Evidence map›Paper›PMID 38811911›Full record

Trial reportBMC anesthesiology2024

Evaluation of the Erector spinae plane block for postoperative analgesia in laparoscopic ventral hernia repair: a randomized placebo controlled trial.

Marie Sørenstua, Johan Ræder, Jan Sverre Vamnes, Ann-Chatrin Linqvist Leonardsen

2 registry-linked trialsAbstract 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 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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.

NCT04438369 nacompletednot on this map

Evaluation of Ultrasound-guided Erector Spinae Block for Postoperative Analgesia in Laprascopic Ventral Hernia Repair.

TypeinterventionalSponsorOstfold Hospital TrustRan2020 to 2023Enrolled70ConditionsVentral Hernia, Postoperative Pain, Regional AnesthesiaArmsErector Spinae Plane Block
NCT07163026 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Comparison of Analgesic Efficacy of Erector Spinae Plane Block and External Oblique-Intercostal Plane Block in Patients Undergoing Open Ventral Hernia Repair

TypeinterventionalSponsorAnkara Ataturk Sanatorium Training and Research HospitalRan2025 to 2025Enrolled50ConditionsVentral Hernia, Postoperative Pain, Postoperative Nausea, Postoperative VomitingArmsErector Spine Plane Block, External Oblique - Intercostal Plane Block
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

4 authors.

Marie SørenstuaDepartment of Anesthesia, Kalnesveien 300, Grålum, 1714, Norway. marie.sorenstua@so-hf.no.
Johan RæderInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Jan Sverre VamnesDepartment of Anesthesia, Kalnesveien 300, Grålum, 1714, Norway.
Ann-Chatrin Linqvist LeonardsenFaculty of Health, Welfare and Organisation, Ostfold University College, Fredrikstad, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Erector spinae plane block (ESPB) reduces postoperative pain after several types of abdominal laparoscopic surgeries. There is sparse data on the effect of ESPB in laparoscopic ventral hernia repair. The purpose of this study was to test the postoperative analgesic efficacy of an ESPB for this procedure.

methodsIn this prospective, double-blind, randomized controlled study, adult patients undergoing laparoscopic ventral hernia repair were randomly assigned to either bilateral preoperative ESPB with catheters at the level of Th7 (2 × 30 ml of either 2.5 mg/ml ropivacaine or saline), with postoperative catheter top ups every 6 h for 24 h. The primary outcome was rescue opioid consumption during the first hour postoperatively. Secondary outcomes were total opioid consumption at 4 h and 24 h, pain scores, nausea, sedation, as well as Quality of Recovery 15 (QoR-15) and the EuroQol-5 Dimensions (EQ-5D-5L) during the first week.

resultsIn total, 64 patients were included in the primary outcome measure. There was no significant difference in rescue opioid consumption (oral morphine equivalents (OME)) at one hour postoperatively, with the ESPB group 26.9 ± 17.1 mg versus 32.4 ± 24.3 mg (mean ± SD) in the placebo group (p= 0.27). There were no significant differences concerning the secondary outcomes during the seven-day observation period. Seven patients received a rescue block postoperatively, providing analgesia in five patients.

conclusionWe found no difference in measured outcomes between ESPB and placebo in laparoscopic ventral hernia repair. Future studies may evaluate whether a block performed using higher concentration and/or at a different thoracic level provides more analgesic efficacy.

trial registrationNCT04438369 ; 18/06/2020. .

Indexed as

Analgesics, OpioidHernia, VentralHerniorrhaphyLaparoscopyNerve BlockPostoperative PainAdultAgedAnesthetics, LocalDouble-Blind MethodFemaleHumansMaleMiddle AgedParaspinal MusclesProspective StudiesAnalgesics, OpioidAnesthetics, LocalRopivacaineAcute painAnesthesiaPostoperative analgesiaRegional anesthesia

Identifiers

PMID38811911
PMCPMC11134963

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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.