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This study compared the outcomes of erector spinae plane block vs no block intervention in patients who have undergone surgical procedures.
Erector spinae plane block has been used as a promising
non-opioid analgesic strategy for pain relief after various surgical
procedures. As observed from this meta-analysis, these blocks help to provide
postoperative pain relief, reduce postoperative opioid use and also lessen
nausea and vomiting after surgery.
This study compared the outcomes of erector spinae plane
block vs no block intervention in patients who have undergone surgical
procedures.
Google Scholar, PubMed, Embase and Cochrane Library were
quantitatively reviewed from beginning through July 2019. The trials reporting
either opioid intake or pain scores as postoperative pain outcomes were
included in this study. The methodological quality of these studies was
assessed via the Cochrane Collaboration’s tool.
A total of 679 patients in 13 randomized controlled
trials across various surgical measures were involved. The use of erector
spinae plane block depicted a noteworthy effect on lowering the postoperative
opioid consumption, the weighted mean difference of − 8.84 IV mg morphine
equivalents was observed. At 6 hours, the effect of erector spinae plane block
on post-surgical pain than control depicted a noteworthy effect weighted mean
difference of − 1.31. The weighted mean difference was found to be − 0.46 at 12
hours. No complications were reported.
This study provides moderate-quality evidence that
erector spinae plane block is an effective approach for post-surgical analgesia
as it offered significant improvements in reducing opioid analgesic use.
BMC Anesthesiology
The effect of ultrasound-guided erector spinae plane block on postsurgical pain: a meta-analysis of randomized controlled trials
Mark C. Kendall et al.
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