Erector Spinae Plane Block in Abdominal Surgery: A Meta-Analysis

Frontiers in Medicine

article

Dmitriy Viderman¹  Mina Aubakirova¹  Yerkin G. Abdildin² 

[1] Department of Biomedical Sciences, Nazarbayev University School of Medicine;Department of Mechanical and Aerospace Engineering, School of Engineering and Digital Sciences, Nazarbayev University

关键词: regional anesthesia;    erector spinae plane block;    abdominal surgery;    pain management;    postoperative analgesia;    opioid consumption;   

DOI  :  10.3389/fmed.2022.812531

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Background Abdominal surgery is one of the most definitive and mainstay treatment options for abdominal pathologies in clinical practice. Acute postoperative pain is a major challenge in the postoperative period. Although opioids are commonly used for analgesia after major abdominal surgeries, they can lead to side effects, such as nausea and vomiting, constipation, pruritus, and life-threatening respiratory depression. Regional anesthetic techniques are commonly used to prevent or minimize these side effects. The objective of this meta-analysis is to assess the effectiveness of erector spinae plane block (ESPB) and standard medical (no block) pain management after major abdominal surgeries. Methods We searched for articles reporting the results of randomized controlled trials on ESPB and no block in pain control published before May 2021. Results The systematic search initially yielded 56 publications, 49 articles were excluded, and seven randomized clinical trials were included and analyzed. We extracted the data on postoperative opioid consumption, the efficacy of pain relief, time to the first opioid demand, and the rate of postoperative complications in the ESPB group and no block group. Conclusions Opioid requirement and time to first analgesic request were significantly reduced in the ultrasound-guided ESPB group, but pain scores, nausea, and vomiting did not differ significantly after pooling the results of the block and no block studies. There were no reports on serious complications related to ESPB.

【 授权许可】

CC BY