Evidence map›Paper›PMID 32398105›Full record

ArticleJournal of cardiothoracic surgery2020

Utility of erector spinae plane block in thoracic surgery.

Naghmeh Pirsaharkhiz, Kelly Comolli, Wakana Fujiwara, Susan Stasiewicz, Jeanne M Boyer, Eileen V Begin, Adam J Rubinstein, Hayley R Henderson, John F Lazar, Thomas J Watson and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal of cardiothoracic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

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  10. Narrative review: erector spinae block in spine surgery.Journal of spine surgery (Hong Kong) · 2023
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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

14 authors at 4 institutions in 1 country.

Naghmeh PirsaharkhizDepartment of General Surgery, Georgetown University School of Medicine, Medstar Washington Hospital Center, Washington DC, USA.
Kelly ComolliDepartment of General Surgery, Georgetown University School of Medicine, Medstar Washington Hospital Center, Washington DC, USA.
Wakana FujiwaraDepartment of General Surgery, Georgetown University School of Medicine, Medstar Washington Hospital Center, Washington DC, USA.
Susan StasiewiczDepartment of Anesthesia, Medstar Washington Hospital Center, Washington DC, USA.
Jeanne M BoyerDepartment of Anesthesia, Medstar Washington Hospital Center, Washington DC, USA.
Eileen V BeginDepartment of Anesthesia, Medstar Washington Hospital Center, Washington DC, USA.
Adam J RubinsteinDepartment of Anesthesia, Medstar Washington Hospital Center, Washington DC, USA.
Hayley R HendersonDepartment of Surgery, Division of Thoracic Surgery, Georgetown University School of Medicine, Medstar Washington Hospital Center, 110 Irving Street, NW (G253), Washington DC, 20010, USA.
John F LazarDepartment of General Surgery, Georgetown University School of Medicine, Medstar Washington Hospital Center, Washington DC, USA.
Thomas J WatsonDepartment of General Surgery, Georgetown University School of Medicine, Medstar Washington Hospital Center, Washington DC, USA.
Christopher M EgerDepartment of General Surgery, Georgetown University School of Medicine, Medstar Washington Hospital Center, Washington DC, USA.
Christine T TrankiemDepartment of General Surgery, Division of Trauma, Medstar Washington Hospital Center, Washington DC, USA.
Debra G PhillipsDepartment of Anesthesia, Medstar Washington Hospital Center, Washington DC, USA.
Puja Gaur KhaitanDepartment of General Surgery, Georgetown University School of Medicine, Medstar Washington Hospital Center, Washington DC, USA. Puja.G.Khaitan@medstar.net.
MedStar Washington Hospital Center · USMedStar Georgetown University Hospital · USWashington Hospital · USGeorgetown University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThoracic surgeons have been incorporating enhanced recovery after surgery (ERAS) protocols into their practices, not only to reduce narcotic usage but also to improve complication rates and decrease lengths of stay. Here, we describe the utility of a regional block technique that can be used for patients undergoing urgent or elective thoracic surgical procedures or suffering from rib fractures.

methodsWe report our initial one-year experience with these erector spinae plane (ESP) blocks.

resultsESP blocks were placed in 42 patients. The procedure was performed by a trained team of anesthesiologists and certified nurse practitioners. It included placement of a catheter on the ipsilateral chest, followed by a 20 ml of 0.2% ropivacaine bolus and continuous infusion. Patients were then followed by the regional team, as long as the catheter was in place. While it had some technical challenges, the block was effective in 83.3% of patients with no reported mortality or major complications. However, given the confounding factors of the study (such as simultaneous implementation of ERAS protocol) and heterogeneity of the patient population, a control group was difficult to ascertain and meaningful opioid consumption analysis was difficult to perform.

conclusionsRegional blocks, such as the ESP block, complement fundamental ERAS principles and serve as an adjunct to the available armamentarium for non-narcotic ways to control pain in thoracic surgical and chest trauma patients. Continued collaboration between the thoracic surgeons and anesthesiologists is needed for its success.

Indexed as

Anesthetics, LocalParaspinal MusclesRopivacaineAdultAgedAged, 80 and overEnhanced Recovery After SurgeryFemaleHumansMaleMiddle AgedMusculoskeletal PainNerve BlockPain ManagementRib FracturesThoracic Surgical ProceduresAnesthetics, LocalRopivacaineERAS protocolsErector spinae plane block; regional blockThoracic surgery

Identifiers

PMID32398105
PMCPMC7218639
OpenAlexW3027375880

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.