management Nursing-Medical and Surgical Nursing

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

56 days

期刊介绍： The objective of this new online journal is to serve as a multidisciplinary, peer-reviewed source of information related to the administrative, economic, operational, safety, and quality aspects of the ambulatory and in-patient operating room and interventional procedural processes. The journal will provide high-quality information and research findings on operational and system-based approaches to ensure safe, coordinated, and high-value periprocedural care. With the current focus on value in health care it is essential that there is a venue for researchers to publish articles on quality improvement process initiatives, process flow modeling, information management, efficient design, cost improvement, use of novel technologies, and management.