Evidence map›Paper›PMID 31973700›Full record

Trial reportBMC anesthesiology2020

The combination of transversus abdominis plane block and rectus sheath block reduced postoperative pain after splenectomy: a randomized trial.

Jing-Li Zhu, Xue-Ting Wang, Jing Gong, Hai-Bin Sun, Xiao-Qing Zhao, Wei Gao

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07312825 (Postoperative Analgesic Efficacy of Combined Fascial Plane Blocks After Gynecologic Oncologic Surgery), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.0field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07312825 completednot on this mapstarted 2024, after this paper: background citation

Postoperative Analgesic Efficacy of Combined Fascial Plane Blocks After Gynecologic Oncologic Surgery

TypeobservationalSponsorDr Abdurrahman Yurtaslan Ankara Oncology Training and Research HospitalRan2024 to 2025Enrolled94ConditionsGynecologic Cancers, Postoperative Pain ManagementArmsGroup 1:The Transversus Abdominis Plane (TAP) block, Group 2: TAP Block + Quadratus Lumborum Block (QLB), Group 3: TAP Block + Rectus Sheath Block (RSB)
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 21 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Jing-Li ZhuDepartment of Anesthesiology, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Xue-Ting WangDepartment of Anesthesiology, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Jing GongDepartment of Anesthesiology, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Hai-Bin SunDepartment of Anesthesiology, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Xiao-Qing ZhaoDepartment of Anesthesiology, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Wei GaoDepartment of Anesthesiology, the Second Affiliated Hospital of Harbin Medical University, 246 Xuefu Road, Nangang District, Harbin, Heilongjiang, China. gaowei20055@126.com.
Harbin Medical University · CNSecond Affiliated Hospital of Harbin Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSplenectomy performed with a curved incision results in severe postoperative pain. The aim of this study was to evaluate the effect of transversus abdominis plane block and rectus sheath block on postoperative pain relief and recovery.

methodsA total of 150 patients were randomized into the control (C), levobupivacaine (L) and levobupivacaine/morphine (LM) groups. The patients in the C group received only patient-controlled analgesia. The patients in the L and LM groups received transversus abdominis plane block and rectus sheath block with levobupivacaine or levobupivacaine plus morphine. The intraoperative opioid consumption; postoperative pain score; time to first analgesic use; postoperative recovery data, including the times of first exhaust, defecation, oral intake and off-bed activity; the incidence of postoperative nausea and vomiting and antiemetics use; and the satisfaction score were recorded.

resultsTransversus abdominis plane block and rectus sheath block reduced intraoperative opioid consumption. The patients in the LM group showed lower postoperative pain scores, opioid consumption, postoperative nausea and vomiting incidence and antiemetic use and presented shorter recovery times and higher satisfaction scores.

conclusionsThe combination of transversus abdominis plane block and rectus sheath block with levobupivacaine and morphine can improve postoperative pain relief, reduce the consumption of analgesics, and partly accelerate postoperative recovery.

trial registrationChinese Clinical Trial Registry, ChiCTR 1,800,015,141, 10 March 2018.

Indexed as

LevobupivacaineMorphineAbdominal MusclesAnalgesics, OpioidAnesthetics, LocalChinaDouble-Blind MethodDrug Therapy, CombinationFemaleHumansMaleMiddle AgedNerve BlockPostoperative PainProspective StudiesRectus AbdominisAnalgesics, OpioidAnesthetics, LocalLevobupivacaineMorphineRectus sheath blockSplenectomyTransversus abdominis plane block

Identifiers

PMID31973700
PMCPMC6979058
OpenAlexW3006245451

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.