Efficacy of erector spinae plane block for postoperative analgesia lumbar surgery: a systematic review and meta-analysis.
Erector spinae plane block
Lumbar surgery
Meta-analysis
Opioid consumption
Pain scores
Journal
BMC anesthesiology
ISSN: 1471-2253
Titre abrégé: BMC Anesthesiol
Pays: England
ID NLM: 100968535
Informations de publication
Date de publication:
16 02 2023
16 02 2023
Historique:
received:
13
09
2022
accepted:
06
02
2023
entrez:
16
2
2023
pubmed:
17
2
2023
medline:
22
2
2023
Statut:
epublish
Résumé
The erector spinae plane (ESP) block is a newly defined regional anesthesia technique first described in 2016. The aim of this meta-analysis is to assess the efficacy of ESP block in improving analgesia following lumbar surgery. PubMed, EMBASE, Cochrane Library, and Web of Science were searched for randomized controlled trials (RCTs) that compared the analgesic efficacy of the ESP block with non-block care for lumbar surgery from inception 3 August 2021. The primary outcomes were postoperative opioid consumption and pain scores during the first 24 h. Postoperative pain was measured as pain at rest and on movement at postoperative 0, 4, 8, 12, and 24 h expressed on a visual analog scale (VAS), where 0 = no pain and 10 = the most severe pain. 11 studies involving 775 patients were included in our analysis. The use of ESP block significantly decreased 24-h opioid consumption (WMD, -8.70; 95% CI, -10.48 to -6.93; I ESP block provides less opioid consumption and PONV, lower pain scores, and longer time to first analgesic request in patients undergoing lumbar surgery compared to general anesthesia alone.
Identifiants
pubmed: 36797665
doi: 10.1186/s12871-023-02013-3
pii: 10.1186/s12871-023-02013-3
pmc: PMC9933390
doi:
Substances chimiques
Analgesics, Opioid
0
Types de publication
Meta-Analysis
Systematic Review
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
54Subventions
Organisme : Education Department of Jilin Province
ID : JJKH20221078KJ
Informations de copyright
© 2023. The Author(s).
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