Evidence map›Paper›PMID 32117506›Full record

ArticleWideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques2020

Erector spinae-plane block as an analgesic alternative in patients undergoing mitral and/or tricuspid valve repair through a right mini-thoracotomy - an observational cohort study.

Michał Borys, Bogusław Gawęda, Beata Horeczy, Maciej Kolowca, Piotr Olszówka, Miroslaw Czuczwar, Bogumiła Wołoszczuk-Gębicka, Kazimierz Widenka

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 4% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 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

8 authors at 2 institutions in 1 country.

Michał Borys2 Department of Anaesthesiology and Intensive Therapy, Medical University of Lublin, Lublin, Poland.
Bogusław GawędaClinical Department of Cardiac Surgery, District Hospital No. 2, University of Rzeszow, Rzeszow, Poland.
Beata HoreczyDepartment of Anaesthesiology and Intensive Therapy with Poisoning Centre, District Hospital No. 2, University of Rzeszow, Rzeszow, Poland.
Maciej KolowcaClinical Department of Cardiac Surgery, District Hospital No. 2, University of Rzeszow, Rzeszow, Poland.
Piotr OlszówkaClinical Department of Cardiac Surgery, District Hospital No. 2, University of Rzeszow, Rzeszow, Poland.
Miroslaw Czuczwar2 Department of Anaesthesiology and Intensive Therapy, Medical University of Lublin, Lublin, Poland.
Bogumiła Wołoszczuk-GębickaDepartment of Intensive Therapy and Poisoning, Chair of Medical Lifesaving, Medical Faculty, University of Rzeszow, Rzeszow, Poland.
Kazimierz WidenkaClinical Department of Cardiac Surgery, District Hospital No. 2, University of Rzeszow, Rzeszow, Poland.
Rzeszów University · PLMedical University of Lublin · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOne of the main challenges in cardiac surgery is effective postoperative analgesia. Erector spinae-plane block (ESP block) is a novel regional technique, introduced by Forero in 2016 for neuropathic chest pain, then used successfully for mastectomy.

aimTo establish the efficacy of the ESP block in patients undergoing mitral and/or tricuspid valve repair through a right mini-thoracotomy. MATERIAL AND

methodsIt is a prospective observational cohort study performed in a tertiary health center. In the treatment group, a single-shot ESP block was performed before anesthetic induction. General anesthesia was induced with etomidate, remifentanil, and rocuronium, and continued with sevoflurane and remifentanil. Remifentanil infusion was continued for 2 h post-operatively, then stopped, and the patient's trachea was extubated. Patient-controlled analgesia was started with oxycodone immediately. Total oxycodone consumption and pain severity on the visual analog scale during the first 24 h were analyzed. In the control group, no regional block was performed. Instead of remifentanil, fentanyl was used. Patients were extubated on the second day. Pain was treated with morphine, administered according to nurses' discretion. Pain intensity was evaluated on the numerical rating scale.

resultsNineteen patients were evaluated in the ESP and 25 in the control group. Mechanical ventilation time was shorter in the ESP group (0.6 (0.4-1.1) h) than in the control one (10 (8-17) h, p = 0.00001). Moreover, patients in the ESP group spent fewer days in the intensive care unit (1 (1-1) vs. (2 (2-2), p = 0.0001).

conclusionsThe ESP block seems to be safe and efficient for pain control in patients undergoing right mini-thoracotomy for mitral and/or tricuspid valve repair.

Indexed as

erector spinae-plane blocklocal anesthesiaminimal invasive cardiac surgerymini-thoracotomypostoperative analgesia

Identifiers

PMID32117506
PMCPMC7020722
OpenAlexW2947449774

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

None linked

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.