Evidence map›Paper›PMID 37304230›Full record

ArticleLocal and regional anesthesia2023

Systemic Analgesia versus Continuous Erector Spinae Plane Block (ESPB) Infusion During Paediatric Nephrectomy: A Randomized, Controlled Trial.

Suzan Adlan, Ahmad Abd El-Rahman, Sahar Abdel-Baky Mohamed, Ahmed M Thabet, Eman Maghawry Hamada, Basma Rezk Farouk, Fatma Adel El Sherif

Open access · goldAbstract read
In one paragraph

Article in Local and regional anesthesia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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

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

  1. Pooled it
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 at 2 institutions in 1 country.

Suzan AdlanNational Cancer Institute, Cairo University, Cairo, Egypt.
Ahmad Abd El-RahmanSouth Egypt Cancer Institute, Assiut University, Assiut, Egypt.ORCID 0000-0002-6666-4032
Sahar Abdel-Baky MohamedSouth Egypt Cancer Institute, Assiut University, Assiut, Egypt.
Ahmed M ThabetFaculty of Medicine, Assiut University, Assiut, Egypt.ORCID 0000-0002-0763-8168
Eman Maghawry HamadaNational Cancer Institute, Cairo University, Cairo, Egypt.ORCID 0009-0009-0325-291X
Basma Rezk FaroukSouth Egypt Cancer Institute, Assiut University, Assiut, Egypt.
Fatma Adel El SherifSouth Egypt Cancer Institute, Assiut University, Assiut, Egypt.ORCID 0000-0002-0358-5097
Assiut University · EGCairo University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: A subcostal flank incision is required for open radical nephrectomy, which is a surgical procedure used to remove tumors of the kidney that are malignant. The erector spinae plane block (ESPB) and continuous catheter use in children are receiving more and more support by paediatric regional anaesthesiologists. Our objective was to compare systemic analgesic to continuous ESPB for pain relief in paediatric patients undergoing open radical nephrectomy. Methods: Sixty children with cancer ASA I or II and undergoing open radical nephrectomy between the ages of two and seven participated in this prospective, randomized, controlled, and open label study. The cases were divided into two equal groups (E and T groups); Group E received ipsilateral continuous ultrasound-guided ESPB at T Results: A highly significant difference in total tramadol consumed in group T 11.97 ± 1.13 mg/kg while group E was 2.07± 1.54 mg/kg (p < 0.001). 100% patients in group T requested analgesia compared to 46.7% patients in group E (p < 0.001). From 2 to 48 hour, FLACC significantly decreased in E compared to T group (p≤ 0.006) at all-time points. Conclusion: Ultrasound-guided continuous ESPB significantly provided better postoperative pain relief, reduced postoperative tramadol consumption and reduced pain scores compared with the use of tramadol alone, in paediatric cancer patients undergoing nephrectomy.

Indexed as

acute paincontinuous infusionpaediatric nephrectomysystemic analgesiaultrasound guided erector spinae plane blockWilms tumors

Identifiers

PMID37304230
PMCPMC10254591
OpenAlexW4379468313

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.