ArticleCardiovascular and interventional radiology2025
Erector Spinae Plane Block for Percutaneous Transhepatic Biliary Drainage: A Comparative Analysis.
Article in Cardiovascular and interventional radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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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.
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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.
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Who cites it
3 citing papers in PubMed.
- Efficacy of guided breathing virtual reality for pain management in patients with cancer undergoing percutaneous transhepatic biliary drainage.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Trial
- Perioperative effects of the quadratus lumborum block in percutaneous biliary drainage: a prospective randomized controlled study.Turkish journal of medical sciences · 2026Trial
- Fascial Plane Blocks for Analgesia in Non-Operating Room Anesthesia Settings.Journal of clinical medicine · 2026Review
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePercutaneous transhepatic biliary drainage (PTBD) is associated with significant procedural pain, typically managed with opioid-based sedation, which carries risks such as respiratory depression, nausea, and hemodynamic instability. The erector spinae plane block (ESPB) has emerged as an opioid-sparing alternative for perioperative pain management. This study aimed to evaluate the analgesic efficacy of ESPB compared to procedural analgesia with fentanyl (PAF) in PTBD patients.
methodsPatients who underwent PTBD with ESPB or PAF were assessed using the Numeric Rating Scale (NRS) at five time points: pre-procedure, intra-procedure, and 1, 6, and 12 h post-procedure. Opioid consumption and procedure-related complications were also recorded.
results101 patients who underwent PTBD with either pre-procedural ESPB (n = 41) or PAF (n = 60) were included. The ESPB group demonstrated significantly lower median pain scores at 1 h (3 vs. 6, p < 0.001), 6 h (2 vs. 4, p < 0.001), and 12 h (1 vs. 2, p < 0.001) post-procedure compared to the PAF group. Although intra-procedural pain scores were comparable between the two groups, patients in the ESPB group experienced a more rapid decline in post-procedural pain, returning to near-baseline levels at 1 h, whereas pain in the PAF group remained elevated (p < 0.001). No patients in the ESPB group required additional opioid analgesia post-procedure, whereas tramadol was administered in the PAF group as needed for breakthrough pain (NRS ≥ 6).
conclusionESPB provides effective analgesia for PTBD, minimizing opioid use while enhancing patient comfort and procedural success.
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