The Effect of Erector Spinae Plane Block on Laparoscopic Cholecystectomy Anesthesia: Analysis of Opioid Consumption, Sevoflurane Consumption, and Cost

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dc.contributor.authorPeker, Kevser
dc.contributor.authorAkçaboy, Zeynep Nur
dc.contributor.authorAydin, Gülçin
dc.contributor.authorGencay, Işın
dc.contributor.authorŞahin, Ahmet Tugrul
dc.contributor.authorKoçak, Yahya Fatih
dc.contributor.authorPeker, Seydi Ali
dc.date.accessioned2021-01-14T18:10:52Z
dc.date.available2021-01-14T18:10:52Z
dc.date.issued2020
dc.departmentKKÜ
dc.description.abstractBackground: Erector spinae plane (ESP) block has been increasingly suggested for laparoscopic cholecystectomy (LC) as a part of multimodal analgesia in many studies. However, there is not any study that investigated the perioperative effects of ESP block on anesthetic agent consumption and cost of LC anesthesia. This is the first study that evaluates the effect of ESP block in terms of cost-effectiveness, intraoperative consumption of inhalation agents, and perioperative consumption of opioids. Materials and Methods: In this prospective observational study, 81 patients who underwent LC were included. Patients were divided into two groups: In Group ESP (n = 39) bilateral ultrasound-guided ESP block was performed in preoperative period and in Group non-ESP (n = 42) ESP block was not performed. After standard general anesthesia protocol, anesthesia was maintained with 2% sevoflurane in 50% air and 50% oxygen with controlled ventilation in both groups. All patients were monitored with electrocardiography, noninvasive blood pressure, pulse oximetry, end-tidal carbon dioxide, and bispectral index. The consumption of sevoflurane and opioids in the intraoperative and postoperative 24 hours was recorded. The costs of drugs were determined by multiplying total consumed amounts with unit prices. Results: The costs and the consumed amounts of remifentanyl, sevoflurane, and tramadol were significantly higher in non-ESP group in the perioperative period (respectively, P < .001, P = .01, and P < .001). Conclusions: ESP block for LC decreased the consumed amount and cost of inhaled agents and opioids in the perioperative period.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1089/lap.2019.0809
dc.identifier.endpage729en_US
dc.identifier.issn1092-6429
dc.identifier.issn1557-9034
dc.identifier.issue7en_US
dc.identifier.pmid32023174
dc.identifier.startpage725en_US
dc.identifier.urihttps://doi.org/10.1089/lap.2019.0809
dc.identifier.urihttps://hdl.handle.net/20.500.12587/12804
dc.identifier.volume30en_US
dc.identifier.wosWOS:000512315600001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherMARY ANN LIEBERT, INCen_US
dc.relation.ispartofJOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectlaparoscopic cholecystectomyen_US
dc.subjectanesthesia costen_US
dc.subjectanalgesia costen_US
dc.subjecterector spinae plane block for laparoscopic cholecystectomyen_US
dc.titleThe Effect of Erector Spinae Plane Block on Laparoscopic Cholecystectomy Anesthesia: Analysis of Opioid Consumption, Sevoflurane Consumption, and Costen_US
dc.typeArticle

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