Erector spinae plane block for postoperative analgesia in spine surgery: a systematic review and meta-analysis

2021 ◽  
Author(s):  
Jun Ma ◽  
Yaodan Bi ◽  
Yabing Zhang ◽  
Yingchao Zhu ◽  
Yujie Wu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Spine Surgery ◽  
Postoperative Analgesia ◽  
Meta Analysis ◽  
Erector Spinae ◽  
Erector Spinae Plane Block

scholarly journals Analgesic efficacy of erector spinae plane block in lumbar spine surgery: A systematic review and meta-analysis

2022 ◽  
Vol 78 ◽  
pp. 110647
Author(s):  
Seok Kyeong Oh ◽  
Byung Gun Lim ◽  
Young Ju Won ◽  
Dong Kyu Lee ◽  
Seong Shin Kim
Keyword(s):  
Systematic Review ◽  
Lumbar Spine ◽  
Spine Surgery ◽  
Meta Analysis ◽  
Analgesic Efficacy ◽  
Erector Spinae ◽  
Lumbar Spine Surgery ◽  
Erector Spinae Plane Block

scholarly journals Ultrasound-guided Erector Spinae Plane Block for postoperative analgesia: A Meta-Analysis of Randomized Controlled Trials

2020 ◽  
Author(s):  
Jiao Huang ◽  
Jing Chen Liu
Keyword(s):  
Randomized Controlled Trials ◽  
Postoperative Analgesia ◽  
Meta Analysis ◽  
Opioid Consumption ◽  
Erector Spinae ◽  
Controlled Trials ◽  
Ultrasound Guided ◽  
Randomized Controlled ◽  
Erector Spinae Plane Block ◽  
Pain Scores

Abstract Background: Ultrasound-guided Erector Spinae Plane Block (ESPB) has been increasingly applied in patients for postoperative analgesia. Its safety and effectiveness remain uncertain. This meta-analysis aimed to determine the clinical safety and efficacy of ultrasound-guided ESPB in adults undergoing general anesthesia (GA) surgeries.Methods: A systematic databases search was conducted in PubMed, Embase, and the Cochrane Library for randomized controlled trials (RCTs) comparing ESPB with control or placebo. Primary outcome was iv. opioid consumption 24 h after surgery. Standardized mean differences (SMDs) or risk ratios (RRs) with 95% confidence intervals (CIs) were calculated with a random-effects model. Results: A total of 11 RCTs consisting of 540 patients were included. Ultrasound -guided ESPB showed a reduction of iv. opioid consumption 24 h after surgery (SMD=-2.15; 95% confidence interval (CI) -2.76 to -1.5,p<0.00001), pain scores at 1st hour (SMD=-0.97;95% CI -1.84 to -0.1,p=0.03) and pain scores at 6th hour (SMD=-0.64,95% CI -1.05 to -0.23,p=0.002), Also, it lessened the number of patients who required postoperative analgesia ( RR=0.41,95% CI 0.25 to 0.66,p=0,0002) and time to first rescue analgesia (SMD=4.56,95% CI 1.89 to 7.22, p=0.0008). Differences were not significant with the pain score at 12th hour,24th hour and postoperative nausea and vomiting (PONV).Conclusions: Ultrasound-guided ESPB provides postoperative analgesic efficacy in adults undergoing GA surgeries with no increase in PONV.

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