Evidence map›Paper›PMID 40241019›Full record

Trial reportBMC anesthesiology2025

The effect of bilateral rectus sheath and oblique subcostal transversus abdominis plane blocks on mechanical power in patients undergoing laparoscopic cholecystectomy surgery: a randomized controlled trial.

Esma Karaarslan, Yasin Tire, Mahmut Sami Tutar, Nuran Akıncı, Hasan Alp Mermer, Sami Uyar, Dilek Ateş, Gürcan Şimşek, Betül Kozanhan

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06202040 (The Effect of Bilateral Rectus Sheath and Oblique Subcostal Transversus Abdominis Plane Block on Mechanical Power in Patients Undergoing Laparoscopic Cholecystectomy Surgery), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT06202040 nacompletednot on this map

The Effect of Bilateral Rectus Sheath and Oblique Subcostal Transversus Abdominis Plane Block on Mechanical Power in Patients Undergoing Laparoscopic Cholecystectomy Surgery

TypeinterventionalSponsorKonya City HospitalRan2023 to 2024Enrolled66ConditionsMechanical PowerArmsBilateral Oblique Subcostal Transversus Abdominis Plane Block (OSTAP) will be performed., Bilateral Rectus Sheath Block (RSB) will be performed.
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

9 authors.

Esma KaraarslanDepartment of Anesthesiology and Reanimation, Konya City Hospital, Konya, Turkey. esmaayvaz@gmail.com.
Yasin TireDepartment of Anesthesiology and Reanimation, Konya City Hospital, Konya, Turkey.
Mahmut Sami TutarDepartment of Anesthesiology and Reanimation, Konya City Hospital, Konya, Turkey.
Nuran AkıncıDepartment of Anesthesiology and Reanimation, Konya City Hospital, Konya, Turkey.
Hasan Alp MermerDepartment of Anesthesiology and Reanimation, Konya City Hospital, Konya, Turkey.
Sami UyarDepartment of Anesthesiology and Reanimation, Konya Beyhekim Training and Research Hospital, Konya, Turkey.
Dilek AteşDepartment of Anesthesiology and Reanimation, Konya City Hospital, Konya, Turkey.
Gürcan ŞimşekGeneral Surgery Department, Konya City Hospital, Konya, Turkey.
Betül KozanhanDepartment of Anesthesiology and Reanimation, Konya City Hospital, Konya, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn this study, we aimed to investigate the effects of bilateral rectus sheath blocks (RSBs) and oblique subcostal transversus abdominis plane (OSTAP) blocks on mechanical power (MP) in patients receiving laparoscopic cholecystectomy under general anesthesia. Additionally, we sought to evaluate the impact of these blocks on postoperative pain and quality of patient recovery.

methodsIn this prospective, double-blind study, 66 patients who underwent laparoscopic cholecystectomy were randomized into two groups: Group C (control), which received a standard analgesic intravenous regimen; and Group B (block), which received bilateral RSB and OSTAP blocks. Intraoperative mechanical power was measured for all patients. Postoperative pain was assessed using visual analog scale (VAS) scores, and recovery quality was measured using the 15-item quality of recovery (QoR-15) questionnaire.

resultsThe mechanical power values for patients in Group C were consistently greater at all measured times: baseline, before bridion, and after bridion. Although the difference at baseline was not statistically significant, significant differences were observed before and after bridion (p values = 0.112, 0.021, and 0.003, respectively). Patients in Group B exhibited significantly lower VAS scores at all time points (30 min, 2 h, 8 h, and 24 h) (p < 0.05). Additionally, essential variations were noted in the administration of rescue analgesia between the groups (p < 0.001). Regarding tramadol consumption, Group C patients had significantly greater values [84 (74-156) vs. 0 (0-75), median (25-75th percentiles)] (p < 0.001). For the QoR-15 scores, Group C also had significantly greater values [129 (124-133) vs. 122 (115-125), median (25-75th percentiles)] (p < 0.001).

conclusionsBilateral RSB and OSTAP blocks significantly reduce mechanical power during surgery. Moreover, they significantly decrease postoperative pain and analgesic consumption and increase patient recovery scores.

trial registrationThe study protocol was registered in the international database ClinicalTrials.gov (registration no. NCT06202040). This study was conducted between December 2023 and January 2024 at the Department of Anesthesiology and Reanimation of Konya City Hospital.

Indexed as

Cholecystectomy, LaparoscopicNerve BlockPostoperative PainRectus AbdominisAdultAnesthesia, GeneralDouble-Blind MethodFemaleHumansMaleMiddle AgedPain MeasurementProspective StudiesLaparoscopic cholecystectomy surgeryMechanical powerOSTAP blocksRectus sheath blocks

Identifiers

PMID40241019
PMCPMC12004598

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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.