To evaluate the efficacy of erector spinae plane block (ESPB) on intraoperative hemodynamic stability, opioid and inhalation anesthetic requirements and postoperative analgesic effects in patients undergoing surgical stabilization of rib fractures (SSRFs). We retrospectively reviewed 173 patients who underwent surgical stabilization of rib fractures between May 2020 and December 2023. The patients were allocated into the ESPB group or the control group. Demographic data, intraoperative hemodynamic parameters, total intraoperative opioid consumption, the average minimum alveolar concentration (MAC) of inhalational anesthetics, postoperative simple analgesics and opioid consumption and the length of hospital stay were included in the analysis. Compared with the control group, the ESPB group had a lower heart rate (HR) in the first 90 min after surgical incision and lower systolic blood pressure (SBP) and mean arterial pressure (MAP) at the beginning of surgery. Intraoperatively, a notable reduction in fentanyl consumption was observed in the ESPB group (p = 0.004), whereas no significant difference was observed in the average MAC of inhalational agents (p = 0.073). Postoperatively, the ESPB group required fewer doses of simple analgesics in the first 24 h (p < 0.001) and 48 h (p = 0.029). No statistically significant difference in the length of hospital stay (p = 0.608) was observed between the groups. ESPB was shown to enhance intraoperative hemodynamic stability, reduce opioid consumption and decrease postoperative analgesic consumption in patients who underwent SSRF. These results suggest that ESPB may serve as a valuable component of multimodal analgesia protocols for SSRF. Larger prospective studies are warranted to confirm the results and evaluate long-term outcomes.

中文翻译：

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竖脊肌平面阻滞 （ESPB） 可增强血流动力学稳定性，降低手术稳定肋骨骨折 （SSRF） 中的镇痛需求


评价竖脊肌平面阻滞 （ESPB） 对接受手术稳定肋骨骨折 （SSRFs） 的患者术中血流动力学稳定性、阿片类药物和吸入麻醉需求以及术后镇痛效果的疗效。我们回顾性回顾了 2020 年 5 月至 2023 年 12 月期间接受手术稳定肋骨骨折的 173 例患者。将患者分为 ESPB 组或对照组。分析包括人口学资料、术中血流动力学参数、术中阿片类药物总消耗量、吸入麻醉剂的平均最低肺泡浓度 （MAC）、术后简单镇痛药和阿片类药物消耗量以及住院时间。与对照组相比，ESPB 组手术切口后前 90 min 心率 （HR） 较低，手术开始时收缩压 （SBP） 和平均动脉压 （MAP） 较低。术中，ESPB 组观察到芬太尼消耗量显着减少 （p = 0.004），而吸入剂的平均 MAC 未观察到显着差异 （p = 0.073）。术后，ESPB 组在前 24 小时 （p < 0.001） 和 48 小时 （p = 0.029） 需要较少剂量的简单镇痛药。两组之间住院时间 （p = 0.608） 无统计学意义差异。ESPB 被证明可以提高 SSRF 患者的术中血流动力学稳定性，减少阿片类药物的消耗并减少术后镇痛药的消耗。这些结果表明，ESPB 可能作为 SSRF 多模式镇痛方案的重要组成部分。 需要更大规模的前瞻性研究来确认结果并评估长期结局。