Comparison of Lumbar Erector Spinae Plane (ESP) Block versus Fentanyl for Post-Operative Pain Control in Minimally Invasive Lumbar Disc Surgery

Umar Shahzad; Junaid  Zafar; Muhammad Saad  Sikander; Kaukab  Majeed; Azmat  Riaz; Khurshid  Bangash

doi:10.51253/pafmj.v76i3.11294

Authors

Umar Shahzad Department of Anesthesiology, Combined Military Hospital, Quetta /National University of Medical Sciences (NUMS) Pakistan
Junaid Zafar Department of Anesthesiology, Combined Military Hospital, Quetta /National University of Medical Sciences (NUMS) Pakistan
Muhammad Saad Sikander Department of Anesthesiology, Combined Military Hospital, Quetta /National University of Medical Sciences (NUMS) Pakistan
Kaukab Majeed Department of Anesthesiology, Combined Military Hospital, Quetta /National University of Medical Sciences (NUMS) Pakistan
Azmat Riaz Department of Anesthesiology, Combined Military Hospital, Quetta /National University of Medical Sciences (NUMS) Pakistan
Khurshid Bangash Department of Anesthesiology, Combined Military Hospital, Quetta /National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v76i3.11294

Keywords:

Erector spinae plane (ESP) block, Fentanyl, Lumbar disc surgery, Minimally invasive lumbar disc surgery (MIS-LDS), Lumbago and Pain

Abstract

Objective: To measure efficacy of Erector Spinae Plane (ESP) block compared to intravenous Fentanyl for reduction of post-operative pain after Minimally Invasive Lumbar Disc Surgery.

Study Design: Quasi-Experimental Study

Place and Duration of Study: Operation Theatre, Combined Military Hospital (CMH) Quetta, Pakistan from July-Dec 2023.

Methodology: After ethical approval, sixty patients were divided into two groups. Group-FEN and Group-ESP. In Group-ESP, thirty patients were given Erector Spinae Plane (ESP) block and in Group-FEN thirty patients were given intravenous Fentanyl for post-operative analgesia. Primary outcome of our study was the mean duration to first rescue analgesia and secondary outcome was pain intensity at time of first rescue analgesia.

Results: Time to receive first analgesia was considerably shorter in Group-FEN that is 2.37 ± 0.69 hours compared to 13.07±4.22 hours in Group-ESP with a p-value of <0.001. Similarly, the pain intensity was mild in 2(6.7%) patients, moderate in 19(63.3%) patients and severe in 9(30.0%) patients in Group-FEN. The pain intensity at first analgesic request was moderate in 17(56.7%) patients and severe in 13(43.3%) patients in Group-ESP.

Conclusion: The Erector Spinae Plane (ESP) Block provides better quality and duration of post-operative analgesia than Fentanyl for patients undergoing minimally invasive Lumbar disc surgery.

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