Evidence map›Paper›PMID 38656013›Full record

Trial reportRevista da Associacao Medica Brasileira (1992)2024

A novel comparison of erector spinae plane block and paravertebral block in laparoscopic cholecystectomy.

Elvan Tekir Yılmaz, Duygu Demiriz Gülmez, Alparslan Apan, Bilge Olgun Keles, Mücahit Coşkun, Cihan Döger, Tugrul Kesicioglu, Vedat Ataman Serim, Furkan Ali Uygur, Ilker Sengul

Abstract readRandomized Controlled TrialComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Revista da Associacao Medica Brasileira (1992), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

  1. Review
  2. Article
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  7. Review
  8. Review
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

10 authors.

Elvan Tekir YılmazGiresun University, Faculty of Medicine, Department of Anesthesiology and Reanimation - Giresun, Turkey.ORCID http://orcid.org/0000-0001-8631-2520
Duygu Demiriz GülmezBaşakşehir Çam and Sakura City Hospital - İstanbul, Turkey.ORCID http://orcid.org/0000-0002-0874-7067
Alparslan ApanGiresun University, Faculty of Medicine, Department of Anesthesiology and Reanimation - Giresun, Turkey.ORCID http://orcid.org/0000-0001-9660-3276
Bilge Olgun KelesGiresun University, Faculty of Medicine, Department of Anesthesiology and Reanimation - Giresun, Turkey.ORCID http://orcid.org/0000-0002-8912-6317
Mücahit CoşkunGiresun University, Faculty of Medicine, Department of Anesthesiology and Reanimation - Giresun, Turkey.ORCID http://orcid.org/0000-0001-5486-5315
Cihan DögerUniversity of Health Sciences, Faculty of Medicine, Department of Anesthesiology and Reanimation - Ankara, Turkey.ORCID http://orcid.org/0000-0003-3071-5181
Tugrul KesiciogluGiresun University, Faculty of Medicine, Department of General Surgery - Giresun, Turkey.ORCID http://orcid.org/0000-0002-9263-5032
Vedat Ataman SerimGiresun University, Faculty of Medicine, Department of Neurology - Giresun, Turkey.ORCID http://orcid.org/0000-0003-3730-0624
Furkan Ali UygurGiresun University, Faculty of Medicine, Department of General Surgery - Giresun, Turkey.ORCID http://orcid.org/0000-0001-6598-3675
Ilker SengulGiresun University, Faculty of Medicine, Department of General Surgery - Giresun, Turkey.ORCID http://orcid.org/0000-0001-5217-0755

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveErector spinae plane block is an updated method than paravertebral block, possessing a lower risk of complications. This study aimed to compare erector spinae plane and paravertebral blocks to safely reach the most efficacious analgesia procedure in laparoscopic cholecystectomy cases.

methodsThe study included 90 cases, aged 18-70 years, classified as American Society of Anesthesiologists I-II, who underwent an laparoscopic cholecystectomy procedure. They were randomly separated into three groups, namely, Control, erector spinae plane, and paravertebral block. No block procedure was applied to Control, and a patient-controlled analgesia device was prepared containing tramadol at a 10 mg bolus dose and a 10-min locked period. The pain scores were recorded with a visual analog scale for 24 h postoperatively.

resultsThe visual analog scale values at 1, 5, 10, 20, and 60 min at rest and 60 min coughing were found to be significantly higher in Control than in paravertebral block. A significant difference was revealed between Control vs. paravertebral block and paravertebral block vs. erector spinae plane in terms of total tramadol consumption (p=0.006). Total tramadol consumption in the first postoperative 24 h was significantly reduced in the paravertebral block compared with the Control and erector spinae plane groups.

conclusionSonography-guided-paravertebral block provides sufficient postoperative analgesia in laparoscopic cholecystectomy surgery. Erector spinae plane seems to attenuate total tramadol consumption.

Indexed as

Cholecystectomy, LaparoscopicNerve BlockPain MeasurementPostoperative PainTramadolAdolescentAdultAgedAnalgesia, Patient-ControlledAnalgesics, OpioidFemaleHumansMaleMiddle AgedParaspinal MusclesTime FactorsAnalgesics, OpioidTramadol

Identifiers

PMID38656013
PMCPMC11042833

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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.