PATHOPHYSIOLOGICAL RATIONALE AND PERSONALIZATION OF MULTIMODAL ANALGESIA WITH ESP BLOCK IN PURULENT-SEPTIC DISEASES OF THE THORACIC CAVITY
Keywords:
erector spinae plane block (ESPB), multimodal analgesia, personalized analgesia, purulent-septic thoracic diseases, postoperative pain, respiratory function, opioid consumption, postoperative pulmonary complications, TAPS-ESPB and TAES scalesAbstract
This study is aimed at developing pathophysiologically grounded criteria for selecting multimodal analgesia with the integration of the erector spinae plane block (ESPB) in patients with purulent-septic diseases of the thoracic cavity. The study included 66 patients with mediastinitis, chronic pleural empyema, and rib osteomyelitis who received conventional opioid-centered analgesia. Pain intensity, respiratory function parameters, opioid consumption, and the incidence of postoperative pulmonary complications were assessed.
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