Evidence map›Paper›PMID 34118259›Full record

Trial reportBrazilian journal of anesthesiology (Elsevier)

Ultrasound-guided erector spinae plane block for open inguinal hernia repair: a randomized controlled trial.

Thiago Mamôru Sakae, Anna Paula Facco Mattiazzi, Joana Zulian Fiorentin, Julio Brandão, Roberto Henrique Benedetti, Augusto Key Karazawa Takaschima

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

Trial report in Brazilian journal of anesthesiology (Elsevier). The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07509957 (Effect of Preoperative Erector Spinae Plane Block on Recovery Quality, Time to Return to Daily Activities, and Postoperative Pain Scores in Inguinal Hernia Surgery), which is not on this map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 18% 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.

NCT07509957 nacompletednot on this map

Effect of Preoperative Erector Spinae Plane Block on Recovery Quality, Time to Return to Daily Activities, and Postoperative Pain Scores in Inguinal Hernia Surgery

TypeinterventionalSponsorSanliurfa Education and Research HospitalRan2026 to 2026Enrolled60ConditionsInguinal Hernia Unilateral, Erector Spinae Plane Block, Quality of Recovery (QoR-15), Numeric Rating ScaleArmsErector Spinae Plane Block (ESPB) group
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
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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 4 institutions in 1 country.

Thiago Mamôru SakaeClinigastro - Criciúma-SC - Brazil. Electronic address: thiagosakae@gmail.com.
Anna Paula Facco MattiazziSIANEST/Hospital Florianópolis, Unidade de Anestesiologia, Florianópolis, SC, Brazil.
Joana Zulian FiorentinSIANEST/Hospital Florianópolis, Unidade de Anestesiologia, Florianópolis, SC, Brazil.
Julio BrandãoUniversidade Federal de Sergipe (UFS), São Cristóvão, SE, Brazil.
Roberto Henrique BenedettiClinigastro - Criciúma-SC - Brazil; SIANEST/Hospital Florianópolis, Unidade de Anestesiologia, Florianópolis, SC, Brazil; TSA, Sociedade Brasileira de Anestesiologia, Brazil.
Augusto Key Karazawa TakaschimaSIANEST/Hospital Florianópolis, Unidade de Anestesiologia, Florianópolis, SC, Brazil; TSA, Sociedade Brasileira de Anestesiologia, Brazil.
Fundação de Amparo à Pesquisa e Inovação do Estado de Santa Catarina · BRSociedade Brasileira de Anestesiologia · BRUniversidade do Extremo Sul Catarinense · BRUniversidade Federal de Sergipe · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesInguinal hernia repair is associated with significant postoperative pain. We assessed the analgesia efficacy of unilateral Erector Spinae Plane block (ESP) performed under ultrasound guidance in patients submitted to open unilateral inguinal hernia repair, comparing ESP to spinal anesthesia administered with or without opioid.

methodsForty-five patients with ages ranging from 27 to 83 years were randomly allocated into three groups: control group receiving spinal anesthesia (n = 14), ESP group receiving ESP block combined with spinal anesthesia (n = 16), and spinal morphine group receiving spinal anesthesia with morphine 1 mcg.kg

resultsThe ESP group showed four times higher consumption of rescue opioids than the spinal morphine group, or 26.7% vs. 6.2%, respectively (RR = 4.01; 95% CI: 0.82 to 19.42; p = 0.048). The spinal morphine group showed higher incidence of adverse effects than the ESP group, 37.5% vs. 6.7%, respectively (p = 0.039). There were no statistically significant differences among groups for the mean values of VAS score at 24 hours after surgery (p = 0.304).

conclusionAt the doses used in this study, the ESP block was an ineffective technique for providing postoperative analgesia in unilateral open inguinal hernioplasty and was associated with higher consumption of rescue opioids when compared to spinal anesthesia with or without opioid.

Indexed as

Hernia, InguinalNerve BlockAdultAgedAged, 80 and overAnalgesics, OpioidHumansMiddle AgedMorphinePostoperative PainUltrasonography, InterventionalAnalgesics, OpioidMorphineAnesthesia, conductionInguinal herniaRandomized clinical trialSpinal anesthesia

Identifiers

PMID34118259
PMCPMC9373108
OpenAlexW3169223654

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.