Evidence map›Paper›PMID 39407122›Full record

Trial reportBMC anesthesiology2024

Comparative efficacy of ultrasound-guided erector spinae plane block versus wound infiltration for postoperative analgesia in instrumented lumbar spinal surgeries.

Yucel Yuce, Secil Azime Karakus, Tahsin Simsek, Ceren Onal, Ozlem Sezen, Banu Cevik, Evren Aydogmus

Registry-linked trialAbstract readRandomized Controlled TrialComparative Study
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 trial NCT06567964 (Comparative Efficacy of Ultrasound-guided Erector Spinae Plane Block Versus Wound Infiltration for Postoperative Analgesia in Instrumented Lumbar Spinal Surgeries), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

NCT06567964 nacompletednot on this map

Comparative Efficacy of Ultrasound-guided Erector Spinae Plane Block Versus Wound Infiltration for Postoperative Analgesia in Instrumented Lumbar Spinal Surgeries

TypeinterventionalSponsorSaglik Bilimleri UniversitesiRan2023 to 2023Enrolled80ConditionsLumbar Spinal Stenosis, Lumbar Spine Instability, Lumbar Spine DegenerationArmsErector Spinae Plane Block(ESPB), Wound infiltration
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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  6. 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

7 authors.

Yucel YuceAnesthesiology and Reanimation Department, University of Health Sciences, Hamidiye International Faculty of Medicine, Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Kartal, Turkey. dryyuce@gmail.com.ORCID 0000-0003-0396-1248
Secil Azime KarakusAnesthesiology and Reanimation Department, University of Health Sciences, Hamidiye Faculty of Medicine, Basaksehir Cam and Sakura City Hospital, Istanbul, Basaksehir, Turkey.ORCID 0009-0004-5772-7953
Tahsin SimsekAnesthesiology and Reanimation Department, University of Health Sciences, Hamidiye International Faculty of Medicine, Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Kartal, Turkey.ORCID 0000-0002-3068-4998
Ceren OnalAnesthesiology and Reanimation Department, Agri Education and Research Hospital, Agri, Turkey.ORCID 0000-0003-2196-2500
Ozlem SezenAnesthesiology and Reanimation Department, University of Health Sciences, Hamidiye International Faculty of Medicine, Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Kartal, Turkey.ORCID 0000-0002-2144-9224
Banu CevikAnesthesiology and Reanimation Department, University of Health Sciences, Hamidiye International Faculty of Medicine, Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Kartal, Turkey.ORCID 0000-0001-5844-4606
Evren AydogmusNeurosurgery Department University of Health Sciences, Hamidiye International Faculty of Medicine, Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Kartal, Turkey.ORCID 0000-0001-6929-4981

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study compared the efficacy of ultrasound-guided erector spinae plane block (ESPB) and wound infiltration (WI) for postoperative analgesia in patients who underwent lumbar spinal surgery with instrumentation.

methodsIn this randomized controlled trial, 80 patients were divided into two groups: ESPB (n = 40) and WI (n = 40). Postoperative pain intensity was assessed via the visual analog scale (VAS) at multiple time points within 24 h. Additionally, opioid consumption, time to first rescue analgesia, incidence of postoperative nausea and vomiting (PONV), and patient satisfaction were evaluated.

resultsBoth ESPB and WI provided effective postoperative pain management, with no significant differences in VAS scores. However, the ESPB group demonstrated a significantly longer duration of analgesia, a shorter time to first rescue analgesia, and lower total tramadol consumption (50 ± 60 mg vs. 100 ± 75 mg; p = 0.010) than did the WI group. Furthermore, a trend toward reduced PONV incidence was observed in the ESPB group, likely due to its opioid-sparing effect.

conclusionWhile both ESPB and WI provided effective postoperative pain management, ESPB demonstrated a distinct advantage by offering a longer duration of analgesia and significantly reducing opioid consumption. These findings suggest that ESPB is more effective than WI for postoperative analgesia in lumbar spinal surgeries, providing prolonged pain relief and improving patient outcomes. Further studies are warranted to explore its long-term benefits and cost-effectiveness.

trial registrationClinicalTrials.govPRS: NCT06567964 Date: 08/21/2024 Retrospectively registered.

Indexed as

Analgesics, OpioidLumbar VertebraeNerve BlockPostoperative PainUltrasonography, InterventionalAdultAgedFemaleHumansMaleMiddle AgedPain MeasurementParaspinal MusclesPatient SatisfactionPostoperative Nausea and VomitingAnalgesics, OpioidEnhanced Recovery after Surgery (ERAS)Erector Spinae Plane BlockLumbar Spinal SurgeryPostoperative AnalgesiaPostoperative PainUltrasound-Guided AnesthesiaVisual Analog Scale (VAS)Wound Infiltration

Identifiers

PMID39407122
PMCPMC11476798

What OpenQuestion holds

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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.