Erector Spinae Plane Block versus Transversus Abdominis Plane Block for Postoperative Analgesia in Abdominal Surgery: A Systematic Review and Meta-Analysis

Lin, Liheng; Siyuan, Cai; Cai, Zhen; Changxue, Wu

doi:10.1080/08941939.2022.2098426

Cited by 16 publications

(22 citation statements)

References 49 publications

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“…Liheng et al (23) , conducted a meta-analysis including 570 patients from 10 different randomized controlled trials that compared both Erector spinae plane block and TAPB in abdominal surgeries. They found that across all studies, ESPB significantly reduced 24h postoperative opioid consumption and produced longer block duration when compared to TAPB.…”

Section: Discussionmentioning

confidence: 99%

Erector Spinae Plane Block: An Analgesic Technique as an Alternative to Transversus Abdominis Plane Block in Abdominoplasty Surgery

Farahat¹,

Eid

Hasheesh³

et al. 2023

The Egyptian Journal of Hospital Medicine

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Background: Managing post abdominoplasty pain can be quite challenging. Multimodal analgesia strategies have been used to provide maximum benefit with less side effects. Combining regional anaesthetic techniques with multiple non opioid analgesics can provide efficient postoperative analgesia. Objective: This study aimed at comparing the analgesic efficacy of ultrasound guided erector spinae plane block (ESPB) and ultrasound guided transversus abdominis plane block (TAPB) in abdominoplasty surgery when given as a part of multimodal analgesic strategy. Patients and methods: A total of 69 females ASA I & II physical status patients aged between 25 and 65 years who were scheduled for abdominoplasty surgery under general anaesthesia were included in this study. Patients were allocated to three groups; Control group received only standard general anaesthesia, TAPB group received standard general anaesthesia in addition to TAPB, while ESPB group received standard general anaesthesia and ESPB. We recorded total opioid consumption, time of first analgesic request, visual analogue score and hemodynamic changes in first 24h postoperatively. Results: ESPB and TAPB reduced postoperative opioid consumption and prolonged time till analgesic request than the control group. ESPB prolonged duration of analgesia and reduced postoperative heart rate, while TAPB block was relatively easier and less time consuming. Conclusion: ESPB and TAPB can provide considerable postoperative analgesia following abdominoplasty surgery when being incorporated in a multimodal analgesia regimen. Therefore, we recommend using either technique to lessen pain in patients subjected to abdominoplasty surgery.

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Section: Discussionmentioning

confidence: 99%

Erector Spinae Plane Block: An Analgesic Technique as an Alternative to Transversus Abdominis Plane Block in Abdominoplasty Surgery

Farahat¹,

Eid

Hasheesh³

et al. 2023

The Egyptian Journal of Hospital Medicine

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“…The counting data were described as n (%), and compared using χ 2 test. analgesia for abdominal surgery (9,17). ESPB improves somatic and visceral pain via influencing the ventral ramus and rami communicates that contain sympathetic nerve fibers when local anesthetic spreads through the paravertebral space (10,18,19).…”

Section: Discussionmentioning

confidence: 99%

“…Ultrasound-guided TAPB is a simple technique that reduces postoperative pain and opioids consumption; however, it fails to relieve visceral pain and limits the spread of local anesthetics ( 9 ). Ultrasound-guided ESPB is considered an alternative to provide effective postoperative analgesia for abdominal surgery ( 9 , 17 ). ESPB improves somatic and visceral pain via influencing the ventral ramus and rami communicates that contain sympathetic nerve fibers when local anesthetic spreads through the paravertebral space ( 10 , 18 , 19 ).…”

Section: Discussionmentioning

confidence: 99%

The efficiency of ultrasound-guided erector spinae plane block in early cervical cancer patients undergoing laparotomic radical hysterectomy: A double-blind randomized controlled trial

et al. 2023

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AimsWe aim to compare the efficiency of erector spinae plane block (ESPB) with transversus abdominis plane block (TAPB) in patients undergoing laparotomic radical hysterectomy because only a few studies are reported exploring this matter.MethodsIn this randomized controlled trail, 154 eligible patients were randomly allocated into ESPB group [ESPB + patient-controlled intravenous analgesia (PCIA)] and TAPB group (TAPB + PCIA) at 1:1 ratio. The primary outcome was visual analog scale (VAS) score at rest state at 12 h.ResultsWe found that ESPB group was associated with the lower VAS scores at rest and cough state than TAPB group at 2, 4, 6, 12, and 24 h postoperatively (P < 0.05). Less analgesic consumption and sufentanil consumption in PCIA pump were found in the ESPB group (P < 0.05). Moreover, ESPB group was followed by fewer rescue analgesia requirements, less rescue analgesic consumption, less adverse reactions, and higher analgesia satisfaction (P < 0.05).ConclusionsOur study found that ESPB had advantages on analgesic effect and opioids consumption. In the future, more studies were needed to confirm our findings. Systematic Review Registration:https://www.chictr.org.cn/index.aspx, identifier: ChiCTR2100044240.

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“…However, growing evidence supports the effectiveness of regional blocks, such as the erector spinae plane (ESP) block and the transversus abdominis plane (TAP) block. Although both are good ways to relieve postoperative pain after abdominal surgery, a recent meta-analysis states that ESP block does not provide better clinical analgesia than the TAP block [ 33 ]. In addition, TAP block appears to provide both an effective analgesia and a significant reduction in opioid use on the first postoperative day after colorectal surgery [ 34 ].…”

Section: Introductionmentioning

confidence: 99%

Regional anesthesia in the intensive care unit: a single center’s experience and a narrative literature review

Russo

Latta

Santonastaso

et al. 2023

Discov Health Systems

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Erector Spinae Plane Block versus Transversus Abdominis Plane Block for Postoperative Analgesia in Abdominal Surgery: A Systematic Review and Meta-Analysis

Cited by 16 publications

References 49 publications

Erector Spinae Plane Block: An Analgesic Technique as an Alternative to Transversus Abdominis Plane Block in Abdominoplasty Surgery

Erector Spinae Plane Block: An Analgesic Technique as an Alternative to Transversus Abdominis Plane Block in Abdominoplasty Surgery

The efficiency of ultrasound-guided erector spinae plane block in early cervical cancer patients undergoing laparotomic radical hysterectomy: A double-blind randomized controlled trial

Regional anesthesia in the intensive care unit: a single center’s experience and a narrative literature review

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