Evidence map›Paper›PMID 36999467›Full record

ArticleZhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences2023

Effects of bilateral erector spinae plane block for posterior lumbar spine surgery in elderly patients.

Jie Peng, Wenqi Zhang, Youping Wu, Yongyuan Ma, Wenbin Qie, Bo Xu

Open access · greenAbstract read
In one paragraph

Article in Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 10% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

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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 1 institution in 1 country.

Jie PengDepartment of Anesthesiology, General Hospital of Southern Theater Command, People's Liberation Army of China, Guangzhou 510010, China. excelsiorschola@163.com.
Wenqi ZhangDepartment of Anesthesiology, General Hospital of Southern Theater Command, People's Liberation Army of China, Guangzhou 510010, China.
Youping WuDepartment of Anesthesiology, General Hospital of Southern Theater Command, People's Liberation Army of China, Guangzhou 510010, China.
Yongyuan MaDepartment of Anesthesiology, General Hospital of Southern Theater Command, People's Liberation Army of China, Guangzhou 510010, China.
Wenbin QieDepartment of Anesthesiology, General Hospital of Southern Theater Command, People's Liberation Army of China, Guangzhou 510010, China.
Bo XuDepartment of Anesthesiology, General Hospital of Southern Theater Command, People's Liberation Army of China, Guangzhou 510010, China.
General Hospital of Guangzhou Military Command · CN

Funding

the Military Logistics Science Research Project of People's Liberation Army of China CLB21J023the Natural Science Foundation of Guangdong Province 2021A1515010077the Science and Technology Program of Guangzhou 202002030379
6 · The paper itself

Abstract

objectivesWith the rapid development of aging population, the number of elderly patients undergoing posterior lumbar spine surgery continues to increase. Lumbar spine surgery could cause moderate to severe postoperative pain, and the conventional opioid-based analgesia techniques have many side effects, which are barriers to the recovery after surgery of the elderly. Previous studies have demonstrated that erector spinae plane block (ESPB) could bring about favorable analgesia in spinal surgery. As far as the elderly are concerned, the analgesic and recovery effects of ESPB on posterior lumbar spine surgery are not completely clear. This study aims to observe the effects of bilateral ESPB on elderly patients undergoing posterior lumbar spine surgery, and to improve the anesthesia techniques.

methodsA total of 70 elderly patients of both sex, who were selected from May 2020 to November 2021, scheduled for elective posterior lumbar spine surgery, and in the age of 60-79 years, with American Society of Anesthesiologists class Ⅱ-Ⅲ, were divided into a ESPB group and a control (C) group using a random number table method, with 35 patients each. Before general anesthesia induction, 20 mL 0.4% ropivacaine was injected to the transverse process of L

resultsA total of 70 patients were enrolled and 62 subjects completed the study, including 32 in the ESPB group and 30 in the C group. Compared with the C group, the postoperative NRS scores at rest at 2, 4, 6, and 12 h and on movementat at 2, 4, and 6 h were lower, time of first PCA was later, sufentanil consumptions were significantly decreased during 0-12 h and 12-24 h after operation, LSEQ scores on the morning of day 1 and QoR-15 scores at 24 and 48 h after operation were higher, full diet intakes achieved earlier in the ESPB group (all

conclusionsProviding favorable analgesic effects with reduced opioids consumption, bilateral ESPB for posterior lumbar spine surgery in the elderly patients could also improve postoperative sleep quality, promote gastrointestinal functional restoration, and enhance recovery with few adverse reactions.

Indexed as

HypotensionNerve BlockAgedAnalgesics, OpioidAnesthesia, GeneralConstipationDizzinessHumansMiddle AgedPainPostoperative PainSufentanilUltrasonography, InterventionalAnalgesics, OpioidSufentanilanalgesiaelderly patienterector spinae plane blockposterior lumbar spine surgery

Identifiers

PMID36999467
PMCPMC10930347
OpenAlexW4362506097

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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.