{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T08:28:57Z","timestamp":1788510537843,"version":"build-2803163510"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,11]]},"abstract":"\n Background and Aims:<\/jats:title>\n Thoracolumbar spine surgery is one of the most painful surgical procedures. This study's primary objective was to evaluate the effect of erector spinae plane (ESP) block on post-operative cumulative morphine consumption at 24 h in patients undergoing thoracolumbar spine surgery.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n Seventy adults posted for thoracolumbar spine surgery were randomised into the control group [Number of patients (n)=35], who received general anaesthesia without any nerve block, and the intervention group (n = 35), who received bilateral ultrasound (US)-guided ESP block at the level of spine surgery with 0.25% bupivacaine 20 mL after standard general anaesthesia. Along with intravenous patient-controlled analgesia morphine, post-operative analgesia was standardised for both groups. Total morphine consumption, visual analogue scale (VAS) score to evaluate pain, overall patient satisfaction, and any side effects were compared at 24 h. The statistical analysis was done using Statistical Package for Social Sciences (SPSS Inc., Chicago, IL).<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Post-operative total morphine consumption at 24 h was significantly decreased in the intervention group compared to the control group [5.69 (1.549) versus 9.51 (1.634) mg;\n P<\/jats:italic>\n < 0.001]. Post-operative VAS scores were also significantly decreased in the intervention group at rest (\n P<\/jats:italic>\n < 0.001) and on movement (\n P<\/jats:italic>\n < 0.001). Patient satisfaction scores were more favourable in the intervention group [3.8 (0.4) versus 3.2 (0.6);\n P<\/jats:italic>\n < 0.001]. Post-operative nausea and vomiting were found more in the control group but were not significant (n = 14 versus 8;\n P<\/jats:italic>\n = 0.127).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n US-guided ESP block significantly reduces post-operative morphine consumption and improves analgesia and patient satisfaction without adverse effects in patients undergoing thoracolumbar spine surgery.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ija.ija_357_23","type":"journal-article","created":{"date-parts":[[2023,11,4]],"date-time":"2023-11-04T13:00:19Z","timestamp":1699102819000},"page":"985-990","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Erector spinae plane block for post-operative analgesia in thoracolumbar spine surgery: A randomised controlled trial"],"prefix":"10.4103","volume":"67","author":[{"given":"Seerat","family":"Chiraya","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, AIIMS Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasveer","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sukanya","family":"Mitra","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arvind","family":"Malhotra","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Government Medical College and Hospital, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohit Kishore","family":"Srivastava","sequence":"additional","affiliation":[{"name":"Department of Physical Medical Rehabilitation, AIIMS Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samra","family":"Fatima","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,11,7]]},"reference":[{"key":"R1-20260511","doi-asserted-by":"crossref","first-page":"1057","DOI":"10.1007\/s12630-018-1145-8","article-title":"Low thoracic erector spinae plane block for perioperative analgesia in lumbosacral spine surgery: A case series","volume":"65","author":"Melvin","year":"2018","journal-title":"Can J Anesth"},{"key":"R2-20260511","doi-asserted-by":"crossref","first-page":"119","DOI":"10.4103\/ija.ija_257_21","article-title":"Serratus anterior plane block and erector spinae plane block in postoperative analgesia in thoracotomy: A randomised controlled study","volume":"66","author":"Hassan","year":"2022","journal-title":"Indian J Anaesth"},{"key":"R3-20260511","doi-asserted-by":"crossref","first-page":"573","DOI":"10.4103\/ija.ija_815_21","article-title":"Novel use of erector spinae plane block in laparoscopic surgery","volume":"66","author":"Baheti","year":"2022","journal-title":"Indian J Anaesth"},{"key":"R4-20260511","doi-asserted-by":"crossref","first-page":"837","DOI":"10.4103\/ija.ija_692_21","article-title":"Erector spinae plane block for postoperative analgesia following percutaneous nephrolithotomy under spinal anaesthesia- A randomised controlled study","volume":"66","author":"Shah","year":"2022","journal-title":"Indian J Anaesth"},{"key":"R5-20260511","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1093\/bja\/aei227","article-title":"Tolerability of acute postoperative pain management: Nausea, vomiting, sedation, pruritus, and urinary retention. Evidence from published data","volume":"95","author":"Dolin","year":"2005","journal-title":"Br J Anaesth"},{"key":"R6-20260511","doi-asserted-by":"crossref","first-page":"e779","DOI":"10.1016\/j.wneu.2019.02.149","article-title":"Postoperative analgesic efficacy of the ultrasound-guided erector spinae plane block in patients undergoing lumbar spinal decompression surgery: A randomized controlled study","volume":"126","author":"Yayik","year":"2019","journal-title":"World Neurosurg"},{"key":"R7-20260511","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1097\/AAP.0000000000000451","article-title":"The erector spinae plane block: A novel analgesic technique in thoracic neuropathic pain","volume":"41","author":"Forero","year":"2016","journal-title":"Reg Anesth Pain Med"},{"key":"R8-20260511","doi-asserted-by":"crossref","first-page":"4174","DOI":"10.21037\/jtd-20-689","article-title":"Evaluation of ultrasound-guided erector spinae plane block for postoperative management of video-assisted thoracoscopic surgery: A prospective, randomized, controlled clinical trial","volume":"12","author":"Shim","year":"2020","journal-title":"J Thorac Dis"},{"key":"R9-20260511","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1007\/s12630-020-01875-2","article-title":"Mechanisms of action of the erector spinae plane (ESP) block: A narrative review","volume":"68","author":"Jinn","year":"2021","journal-title":"Can J Anesth"},{"key":"R10-20260511","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1097\/ANA.0000000000000603","article-title":"Bilateral ultrasound-guided erector spinae plane block for postoperative analgesia in lumbar spine surgery: A randomized control trial","volume":"32","author":"Singh","year":"2020","journal-title":"J Neurosurg Anesthesiol"},{"key":"R11-20260511","doi-asserted-by":"crossref","first-page":"709","DOI":"10.2147\/JPR.S248171","article-title":"Bilateral erector Spinae plane blocks for open posterior lumbar surgery","volume":"13","author":"Zhang","year":"2020","journal-title":"J Pain Res"},{"key":"R12-20260511","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1186\/s12871-023-02130-z","article-title":"Erector spinae plane block for perioperative pain management in neurosurgical lower-thoracic and lumbar spinal fusion: A single-centre prospective randomised controlled trial","volume":"23","author":"Bellantonio","year":"2023","journal-title":"BMC Anesthesiol"},{"key":"R13-20260511","doi-asserted-by":"crossref","first-page":"254","DOI":"10.31616\/asj.2018.0114","article-title":"Efficacy of the erector spinae plane block for lumbar spinal surgery: A retrospective study","volume":"13","author":"Ueshima","year":"2019","journal-title":"Asian Spine J"},{"key":"R14-20260511","doi-asserted-by":"crossref","first-page":"2597","DOI":"10.2147\/JPR.S182128","article-title":"Efficacy of bilateral erector spinae plane block in the management of pain: Current insights","volume":"12","author":"Tulgar","year":"2019","journal-title":"J Pain Res"}],"container-title":["Indian Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ija.ija_357_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:24:58Z","timestamp":1786724698000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ija.ija_357_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11]]},"references-count":14,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/ija.ija_357_23","relation":{},"ISSN":["0019-5049","0976-2817"],"issn-type":[{"value":"0019-5049","type":"print"},{"value":"0976-2817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11]]},"assertion":[{"value":"2023-04-21","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-05","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}