The Erector Spinae Plane Block in the Setting of Hip Arthroscopy: A Prospective Randomized Controlled Clinical Trial

Zimmerer, Alexander; Schneider, M. M.; Sobau, Christian; Miehlke, Wolfgang; Eichler, Frank; Matos, Johannes Wawer

doi:10.1016/j.arthro.2021.09.012

Cited by 7 publications

(6 citation statements)

References 36 publications

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“…Forty-eight RCTs were selected for inclusion. 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 Preferred Reporting Items for Systematic Reviews and Meta-Analyses flow sheet of study selection can be found in Figure 1 . Included RCTs were published in 21 journals from 2011 to 2023 ( Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

Demographic and Socioeconomic Patient Data Are Rarely Included in Randomized Controlled Trials for Femoral Acetabular Impingement and Hip Arthroscopy: A Systematic Review

Kotlier,

Fathi,

Kumaran

et al. 2024

Arthroscopy, Sports Medicine, and Rehabilitation

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Section: Resultsmentioning

confidence: 99%

Demographic and Socioeconomic Patient Data Are Rarely Included in Randomized Controlled Trials for Femoral Acetabular Impingement and Hip Arthroscopy: A Systematic Review

Kotlier,

Fathi,

Kumaran

et al. 2024

Arthroscopy, Sports Medicine, and Rehabilitation

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“…There were a few limitations in our study. Firstly, three out of five studies were done on patients undergoing total hip arthroplasty, while Tulgar et al [10] performed a study on patients undergoing hip and proximal femur surgery and Zimmerer et al [20] on patients undergoing hip arthroscopy. Another limitation of our meta-analysis was that three of the included studies used general anesthesia for their patients, while one study used both general anesthesia and spinal anesthesia and one study used only spinal anesthesia as an anesthetic choice.…”

Section: Discussionmentioning

confidence: 99%

“…The pooled meta-analysis of the included studies [10,[18][19][20] showed that 24-hour opioid consumption was significantly lesser in the group that received ESPB compared to no block (p=0.02) as demonstrated in Figure 2. The incidence of PONV was lower in the ESPB group compared to the control group (6 vs. 14), although it did not reach statistical significance (p=0.06).…”

Section: Studymentioning

confidence: 97%

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The Use of Erector Spinae Plane Block Reduces Opioid Consumption and Pain Score in Postoperative Period After Hip Surgery: A Meta-Analysis

Huda,

Ghafoor

2023

Cureus

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Erector spinae plane block (ESPB) is a relatively new regional anesthesia block that has been used in thoracic and abdominal surgeries with variable success. ESPB can easily be administered using an ultrasound technique with a safer profile. Recently, there have been few randomized controlled trials (RCTs) regarding the role of ESPB in hip surgeries. A current meta-analysis was done to evaluate the role of ESPB block in controlling postoperative pain after hip surgeries.PRISMA guidelines were followed to perform this meta-analysis. We used online databases including Science Direct, PubMed, Google Scholar, and Cochrane Library. This review was registered with the International Prospective Register of Systematic Reviews (PROSPERO) database as ID-CRD42023445516 in July 2023. We included studies that reported opioid use, pain control after surgery, and side effects associated with ESPB for hip surgeries. The ReviewManager software, i.e., RevMan for Mac 5.4 (Cochrane Collaboration, Oxford, UK), was utilized to conduct this meta-analysis.We included five RCTs during this meta-analysis. Our results demonstrated that the use of ESPB in hip surgery caused a significant decrease in 24-hour postoperative opioid consumption (p=0.02). ESPB also resulted in a significant decrease in pain scores up to nine hours postoperatively (p<0.05).

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“…In terms of other applications for lumbar ESP blocks, there are small case series and case reports describing the use of ESP for hip fractures for both analgesia and anesthesia for surgical repair, and it may offer another analgesic option if other blocks are not feasible [26,36]. The lumbar ESP block also appears promising in hip arthroscopy based on a recent RCT that reported a significant reduction in pain scores at multiple timepoints up to 24 h; however, there was no reduction in opioid consumption [37 ▪ ]. It remains to be seen if it is superior to other peripheral nerve block techniques, such as the pericapsular nerve group (PENG) block, in this setting.…”

Section: Lumbar Erector Spinae Plane Block For Lower Limbmentioning

confidence: 99%

Erector spinae block: beyond the torso

Campbell

Chin

2022

Current Opinion in Anaesthesiology

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Purpose of reviewThis article aims to summarize the current literature describing the application of erector spinae plane (ESP) blocks for regional anesthesia of upper and lower limbs and to discuss the advantages and limitations.Recent findingsInvestigations are still at an early stage but results are promising. High thoracic ESP blockade can relieve acute and chronic shoulder pain through local anesthetic diffusion to cervical nerve roots, although it may not be as effective as direct local anesthetic injection around the brachial plexus. It does, however, preserve motor and phrenic nerve function to a greater extent. It will also block the T2 innervation of the axilla which can be a source of pain in complex arthroscopic shoulder surgery. Lumbar ESP blocks provide effective analgesia following hip arthroplasty and arthroscopy, and appear comparable to lumbar plexus, quadratus lumborum, and fascia iliaca blocks. Unlike the latter, they are motor-sparing and are associated with improved postoperative ambulation.SummaryHigh thoracic and lumbar ESP blocks have the potential to provide adequate analgesia of the upper and lower limbs respectively, without causing significant motor block. They are thus alternative methods of regional anesthesia when other techniques are not feasible or have undesirable adverse effects.

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The Erector Spinae Plane Block in the Setting of Hip Arthroscopy: A Prospective Randomized Controlled Clinical Trial

Cited by 7 publications

References 36 publications

Demographic and Socioeconomic Patient Data Are Rarely Included in Randomized Controlled Trials for Femoral Acetabular Impingement and Hip Arthroscopy: A Systematic Review

Demographic and Socioeconomic Patient Data Are Rarely Included in Randomized Controlled Trials for Femoral Acetabular Impingement and Hip Arthroscopy: A Systematic Review

The Use of Erector Spinae Plane Block Reduces Opioid Consumption and Pain Score in Postoperative Period After Hip Surgery: A Meta-Analysis

Erector spinae block: beyond the torso

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