Bilateral versus unilateral erector spinae plane block for postoperative analgesia in laparoscopic cholecystectomy: a randomized controlled study

Cesur, Sevim; Yörükoğlu, Hadi Ufuk; Aksu, Can; Kuş, Alparslan

doi:10.1016/j.bjane.2021.04.020

Cited by 5 publications

(12 citation statements)

References 18 publications

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“…Multimodal therapy has been widely used for postoperative analgesia to decrease opioid-related side effects [18]. Regional anesthetic techniques such as epidural block, paravertebral block, TAP block, quadratus lumborum block, and ESPB have been developed for analgesia after LC [3,[7][8][9][10][11][12][13][14].…”

Section: Discussionmentioning

confidence: 99%

“…Regional anesthesia during surgery reduces the use of systemic medications, including opioids, for postoperative pain [6]. Regional anesthesia for postoperative pain in LC includes epidural, paravertebral, and fascial plane blocks [3,[7][8][9][10][11][12][13][14]. However, epidural and paravertebral blocks have the potential risk of complications such as hematoma, pneumothorax, and epidural abscess [15].…”

mentioning

confidence: 99%

“…However, epidural and paravertebral blocks have the potential risk of complications such as hematoma, pneumothorax, and epidural abscess [15]. Fascial plane blocks, such as the transversus abdominis plane (TAP) block, rectus sheath block, and erector spinae plane block (ESPB), can reduce postoperative pain during abdominal surgeries [3,[9][10][11][12][13][14]. Sympathetic block, hypotension, and epidural hematoma in patients with coagulopathy can be avoided using fascial plane blocks instead of epidural blocks [16].…”

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confidence: 99%

“…ESPB is a safe and easy-to-perform fascial plane block. Several studies have demonstrated the analgesic effect of ESPB on post-cholecystectomy pain [3,[9][10][11][12][13][14]. Despite a growing number of publications related to ESPB, the appropriate dose of local anesthetics for ESPB in LC remains unclear.…”

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confidence: 99%

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Comparison of the efficacy of erector spinae plane block according to the difference in bupivacaine concentrations for analgesia after laparoscopic cholecystectomy: a retrospective study

Park

Chu

et al. 2023

JYMS

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Although laparoscopic cholecystectomy (LC) is noninvasive, painBackground: Laparoscopic cholecystectomy (LC) is a noninvasive surgery, but postoperative pain is a major problem. Studies have indicated that erector spinae plane block (ESPB) has an analgesic effect after LC. We aimed to compare the efficacy of different ESPB anesthetic concentrations in pain control in patients with LC. Methods: This retrospective study included patients aged 20 to 75 years scheduled for LC with the American Society of Anesthesiologists physical status classification I or II. ESPB was administered using 0.375% bupivacaine in group 1 and 0.25% in group 2. Both groups received general anesthesia. Postoperative tramadol consumption and pain scores were compared and intraoperative and postoperative fentanyl requirements in the postanesthesia care unit (PACU) were measured. Results: Eighty-five patients were included in this analysis. Tramadol consumption in the first 12 hours, second 12 hours, and total 24 hours was similar between groups (p> 0.05). The differences between postoperative numeric rating scale (NRS) scores at rest did not differ significantly. The postoperative NRS scores upon bodily movement were not statistically different between the two groups, except at 12 hours. The mean intraoperative and postoperative fentanyl requirements in the PACU were similar. The difference in the requirement for rescue analgesics was not statistically significant (p= 0.788). Conclusion: Ultrasound-guided ESPB performed with different bupivacaine concentrations was effective in both groups for LC analgesia, with similar opioid consumption. A lower concentration of local anesthetic can be helpful for the safety of regional anesthesia and is recommended for the analgesic effect of ESPB in LC.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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Comparison of the efficacy of erector spinae plane block according to the difference in bupivacaine concentrations for analgesia after laparoscopic cholecystectomy: a retrospective study

Park

Chu

et al. 2023

JYMS

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“…Erector spinae plane block (ESPB), one of novel regional techniques, was described in 2016 by Forero et al 8 and it had been performed for breast surgery, 9 lumbar spine surgery, 10 , 11 thoracoscopic surgery, 12 cholecystectomy, 13 and cardiac surgery. 14 Despite ESPB is widely used in many regions to treat perioperative pain, its benefits are still somewhat controversial.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Single-Shot Erector Spinae Plane Block (ESPB) on Opioid Consumption for Various Surgeries: A Meta-Analysis of Randomized Controlled Trials

Cui¹,

Wang²,

Yang³

et al. 2022

JPR

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Study Objective Pain management plays a pivotal role in enhanced recovery after surgery (ERAS). Erector spinae plane block (ESPB) is widely used in many regions to treat perioperative pain, but its benefits are still somewhat controversial. We, therefore, intent to systematically review the available literature on ESPB, to elucidate its effects on opioid-sparing analgesia, and summarize its potential complications. Design Systematic review of randomized controlled trials (RCTs) with meta-analysis. Setting Postoperative opioid consumption for various surgeries. Patients Patients undergoing various surgeries. Intervention We searched relevant studies in PubMed, EMBASE, Medline, and the Cochrane Library up to May 16, 2021. All prospective and RCTs that compared ESPB and sham block or no block were enrolled. Measurements The primary outcomes were postoperative opioid consumption during the first 24 hours. The secondary outcomes were the requirement of rescue analgesia, time to first rescue analgesic and ESPB-related adverse events. Results We included 52 trials that reported postoperative opioid consumption during the first 24 hours. The results presented that compared to control group (ie, no intervention or a sham block), ESPB reduced the accumulated opioid consumption during the first 24 h after surgery [mean difference (MD) of − 12.83 (95% CI: − 17.29 to − 8.38; p < 0.001) mg; I 2 = 100%]. Besides, ESPB could prolong time to first rescue analgesia after surgery [SMD = 5.31; 95% CI 4.01–6.61; p < 0.001; I 2 = 97%]. The number of patients who received rescue analgesia after surgery in the ESPB group was less than that in the control group (OR 0.13; 95% CI 0.09, 0.21; p < 0.001; I 2 = 54%), and the incidence of PONV was lower in the ESPB group (OR 0.51; 95% CI 0.43, 0.62; p < 0.001; I 2 = 19%). Conclusion ESPB is an effective technique on pain management with few complications.

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Ultrasound-guided erector spinae plane block for postoperative analgesia in Chinese patients undergoing laparoscopic cholecystectomy: a double-blind randomized controlled trial

Xie²,

et al. 2023

Langenbecks Arch Surg

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Bilateral versus unilateral erector spinae plane block for postoperative analgesia in laparoscopic cholecystectomy: a randomized controlled study

Cited by 5 publications

References 18 publications

Comparison of the efficacy of erector spinae plane block according to the difference in bupivacaine concentrations for analgesia after laparoscopic cholecystectomy: a retrospective study

Comparison of the efficacy of erector spinae plane block according to the difference in bupivacaine concentrations for analgesia after laparoscopic cholecystectomy: a retrospective study

The Effect of Single-Shot Erector Spinae Plane Block (ESPB) on Opioid Consumption for Various Surgeries: A Meta-Analysis of Randomized Controlled Trials

Ultrasound-guided erector spinae plane block for postoperative analgesia in Chinese patients undergoing laparoscopic cholecystectomy: a double-blind randomized controlled trial

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