ERECTOR SPINAE PLANE BLOCK IN ABDOMINAL SURGERY: A META-ANALYSIS
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Date
2022
Authors
Viderman, Dmitriy
Aubakirova, Mina
Abdildin, Yerkin G.
Journal Title
Journal ISSN
Volume Title
Publisher
Frontiers in Medicine
Abstract
Background: Abdominal surgery is one of the most definitive and mainstay treatment
options for abdominal pathologies in clinical practice. Acute postoperative pain is a
major challenge in the postoperative period. Although opioids are commonly used for
analgesia after major abdominal surgeries, they can lead to side effects, such as nausea
and vomiting, constipation, pruritus, and life-threatening respiratory depression. Regional
anesthetic techniques are commonly used to prevent or minimize these side effects.
The objective of this meta-analysis is to assess the effectiveness of erector spinae
plane block (ESPB) and standard medical (no block) pain management after major
abdominal surgeries.
Methods: We searched for articles reporting the results of randomized controlled trials
on ESPB and no block in pain control published before May 2021.
Results: The systematic search initially yielded 56 publications, 49 articles were
excluded, and seven randomized clinical trials were included and analyzed. We extracted
the data on postoperative opioid consumption, the efficacy of pain relief, time to the first
opioid demand, and the rate of postoperative complications in the ESPB group and no
block group.
Conclusions: Opioid requirement and time to first analgesic request were significantly
reduced in the ultrasound-guided ESPB group, but pain scores, nausea, and vomiting
did not differ significantly after pooling the results of the block and no block studies. There
were no reports on serious complications related to ESPB.
Description
Keywords
Type of access: Open Access, regional anesthesia, erector spinae plane block, abdominal surgery, pain management, postoperative analgesia, opioid consumption
Citation
Viderman, D., Aubakirova, M., & Abdildin, Y. G. (2022). Erector Spinae Plane Block in Abdominal Surgery: A Meta-Analysis. Frontiers in Medicine, 9. https://doi.org/10.3389/fmed.2022.812531