Ultrasound guided erector spinae plane block versus quadratus lumborum block for postoperative analgesia in patient undergoing open nephrectomy: A randomized controlled study

Abstract

To cite this article: Shereen E. Abd Ellatif & Sara M. Abdelnaby (2021) Ultrasound guided erector spinae plane block versus quadratus lumborum block for postoperative analgesia in patient undergoing open nephrectomy: A randomized controlled study,

Evaluation of Analgesia Effect after Ultrasound-Guided Laparoscopic Renal Surgery

“…The noxious irritation and inflammatory reaction caused by postoperative tissue damage can cause acute postoperative pain and increase patient discomfort and medical expenses. Therefore, optimizing the patient's analgesia mode and alleviating postoperative pain are the key to promoting rapid recovery of patients [8]. At present, combined analgesia technology is a commonly used analgesia program.…”

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

“…Seventeen RCTs compared ESPB with a sham block (block with normal saline), 10 , 11 , 14 , 22 , 24 , 25 , 27 , 34 , 40 , 44–46 , 52 , 55 , 56 , 63 , 66 whereas 35 compared ESPB with no intervention. 12 , 21 , 23 , 26 , 28–33 , 35–39 , 41–43 , 47–51 , 53 , 54 , 57–62 , 64 , 65 , 67 , 68 Although subgroup analysis was conducted, no significant reduction of heterogeneity was detected ( Figure 4 ). Despite sensitivity analysis was performed by purging individual studies, the source of heterogeneity was still not found.…”

“…Out of the 52 RCTs, 11 were about breast surgeries, 24–26 , 31 , 36 , 38 , 39 , 47 , 48 , 54 , 64 15 were about orthopedic surgeries, 10 , 11 , 21–23 , 27 , 28 , 32 , 33 , 50 , 52 , 53 , 56 , 57 , 60 5 were about thoracoscopic surgeries, 12 , 25 , 34 , 58 , 59 6 were about cholecystectomy, 29 , 30 , 41 , 45 , 63 , 65 6 were about nephrolithotomy, 37 , 44 , 49 , 61 , 62 , 68 2 were about cardiac surgeries, 14 , 42 and 7 were others. 40 , 43 , 46 , 51 , 55 , 66 , 67 The characteristics of enrolled 52 studies were listed in the Table 1 .…”

“…Totally, there were 19 studies researching nephrolithotomy (6 studies), 37 , 44 , 49 , 61 , 62 , 68 cholecystectomy (6 studies) 29 , 30 , 41 , 45 , 63 , 65 and other type of surgeries (7 studies). 40 , 43 , 46 , 51 , 55 , 66 , 67 By subgroup analyses, the findings were consistent with patients undergoing nephrolithotomy (MD: −13.29 mg; 95% CI: −19.59 to −6.99; p < 0.001; I 2 = 97%), cholecystectomy (MD: −4.80 mg; 95% CI: −6.16 to −3.45; p < 0.001; I 2 = 59%) and other types of surgery (−6.99 mg; 95% CI: −9.91 to −4.07; p < 0.001; I 2 = 92%) ( Figure 3 ).…”

“…For postoperative analgesics, 20 studies used morphine, 11 , 21 , 27 , 31 , 32 , 35 , 36 , 40 , 43–45 , 47 , 48 , 50 , 54 , 55 , 60 , 64 , 65 , 68 11 studies used fentanyl, 14 , 38 , 41 , 42 , 46 , 51 , 56–59 , 62 9 studies used tramadol, 23 , 28–30 , 37 , 39 , 49 , 53 , 63 5 studies used sufentanil, 12 , 22 , 24–26 4 studies used pethidine, 33 , 34 , 66 , 67 2 studies used oxycodone 10 , 52 and 1 study used nalbuphine. 61 However, the heterogeneity did not reduce by the subgroup analysis ( Figure 5 ).…”