Role of Erector Spinae Block in Transjugular Intrahepatic Portosystemic Shunt procedure: A Randomized Controlled Trial - Trial PACTR202110642018302

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Summary

Patients undergoing TIPS are medically complex as a result of chronic liver disease causing multisystem physiological disruption. They should receive multidisciplinary input as part of comprehensive preoperative assessment and optimization before undergoing the procedure. Complexities of remote site anesthesia should be considered. For elective TIPS procedures, the choice between sedation or general anesthesia will depend on patient factors and local practice. Erector spinae block constitutes a relatively new truncal block that aims to deposit local anesthetic (LA) between the thoracic transverse process and erector spinae muscle. The significant advantages of ESP block relate to the relative ease, simplicity, and safety of the block with fewer risks of pneumothorax. Ultrasound is used to determine the vertebral level of insertion and identify the erector spinae muscle over the transverse process. This study aims to investigate the efficacy of Erector Spiane Plane block in patients scheduled for Transjugular Intrahepatic Portosystemic Shunt procedure on analgesia and hemodynamic stability. The secondary goal is to assess the intra- and post-procedure complications and evaluate the patient and radiologist satisfaction in the study group according to the 10 cm numeric rating scale (NRS) for pain score.

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