Published Paper Details:

BACKGROUND: Postoperative pain management is a matter of concern for every anaesthesiologist. Effective pain management is now an integral part of modern surgical practice. Objectives: This work aimed to evaluate whether single dose USG guided erector spinae block post induction prior to surgery decreased the requirement of opioid both during intra operative period and in the postoperative period in the form of delayed first demand of analgesic. METHODS: Eighty patients belonging to ASA Grade I/II, aged 18-60 years, scheduled for lumbar spine surgeries under general anesthesia were included in the study conducted at Govt; medical college hospital Srinagar. The patients were divided into two groups A and C each group comprising of 40 patients. Group A (ERECTOR SPINAE) was given 40ml 2% ropivacaine 20ml on each side of spine as single shot post induction prior to incision and after giving prone position. GROUP C (CONTROL) was given 40ml of 9% normal saline 20ml on each side of spine post induction and after giving prone position. Results: Results displayed that the first demand of analgesia was delayed in patients of group A as compared to control group which was statistically significant (P<0.05). The intraoperative Fentanyl consumption was less in group A as compared to patients of group C which was statistically significant (P<0.05). Postoperative fentanyl consumption was less in patients of group A as compared to control group (P<0.05). The consumption of rescue analgesia injection tramadol was less in patients of group A (ERECTOR SPINAE) then in patients of group C (control) (P<0.05). Conclusion: Giving single shot USG guided erector spinae block 40ml 2% Ropivacaine 20 ml on each side of spine post induction and prior to surgical incision provides good quality of analgesia, reduces opioid consumption both intraoperative and postoperative.