Evidence map›Paper›PMID 36632641›Full record

Trial reportKorean journal of anesthesiology2023

Erector spinae plane versus fascia iliaca block after total hip arthroplasty: a randomized clinical trial comparing analgesic effectiveness and motor block.

Edoardo Flaviano, Silvia Bettinelli, Maddalena Assandri, Hassam Muhammad, Alberto Benigni, Gianluca Cappelleri, Edward Rivera Mariano, Luca Ferdinando Lorini, Dario Bugada

Open access · goldAbstract readRandomized Controlled TrialEquivalence Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Korean journal of anesthesiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
9.2field-weighted citation impact, top 1% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

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  15. Peripheral Nerve Blocks for Hip Fractures.Journal of clinical medicine · 2024
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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

9 authors at 3 institutions in 2 countries.

Edoardo FlavianoDepartment of Emergency and Intensive Care, ASST Papa Giovanni XXIII, Bergamo, Italy.
Silvia BettinelliDepartment of Emergency and Intensive Care, ASST Papa Giovanni XXIII, Bergamo, Italy.
Maddalena AssandriDepartment of Health Sciences, University of Milan, Milan, Italy.
Hassam MuhammadDepartment of Health Sciences, University of Milan, Milan, Italy.
Alberto BenigniDepartment of Emergency and Intensive Care, ASST Papa Giovanni XXIII, Bergamo, Italy.
Gianluca CappelleriAnesthesia and Intensive Care Unit, Policlinico di Monza, Monza, Italy.
Edward Rivera MarianoDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Luca Ferdinando LoriniDepartment of Emergency and Intensive Care, ASST Papa Giovanni XXIII, Bergamo, Italy.
Dario BugadaDepartment of Emergency and Intensive Care, ASST Papa Giovanni XXIII, Bergamo, Italy.
Ospedale Papa Giovanni XXIII · ITUniversity of Milan · ITVA Palo Alto Health Care System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUltrasound-guided supra-inguinal fascia iliaca block (FIB) provides effective analgesia after total hip arthroplasty (THA) but is complicated by high rates of motor block. The erector spinae plane block (ESPB) is a promising motor-sparing technique. In this study, we tested the analgesic superiority of the FIB over ESPB and associated motor impairment.

methodsIn this randomized, observer-blinded clinical trial, patients scheduled for THA under spinal anesthesia were randomly assigned to preoperatively receive either the ultrasound-guided FIB or ESPB. The primary outcome was morphine consumption 24 h after surgery. The secondary outcomes were pain scores, assessment of sensory and motor block, incidence of postoperative nausea and vomiting and other complications, and development of chronic post-surgical pain.

resultsA total of 60 patients completed the study. No statistically significant differences in morphine consumption at 24 h (P = 0.676) or pain scores were seen at any time point. The FIB produced more reliable sensory block in the femoral nerve (P = 0.001) and lateral femoral cutaneous nerve (P = 0.018) distributions. However, quadriceps motor strength was better preserved in the ESPB group than in the FIB group (P = 0.002). No differences in hip adduction motor strength (P = 0.253), side effects, or incidence of chronic pain were seen between the groups.

conclusionsESPBs may be a promising alternative to FIBs for postoperative analgesia after THA. The ESPB and FIB offer similar opioid-sparing benefits in the first 24 h after surgery; however, ESPBs result in less quadriceps motor impairment.

Indexed as

Arthroplasty, Replacement, HipNerve BlockAnalgesicsFasciaHumansMorphinePostoperative PainAnalgesicsMorphineAnalgesiaChronic post-surgical painEnhanced recovery after surgeryHip replacement arthroplastyNerve blockPostoperative pain.

Identifiers

PMID36632641
PMCPMC10391077
OpenAlexW4315652405

What OpenQuestion holds

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Registered trials

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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.