Evidence map›Paper›PMID 38476544›Full record

ArticleIndian journal of anaesthesia2024

Retrolaminar block for opioid-free anaesthesia and enhanced recovery after posterior lumbar discectomy: A randomised controlled study.

Alshaimaa A F Kamel, Ahmed M Fahmy, Marwa M Medhat, Wael A E Ali Elmesallamy, Dina A E Salem

Open access · diamondAbstract read
In one paragraph

Article in Indian journal of anaesthesia, 2024. 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
3.4field-weighted citation impact, top 8% 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, 6 citations in OpenAlex.

  1. Pooled it
  2. Comparison of the effects of retrolaminar block (RLB) and erector spinae plane (ESP) block on postoperative recovery quality and pain in lumbar spinal surgery.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Trial
  3. Article
  4. Article
  5. 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

5 authors at 1 institution in 1 country.

Alshaimaa A F KamelDepartment of Anaesthesia, Intensive Care and Pain Management, Faculty of Human Medicine, Zagazig University, Alsharkia, Egypt.ORCID https://orcid.org/0000-0002-8102-210X
Ahmed M FahmyDepartment of Anaesthesia, Intensive Care and Pain Management, Faculty of Human Medicine, Zagazig University, Alsharkia, Egypt.ORCID https://orcid.org/0009-0002-6148-067X
Marwa M MedhatDepartment of Anaesthesia, Intensive Care and Pain Management, Faculty of Human Medicine, Zagazig University, Alsharkia, Egypt.ORCID https://orcid.org/0000-0003-0949-8872
Wael A E Ali ElmesallamyDepartment of Anaesthesia, Intensive Care and Pain Management, Faculty of Human Medicine, Zagazig University, Alsharkia, Egypt.ORCID https://orcid.org/0000-0002-4286-390X
Dina A E SalemDepartment of Anaesthesia, Intensive Care and Pain Management, Faculty of Human Medicine, Zagazig University, Alsharkia, Egypt.ORCID https://orcid.org/0000-0002-8833-8166
Zagazig University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Intraoperative regional analgesia and enhanced recovery are standard care models aimed at reducing perioperative opioid use following spine surgeries. This study aimed to examine the analgesic effect of retrolaminar block in promoting recovery and pain relief after posterior lumbar discectomy. Methods: The patients undergoing elective posterior lumbar discectomy were randomised into the retrolaminar group (n = 36) (received an intra-operative bilateral retrolaminar block with 15 mL of bupivacaine 0.25%, 2 mL (8 mg) of dexamethasone, and 2 mL of magnesium sulphate 10% (200 mg) on each side) and control group (n = 36) (received standard general anaesthesia). Primary outcomes were recovery time (time from isoflurane discontinuation to the first response to verbal command) and time to discharge (time from admission to the post-anaesthesia care unit (PACU) to discharge from the PACU, when Aldrete score was ≥9). Results: The extubation, recovery, and discharge times were significantly shorter in the retrolaminar group compared to the control group ( Conclusion: Intra-operative retrolaminar block is an easy and effective opioid-free regional anaesthesia technique that improves recovery after posterior lumbar discectomy.

Indexed as

Discectomyenhanced recovery after surgerynerve blockopioidopioid-free anaesthesiaregional anaesthesiaretrolaminar block

Identifiers

PMID38476544
PMCPMC10926343
OpenAlexW4392049132

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.