Bilateral ultrasound-guided erector spinae plane block in patients undergoing lumbar spinal fusion: A randomized controlled trial

Zhang, Qingfen; Wu, Yaqing; Ren, Fei; Zhang, Xizhe; Feng, Yi

doi:10.1016/j.jclinane.2020.110090

Cited by 51 publications

(82 citation statements)

References 31 publications

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“…Six studies were further excluded for the following reasons: studies were reviews and case reports (n = 2) [11,12], retrospective study (n = 1) [13], compared ESPB with other types of regional blocks (n = 2) [14,15], and an ongoing trial (n = 1) [16]. Finally, six studies [8,[17][18][19][20][21] satisfied the inclusion criteria and were used for the meta-analysis. The literature screening process is illustrated in Fig.…”

Section: Search Resultsmentioning

confidence: 99%

“…The concentration of the local anesthetics ranged from 0.025 to 0.5%. PCIA was used to relieve postoperative pain in five trials [8,17,18,20,21]. Detailed information regarding studies included in the meta-analysis is presented in Table 1.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Four studies [8,17,19,21] explicitly reported the method of random sequence generation, and three studies [17,18,20] described allocation concealment. None of the studies described the blinding of participants and personnel.…”

Section: Risk Of Biasmentioning

confidence: 99%

“…All the assessors were blinded, there was no selective reporting and the other bias, the ''risk of bias'' was graded as ''not serious''; I 2 [ 30%, which indicated ''inconsistency'', was graded as ''serious''. Three trials [17,19,21] reported opioid consumption and pain scores as median (interquartile range) or median (min-max), which indicated ''indirectness'' was classified as ''serious''. The overall results of GRADE are presented in Table 2.…”

Section: Grade Assessmentmentioning

confidence: 99%

“…Over the last few years, ESPB has been demonstrated to be effective in various type of surgeries, including breast surgery [4], thoracic surgery [5], and laparoscopic cholecystectomy [6], among others. Several randomized controlled trials (RCTs) have reported that ESPB could be a factor influencing postoperative analgesia after lumbar spinal surgery [7,8]; however, no systematic and persuasive evidence has been presented.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2021

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Lumbar spine surgery is one of the most widespread types of surgery for treating back and leg pain. However, the postoperative period always presents with severe pain due to the removal of skin, subcutaneous tissues, bones, and ligaments. Patients usually require high doses of opioids to relieve pain during the initial three days after operation, as well as experience drugrelated complications and prolonged length of stay in hospital. We found that Erector spinae plane block significantly reduced postoperative opioid consumption and pain scores. The present systematic review revealed that ESPB was effective and safe for postoperative analgesia.

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