Evidence map›Paper›PMID 33761901›Full record

Trial reportBMC anesthesiology2021

Effect of ultrasound-guided transversus abdominis plane block with rectus sheath block on patients undergoing laparoscopy-assisted radical resection of rectal cancer: a randomized, double-blind, placebo-controlled trial.

Min Liang, Xia Xv, Chunguang Ren, Yongxing Yao, Xiujuan Gao

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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.

NCT05224089 phase4recruitingnot on this mapstarted 2022, after this paper: background citation

Bilateral Mid-Abdominal Transverse Abdominis Plane and Rectus Sheath Blocks Comparing The Use of Liposomal Bupivacaine/Bupivacaine vs. Regular Bupivacaine in Laparoscopic Colectomy Procedures.

TypeinterventionalSponsorHartford HospitalRan2022 to 2026Enrolled114ConditionsBowel DiseaseArmsLiposomal Bupivicaine/Bupivacaine Admixture, Bupivacaine HCL
NCT06862947 nacompletednot on this mapstarted 2022, after this paper: background citation

Effects of Preoperative Bilateral Rectus Sheath Block Guided by Ultrasound on Analgesic Efficacy and Recovery in Gynecological Single-Port Laparoscopy: A Prospective Randomized Double-Blind Placebo-Controlled Study

TypeinterventionalSponsorChengdu Jinjiang Maternity and Child Health HospitalRan2022 to 2024Enrolled90ConditionsGynecological Laparoscopy, Postoperative Pain, Rectus Sheath BlockArmsRectus Sheath Block, Placebo
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Effects of Abdominal Wall Blocks on Postoperative Delirium in Elderly Patients Undergoing Laparoscopic Surgery: A Randomized Controlled Study.Medical science monitor : international medical journal of experimental and clinical research · 2022
    Article
  10. Article
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

5 authors at 2 institutions in 1 country.

Min LiangDepartment of Anesthesiology, Liaocheng People's Hospital, Liaocheng, Shandong, People's Republic of China.
Xia XvDepartment of Anesthesiology, Liaocheng People's Hospital, Liaocheng, Shandong, People's Republic of China.
Chunguang RenDepartment of Anesthesiology, Liaocheng People's Hospital, Liaocheng, Shandong, People's Republic of China.
Yongxing YaoDepartment of Anesthesiology, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, People's Republic of China.
Xiujuan GaoDepartment of Anesthesiology, Liaocheng People's Hospital, Liaocheng, Shandong, People's Republic of China. xiujuan_gao@126.com.ORCID 0000-0002-7056-3031
Liaocheng People's Hospital · CNHangzhou First People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany patients complain of pain following laparoscopic surgery. Clinicians have used ultrasound-guided posterior transversus abdominis plane block (TAPB) and rectus sheath block (RSB) for multimodal analgesia after surgery. We investigated the analgesic effects of US-guided posterior TAPB with RSB on postoperative pain following laparoscopy-assisted radical resection of early-stage rectal cancer.

methodsSeventy-eight adults scheduled for laparoscopy-assisted radical resection of rectal cancer were enrolled in this double-blind placebo-controlled trial. Patients were randomized into 3 groups: the TR Group underwent US-guided bilateral posterior TAPB (40 mL 0.33% ropivacaine) with RSB (20 mL 0.33% ropivacaine); the T Group underwent US-guided bilateral posterior TAPB alone; and the Control Group received saline alone. All patients also had access to patient-controlled intravenous analgesia (PCIA) with sufentanil. The primary outcome was postoperative sufentanil consumption at 0-24, 24-48, and 48-72 h. The secondary outcomes were postoperative pain intensity and functional activity score at rest and while coughing for the same three time periods, intraoperative medication dosage, use of rescue analgesia, recovery parameters, and adverse effects.

resultsThe three groups had no significant differences in baseline demographic and perioperative data, use of intraoperative medications, recovery parameters, and adverse effects. The TR group had significantly lower postoperative use of PCIA and rescue analgesic than in the other two groups (P < 0.05), but the Control Group and T Group had no significant differences in these outcomes.

conclusionsPostoperative US-guided posterior TAPB with RSB reduced postoperative opioid use in patients following laparoscopy-assisted radical resection of rectal cancer.

trial registrationThe trial was registered with chictr.org (ChiCTR2000029326) on January 25, 2020.

Indexed as

Nerve BlockUltrasonography, InterventionalAnalgesia, Patient-ControlledAnalgesics, OpioidAnesthetics, LocalDouble-Blind MethodDrug UtilizationFemaleHumansLaparoscopyMaleMiddle AgedPain MeasurementRectal NeoplasmsRectus AbdominisRopivacaineAnalgesics, OpioidAnesthetics, LocalRopivacaineSufentanilRectal cancerRectus sheathSufentanilTransversus abdominis planeUltrasound

Identifiers

PMID33761901
PMCPMC7988999
OpenAlexW3136414078

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.