Evidence map›Paper›PMID 38336613›Full record

Trial reportBMC anesthesiology2024

Combined rectus sheath block with transverse abdominis plane block by one puncture for analgesia after laparoscopic upper abdominal surgery: a randomized controlled prospective study.

Shan Yu, Yaling Wen, Jing Lin, Jinghao Yang, Yihang He, Youbo Zuo

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
8.6field-weighted citation impact, top 2% 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.

NCT07312825 completednot on this map

Postoperative Analgesic Efficacy of Combined Fascial Plane Blocks After Gynecologic Oncologic Surgery

TypeobservationalSponsorDr Abdurrahman Yurtaslan Ankara Oncology Training and Research HospitalRan2024 to 2025Enrolled94ConditionsGynecologic Cancers, Postoperative Pain ManagementArmsGroup 1:The Transversus Abdominis Plane (TAP) block, Group 2: TAP Block + Quadratus Lumborum Block (QLB), Group 3: TAP Block + Rectus Sheath Block (RSB)
NCT07384000 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

The Efficacy of Single Puncture Technique of Rectus Sheath Block Combined With Transversus Abdominis Plane Block Versus External Oblique Intercostal Plane Block for Pain Control After Laparoscopic Cholecystectomy.

TypeinterventionalSponsorMinia UniversityRan2026 to 2026Enrolled60ConditionsPain Management, Anesthesia , Analgesia, Nerve BlockArmsExternal intercostal plane puncture, control group (nalbuphine), the single-puncture technique of (rectus sheath block) combined with (Transversus abdominis plane block)
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 15 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 2 countries.

Shan YuDepartment of Anesthesiology, Affiliated Hospital of North Sichuan Medical College, Nanchong, 637000, China.
Yaling WenDepartment of Anesthesiology, Affiliated Hospital of North Sichuan Medical College, Nanchong, 637000, China.
Jing LinDepartment of Anesthesiology, Affiliated Hospital of North Sichuan Medical College, Nanchong, 637000, China.
Jinghao YangDepartment of Anesthesiology, Affiliated Hospital of North Sichuan Medical College, Nanchong, 637000, China.
Yihang HeDepartment of Anesthesiology, Affiliated Hospital of North Sichuan Medical College, Nanchong, 637000, China.
Youbo ZuoDepartment of Anesthesiology, Affiliated Hospital of North Sichuan Medical College, Nanchong, 637000, China. zuoyb2519@163.com.
Affiliated Hospital of North Sichuan Medical College · CN

Funding

The study was funded by Scientific Research Development Program of the Affiliated Hospital of North Sichuan Medical College NO.2023JC035The study was funded by the University-level Scientific research Development Program of North Sichuan Medical College No.CBY21-QA48
6 · The paper itself

Abstract

backgroundRectus sheath block (RSB) and transversus abdominis plane block (TAPB) have been shown to reduce opioid consumption and decrease postoperative pain scores in abdominal surgeries. However, there are no reports about the one-puncture technique of RSB combined with TAPB for perioperative pain management during laparoscopic upper abdominal surgery.

methodsA total of 58 patients were randomly assigned to the control group (C), the TAP group (T), and the one-puncture technique of RSB combined with TAPB group (RT). The patients in group C did not receive any regional block. The patients in group T received ultrasound-guided subcostal TAPB with 30 mL of 0.33% ropivacaine on each side. The patients in the RT group received a combination of RSB and TAPB with 15 mL of 0.33% ropivacaine in each plane by one puncture technique. All patients received postoperative patient-controlled intravenous analgesia (PCIA) after surgeries. The range of blocks was recorded 20 min after the completion of the regional block. The postoperative opioid consumption, pain scores, and recovery data were recorded, including the incidence of emergence agitation (EA), the times of first exhaust and off-bed activity, the incidence of postoperative nausea and vomiting, dizziness.

resultsThe range of the one-puncture technique in group RT covered all areas of surgical incisions. The visual analogue scale (VAS) score of the RT group is significantly lower at rest and during coughing compared to groups T and C at 4, 8, 12, and 24 h after surgery, respectively (P < 0.05). The consumption of sufentanil and the number of postoperative compressions of the analgesic pumps at 24 and 48 h in the RT group are significantly lower than those in groups T and C (P < 0.05). The incidence of EA in the RT group is significantly lower than that in groups T and C (P < 0.05).

conclusionThe one-puncture technique of RSB combined with TAPB provides effective postoperative analgesia for laparoscopic upper abdominal surgery, reduces the incidence of EA during PACU, and promotes early recovery.

trial registrationChiCTR, ChiCTR2300067271. Registered 3 Jan 2023, http://www.chictr.org.cn .

Indexed as

BenzamidinesLaparoscopyPain ManagementAbdominal MusclesAnalgesia, Patient-ControlledAnalgesics, OpioidAnesthetics, LocalHumansPostoperative Nausea and VomitingPostoperative PainProspective StudiesPuncturesRopivacaine1,3-bis(4-amidinophenoxy)-2-(4-amidinophenoxymethyl)ethylpropaneAnalgesics, OpioidAnesthetics, LocalBenzamidinesRopivacaineAnalgesiaRectus sheath blockTransversus Abdominis plane blockUltrasoundUpper abdominal surgery

Identifiers

PMID38336613
PMCPMC10854179
OpenAlexW4391689599

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.