PDF(Pubmed)
Abstract：
UNASSIGNED: Presumed benefits of erector spinae plane blocks (ESPB) include an enhanced safety profile and few complications. There are few large series, which report the incidence of complications associated with ESPB on a procedure-specific basis. The objective of this retrospective cohort study was to estimate the incidence of complications of ESPB in a large series of patients undergoing lumbar spine surgery.
UNASSIGNED: We included 342 consecutive patients who underwent any primary lumbar spine surgery via posterior approach (November 2018-July 2020). All patients received bilateral ultrasound-guided ESPB. The primary study outcome was the incidence of any perioperative complication, defined a priori as sensory, motor, hematologic, hemodynamic or respiratory complication consistent with plausible contribution from the ESPB. Secondary outcomes included the incidence of numeric rating scale (NRS) pain scores ≥7 in the post anesthesia care unit (PACU) and risk factors associated with NRS ≥7 (age, sex, ASA class, BMI, opioid tolerance, surgical type, and duration).
UNASSIGNED: We did not identify any pre-specified complications associated with ESPB. There was one unilateral pneumothorax, in one patient, deemed unlikely to have been related to ESPB. NRS ≥7 was found in 17/342 patients (5%) and was independent of any background differences or risk factors assessed.
UNASSIGNED: Ultrasound guided ESPB for lumbar spine surgery was associated with zero complications, no interference with intraoperative neuromonitoring or the early postoperative neurological examination, and low incidence of poorly controlled pain in the PACU. These results help to establish procedure-specific risks and benefits of ESPB for spine surgery.
UNASSIGNED: We included 342 consecutive patients who underwent any primary lumbar spine surgery via posterior approach (November 2018-July 2020). All patients received bilateral ultrasound-guided ESPB. The primary study outcome was the incidence of any perioperative complication, defined a priori as sensory, motor, hematologic, hemodynamic or respiratory complication consistent with plausible contribution from the ESPB. Secondary outcomes included the incidence of numeric rating scale (NRS) pain scores ≥7 in the post anesthesia care unit (PACU) and risk factors associated with NRS ≥7 (age, sex, ASA class, BMI, opioid tolerance, surgical type, and duration).
UNASSIGNED: We did not identify any pre-specified complications associated with ESPB. There was one unilateral pneumothorax, in one patient, deemed unlikely to have been related to ESPB. NRS ≥7 was found in 17/342 patients (5%) and was independent of any background differences or risk factors assessed.
UNASSIGNED: Ultrasound guided ESPB for lumbar spine surgery was associated with zero complications, no interference with intraoperative neuromonitoring or the early postoperative neurological examination, and low incidence of poorly controlled pain in the PACU. These results help to establish procedure-specific risks and benefits of ESPB for spine surgery.
摘要：
未经评估：竖脊肌平面阻滞（ESPB）的预期益处包括安全性增强和并发症少。很少有大型系列，在特定程序的基础上报告与ESPB相关的并发症的发生率。这项回顾性队列研究的目的是评估接受腰椎手术的大量患者中ESPB并发症的发生率。
UNASSIGNED：我们纳入了342例连续患者，这些患者通过后路（2018年11月至2020年7月）接受了任何腰椎手术。所有患者均接受双侧超声引导下的ESPB。主要研究结果是任何围手术期并发症的发生率，先验定义为感官，电机,血液学，血液动力学或呼吸系统并发症与ESPB的合理贡献一致。次要结果包括麻醉后监护病房（PACU）中数字评定量表（NRS）疼痛评分≥7的发生率以及与NRS≥7相关的危险因素（年龄，性别,ASA类，BMI,阿片类药物耐受性，手术类型,和持续时间)。
UNASSIGNED：我们没有发现任何与ESPB相关的预先指定的并发症。有一次单侧气胸,一个病人,认为不太可能与ESPB有关。在17/342例患者（5％）中发现NRS≥7，并且与任何背景差异或评估的危险因素无关。
UNASSIGNED：超声引导下ESPB用于腰椎手术与零并发症相关，不干扰术中神经监测或术后早期神经检查，PACU疼痛控制不佳的发生率低。这些结果有助于确定ESPB用于脊柱手术的特定程序风险和益处。
UNASSIGNED：我们纳入了342例连续患者，这些患者通过后路（2018年11月至2020年7月）接受了任何腰椎手术。所有患者均接受双侧超声引导下的ESPB。主要研究结果是任何围手术期并发症的发生率，先验定义为感官，电机,血液学，血液动力学或呼吸系统并发症与ESPB的合理贡献一致。次要结果包括麻醉后监护病房（PACU）中数字评定量表（NRS）疼痛评分≥7的发生率以及与NRS≥7相关的危险因素（年龄，性别,ASA类，BMI,阿片类药物耐受性，手术类型,和持续时间)。
UNASSIGNED：我们没有发现任何与ESPB相关的预先指定的并发症。有一次单侧气胸,一个病人,认为不太可能与ESPB有关。在17/342例患者（5％）中发现NRS≥7，并且与任何背景差异或评估的危险因素无关。
UNASSIGNED：超声引导下ESPB用于腰椎手术与零并发症相关，不干扰术中神经监测或术后早期神经检查，PACU疼痛控制不佳的发生率低。这些结果有助于确定ESPB用于脊柱手术的特定程序风险和益处。
