Evidence map›Paper›PMID 37971133›Full record

Trial reportRevista da Associacao Medica Brasileira (1992)2023

The effectiveness of erector spina plane, quadratus lumborum blocks, and intrathecal morphine for analgesia after cesarean: a randomized study.

Mehmet Aksoy, Ayse Nur Aksoy, Emsal Pınar Topdagi Yilmaz, Gamze Nur Cimilli Senocak, Aysenur Dostbil, Hava Ozkan

Registry-linked trialOpen access · diamondAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Revista da Associacao Medica Brasileira (1992), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07346417 (Erector Spinae Plane Block Versus Quadratus Lumborum Block for Post Operative Analgesia in Pediatric Kidney Surgery), which is not on this map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
2.5field-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.

NCT07346417 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Erector Spinae Plane Block Versus Quadratus Lumborum Block for Post Operative Analgesia in Pediatric Kidney Surgery

TypeinterventionalSponsorAssiut UniversityRan2025 to 2028Enrolled100ConditionsKidney DiseasesArmsQuadratus lumborum block teqnique, Erector spinae plane block Technique
3 · Its place in the literature

Who cites it

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

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

Mehmet AksoyAtatürk University, Faculty of Medicine, Department of Anesthesiology and Reanimation - Erzurum, Turkey.ORCID http://orcid.org/0000-0003-0867-8660
Ayse Nur AksoyAtatürk University, Anesthesiology Clinical Research Office - Erzurum, Turkey.ORCID http://orcid.org/0000-0002-3793-9797
Emsal Pınar Topdagi YilmazAtatürk University, Anesthesiology Clinical Research Office - Erzurum, Turkey.ORCID http://orcid.org/0000-0001-8593-5726
Gamze Nur Cimilli SenocakAtatürk University, Anesthesiology Clinical Research Office - Erzurum, Turkey.ORCID http://orcid.org/0000-0002-6750-9210
Aysenur DostbilAtatürk University, Faculty of Medicine, Department of Anesthesiology and Reanimation - Erzurum, Turkey.ORCID http://orcid.org/0000-0002-7167-901X
Hava OzkanAtatürk University, Faculty of Health Science, Department of Midwifery - Erzurum, Turkey.ORCID http://orcid.org/0000-0001-7314-0934
Atatürk University · TRSağlık Bilimleri Üniversitesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis prospective randomized study was conducted at Ataturk University Medical Faculty Hospital, Department of Anesthesia and Reanimation, from June 2022 to May 2023. The aim of this study was to compare the effectiveness of ultrasound-guided erector spinae plane block, quadratus lumborum block, and intrathecal morphine to decrease postoperative pain after cesarean section.

methodsSixty-term pregnant women who were scheduled for elective cesarean sections with spinal anesthesia were included. Patients were randomly divided into three groups (n=20 for each group): Group 1: Patients were administered intrathecal morphine during spinal anesthesia; Group 2: Patients performed bilateral erector spinae plane block postoperatively; and Group 3: Patients performed bilateral quadratus lumborum block postoperatively. In the postpartum care unit, patients received intravenous Patient-Controlled Analgesia. The Patient-Controlled Analgesia devices were set to administer an intravenous bolus of 25 μg fentanyl, with a lockout interval of 10 min. Opioid consumption and maximum pain score in the 24 postoperative hours were recorded.

resultsPatients in Group 1 had a longer time to first analgesic requirement compared to Group 2 (p=0.017). Opioid consumption and resting and moving visual analog score scores in the first 24 h postoperatively were similar between groups.

conclusionAll three methods, including intrathecal morphine, erector spinae plane block, and quadratus lumborum block, are efficacious and comparable in providing postoperative analgesia after cesarean under spinal anesthesia.

Indexed as

AnalgesiaNerve BlockAnalgesics, OpioidAnesthetics, LocalCesarean SectionFemaleHumansMorphinePostoperative PainPregnancyProspective StudiesUltrasonography, InterventionalAnalgesics, OpioidAnesthetics, LocalMorphine

Identifiers

PMID37971133
PMCPMC10645188
OpenAlexW4388641572

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.