Evidence map›Paper›PMID 39678551›Full record

ArticleAmerican journal of translational research2024

Perioperative analgesic effect and safety of ultrasound-guided external oblique intercostal block and oblique subcostal transversus abdominis plane block in patients receiving laparoscopic radical gastrectomy.

Fang Tang, Zichang Yang, Zhiyi Liu, Min Dai, Ruilin Hu, Lianghui Huang, Qi Yu

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of translational research, 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
–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

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

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. 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.

Fang TangDepartment of Anesthesiology, Medical Center of Anesthesiology and Pain, The First Affiliated Hospital of Nanchang University Nanchang 330006, Jiangxi, China.
Zichang YangThe First Clinical Medical College of Nanchang University Nanchang 330000, Jiangxi, China.
Zhiyi LiuDepartment of Anesthesiology and Operative Medicine, Medical Center of Anesthesiology and Pain, The First Affiliated Hospital of Nanchang University Nanchang 330006, Jiangxi, China.
Min DaiDepartment of General Surgery, The First Affiliated Hospital of Nanchang University Nanchang 330052, Jiangxi, China.
Ruilin HuDepartment of General Surgery, The First Affiliated Hospital of Nanchang University Nanchang 330052, Jiangxi, China.
Lianghui HuangDepartment of General Surgery, The First Affiliated Hospital of Nanchang University Nanchang 330052, Jiangxi, China.
Qi YuDepartment of Anesthesiology and Operative Medicine, Medical Center of Anesthesiology and Pain, The First Affiliated Hospital of Nanchang University Nanchang 330006, Jiangxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the perioperative analgesic effect and safety of ultrasound-guided external oblique intercostal (EOI) block versus oblique subcostal transversus abdominis plane (OSTAP) block in patients receiving laparoscopic radical gastrectomy.

methodsA prospective study was conducted on sixty patients who underwent laparoscopic radical gastrectomy for gastric cancer at the First Affiliated Hospital of Nanchang University from January 2022 to September 2022. Patients were divided into the EOI block group and the OSTAP block group according to the random number table, with 30 patients in each group. Outcome measures were Visual Analog Scale scores assessed at rest and during activity at different time points, the number of effective analgesic pump compressions at 24 h post-surgery, the number of rescue analgesia at 24 h post-surgery, fentanyl consumption at 24 h post-surgery, and the occurrence of postoperative block-related complications.

resultsThe postoperative pain scores, measured at rest and during coughing, decreased in both groups. The pain scores at 12 h post-surgery were lower than those at 1 h and 6 h post-surgery in both groups (all P<0.05), and the pain scores at 24 h and 48 h post-surgery were also lower than those at 1 h, 6 h, and 12 h post-surgery (all P<0.05). The EOI block group exhibited reduced pain scores at 12 h and 24 h post-surgery compared to the OSTAP block group (all P<0.01). Additionally, the EOI group demonstrated a decreased number of effective analgesic pump compressions and a lower incidence of patients requiring rescue analgesia at 24 h post-surgery (all P<0.05), along with reduced cumulative fentanyl consumption at 6-12 h and 12-24 h post-surgery (P<0.05). There was no significant difference in the incidence of postoperative block-related complications between the two groups (P>0.05).

conclusionUltrasound-guided EOI block offers superior postoperative analgesic effect compared to OSTAP block in patients undergoing laparoscopic radical gastrectomy, without increasing the risk of complications postoperatively (Clinical registration number: ChiCTR2300070668).

Indexed as

complicationExternal oblique intercostal blocklaparoscopic radical gastrectomyoblique subcostal transversus abdominis plane blockpostoperation pain

Identifiers

PMID39678551
PMCPMC11645596

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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.