Postoperative Analgesic Efficacy of Erector Spinae Plane Block in Patients Undergoing Lumbar Spinal Surgery: A Systematic Review and Meta-Analysis

Liu, Minjun; Zhou, Xuyan; Yao, Yibing; Shen, Xiao‐Jun; Wang, Rong; Shen, Qi-Hong

doi:10.1007/s40122-021-00256-x

Cited by 44 publications

(39 citation statements)

References 33 publications

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“…ESPB is a relatively easy regional block to operate, and previous larger sample size studies demonstrated that ESPB is safe [ 28 , 29 ]. There are only a few case reports of operation-related complications.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Ultrasound-Guided Erector Spinae Plane Block and Oblique Subcostal Transverse Abdominis Plane Block for Postoperative Analgesia in Elderly Patients After Laparoscopic Colorectal Surgery: A Prospective Randomized Study

et al. 2021

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Introduction: Postoperative analgesia in elderly patients is still a thorny problem. Ultrasoundguided oblique subcostal transverse abdominis plane block (TAPB) has been demonstrated to provide postoperative analgesia after abdominal surgeries. However, recent studies have suggested that an alternative method, erector spinae plane block (ESPB), might also be effective. In this study, we compared the postoperative analgesic effects of ESPB and TAPB in elderly patients who had undergone laparoscopic colorectal surgery. Methods: Sixty-two elderly patients (C 65 years old) scheduled for elective laparoscopic colorectal surgery with general anesthesia were randomly allocated to two equally sized groups: ESPB group and TAPB group. The ESPB group had a bilateral erector spinae plane block, and the TAPB group had a bilateral oblique subcostal transverse abdominis plane block. The primary outcome was visual analogue scale (VAS) pain score during the first 24 postoperative hours at resting and active states. The secondary outcomes were postoperative consumption of sufentanil, satisfaction score, the number of patients who required antiemetics, incidence of block-related complications, and other side events. Results: There were no demographic differences between two groups. Compared to the TAPB group, the ESPB group had lower VAS pain scores and sufentanil consumption during the first 24 postoperative hours. Additionally, ESPB reduced the occurrence of postoperative nausea and vomiting. Furthermore, the satisfaction score was higher in the ESPB group. No other complications were reported between the two groups. Conclusions: Compared with oblique subcostal TAPB, ESPB more effectively reduced postoperative pain and opioid consumption. Thus, ESPB is suitable for postoperative analgesia in elderly patients who have undergone laparoscopic colorectal surgery.

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Section: Discussionmentioning

confidence: 99%

Comparison of Ultrasound-Guided Erector Spinae Plane Block and Oblique Subcostal Transverse Abdominis Plane Block for Postoperative Analgesia in Elderly Patients After Laparoscopic Colorectal Surgery: A Prospective Randomized Study

et al. 2021

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“…One of the most significant advantages of regional anesthesia is that the area and duration of analgesia can be modified by changing the anesthetic volume or using a supplemental catheter. ESPB, a novel technique, may be appropriate for managing perioperative pain in patients undergoing lumbar spine surgery from the perspective of anatomical approaching [5]. Further studies are required to confirm the effectiveness and safety of ESPB.…”

mentioning

confidence: 99%

Erector spinae plane block for back surgery

Satomoto

Adachi

2021

J Anesth

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“…Many studies have shown that postoperative opioid consumption can be reduced by ESP block [ 11 ]. It is recommended to use local anesthetic techniques to reduce perioperative opioid consumption in ERAS (enhanced recovery after surgery) protocols.…”

Section: Discussionmentioning

confidence: 99%

Is Opioid-free Anesthesia Possible by Using Erector Spinae Plane Block in Spinal Surgery?

Taşkaldıran¹

2021

Cureus

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Objective: Erector spinae plane (ESP) block can be a method to be used for postoperative pain control in lumbar herniated disc operations. The aim of this study is to investigate the effect of erector spinae block in lumbar herniated disc operation on intraoperative and postoperative opioid consumption.Methods: Sixty patients scheduled for lumbar herniated disc surgery were included in the study. Patients were randomized into two groups: ESP block and control. Ultrasound-guided ESP block with 20 ml 0.25% bupivacaine at the bilateral L3 vertebral level was applied preoperatively to all patients in the ESP group. Patients in both groups were provided with intravenous patient-controlled analgesia (PCA) device containing fentanyl for postoperative analgesia. Fentanyl consumption and visual analogue scale (VAS) score were recorded at 15 min, 1, 6, 12, and 24 hours postoperatively.

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Postoperative Analgesic Efficacy of Erector Spinae Plane Block in Patients Undergoing Lumbar Spinal Surgery: A Systematic Review and Meta-Analysis

Cited by 44 publications

References 33 publications

Comparison of Ultrasound-Guided Erector Spinae Plane Block and Oblique Subcostal Transverse Abdominis Plane Block for Postoperative Analgesia in Elderly Patients After Laparoscopic Colorectal Surgery: A Prospective Randomized Study

Comparison of Ultrasound-Guided Erector Spinae Plane Block and Oblique Subcostal Transverse Abdominis Plane Block for Postoperative Analgesia in Elderly Patients After Laparoscopic Colorectal Surgery: A Prospective Randomized Study

Erector spinae plane block for back surgery

Is Opioid-free Anesthesia Possible by Using Erector Spinae Plane Block in Spinal Surgery?

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