Trial reportBMC anesthesiology2025
A comparison of ultrasound-guided erector spinae plane block and epidural anesthesia for postoperative recovery in elderly individuals following laparoscopic gastrectomy: a randomized controlled trial.
Trial report in BMC anesthesiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
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.
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.
Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Comparative effectiveness of regional analgesia techniques after gastrectomy for gastric cancer: a systematic review and network meta-analysis of randomized trials.Frontiers in medicine · 2026Pooled it
- Article
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Authors and funding
7 authors.
Funding
Abstract
backgroundErector spinae plane block (EspB) is increasingly being applied for laparoscopic radical gastrectomy as an analgesic supplement to general anesthesia. The aim of this study was to evaluate the analgesic efficacy and postoperative recovery outcomes of EspB and epidural anesthesia (EDA) in elderly patients (above 65 years-of-age) undergoing laparoscopic gastrectomy in order to determine the precise multimodal analgesia (PMA) that promotes postoperative recovery.
methodsIn total, 102 patients assigned for elective laparoscopic gastrectomy were classified into three groups: preoperative bilateral EspB with general anesthesia, EDA with general anesthesia, and general anesthesia alone. The primary outcome, quality-of -recovery (QoR), was evaluated by the QoR-15 questionnaire at T1 (24 h postoperatively). Secondary endpoints included pain scores; postoperative recovery at T0 (1 day before surgery), T2 (3 days postoperatively), and T3 (7 days postoperatively); intraoperative hypotension; opioid consumption; gastrointestinal recovery; and side effects.
resultsQoR-15 scores for both EspB and EDA were significantly higher than that for general anesthesia alone at T1 (112.09 ± 6.56 and 110.32 ± 5.51a vs. 102.74 ± 4.91 P < 0.001) and T2 (114.79 ± 5.69 and 114.62 ± 6.24 vs. 110.85 ± 4.49 P < 0.05). In addition, both EspB and EDA reduced VAS scores with regards to resting and activity pain at T1(4 ( 2 ) vs. 4 ( 2 ) vs. 4.5 ( 1 ) and 4 ( 1 ) vs. 4( 1 ) vs. 5 ( 1 ), respectively P < 0.05). EspB was associated with reduced postoperative nausea and vomiting than EDA (P < 0.05).
conclusionEspB provides effective analgesia with fewer side effects, such as nausea and vomiting, compared to EDA, and may be a valuable component of multimodal analgesia for improving postoperative recovery in elderly patients undergoing laparoscopic gastric cancer surgery with general anesthesia. Trial registration chictr2400079956 (January 17, 2024).
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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.