Evidence map›Paper›PMID 34893026›Full record

Trial reportBMC anesthesiology2021

The effects of erector spinae plane block on perioperative opioid consumption and rehabilitation in video assisted thoracic surgery.

Sen Zhang, Xiaodan Han, Di Zhou, Minli Sun, Jing Cang, Changhong Miao, Chao Liang

Registry-linked trialAbstract 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 trial NCT07514806 (Estimation of Intraoperative Anaesthetic Drug Requirement in General Anaesthesia With or Without Erector Spinae Plane Block in Lumbar Spondylolisthesis Surgery), which is not on this map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT07514806 nacompletednot on this mapstarted 2024, after this paper: background citation

Estimation of Intraoperative Anaesthetic Drug Requirement in General Anaesthesia With or Without Erector Spinae Plane Block in Lumbar Spondylolisthesis Surgery

TypeinterventionalSponsorBangladesh Medical UniversityRan2024 to 2024Enrolled50ConditionsSpondylolisthesis, Analgesia, Postoperative, ESPBArmsControl Group: General Anesthesia Without Erector Spinae Plane Block, Intervention Group: General Anesthesia With Ultrasound-Guided Erector Spinae Plane Block
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Erector spinae plane block for postoperative pain.The Cochrane database of systematic reviews · 2024
    Pooled it
  3. Erector spinae plane block for postoperative pain.The Cochrane database of systematic reviews · 2023
    Pooled it
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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

7 authors.

Sen Zhang *Department of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Xiaodan Han *Department of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Di ZhouDepartment of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Minli SunDepartment of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Jing CangDepartment of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Changhong MiaoDepartment of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai, 200032, China. changhong1231988@126.com.
Chao LiangDepartment of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai, 200032, China. superwm226@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to determine whether ultrasound-guided continuous erector spinae plane block (ESPB) had an effect on opioid consumption and postoperative rehabilitation in patients undergoing video-assisted thoracic surgery (VATS).

methodsIn this prospective study, 120 patients aged 20-70 years who underwent elective VATS were randomly allocated to one of three groups: group C (general anesthesia with patient-controlled intravenous analgesia [PCIA]), group T (general anesthesia with patient-controlled epidural analgesia [PCEA]), or group E (general anesthesia with continuous ESPB and PCIA). Perioperative opioid consumption, visual analog scale (VAS) scores, preoperative and postoperative Quality of Recovery-15 scores, and postoperative opioid-related adverse events were all assessed.

resultsIntraoperative sufentanil consumption in groups T and E was significantly lower than that in group C (both P < 0.001), and the postoperative sufentanil consumption in group E was also significantly lower than that in group C (P = 0.001). Compared with group C, the VAS scores at rest or during coughing immediately out of the post-anesthesia care unit at 6 h, 12 h, and 24 h postoperatively were significantly lower in group T (P < 0.05). However, the VAS scores at rest at 6 h and 12 h postoperatively in group E were lower than those of group C (P < 0.05), but were significantly higher than those of group T at all study times (P < 0.05).

conclusionUltrasound-guided continuous ESPB significantly reduced perioperative opioid consumption during VATS and improved postoperative rehabilitation. However, these effects were inferior to those of thoracic epidural anesthesia.

trial registrationThe present study was prospectively registered at http://www.chictr.org/cn /(registration number: ChiCTR1900023050 ); registration date: May 82,019.

Indexed as

AdultAgedAnalgesia, Patient-ControlledAnalgesics, OpioidFemaleHumansMaleMiddle AgedNerve BlockParaspinal MusclesProspective StudiesThoracic Surgery, Video-AssistedUltrasonography, InterventionalYoung AdultAnalgesics, OpioidErector spinae plane blockOpioid consumptionPostoperative rehabilitationThoracic epidural anesthesiaVideo-assisted thoracic surgery

Identifiers

PMID34893026
PMCPMC8662884

What OpenQuestion holds

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LicenceCC BY
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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.