Evidence map›Paper›PMID 42180591›Full record

ArticleAnesthesiology research and practice2026

Ultrasound-Guided Erector Spinae Plane Block Versus Transversus Abdominis Plane Block for Postoperative Analgesia in Adult Patients Undergoing Laparoscopic Appendectomy.

Eman Abdelnaby Mohamed Soliman, Mohsen Abdelgani Basyoni, Amira Fathy Hafni Soliman, Mohamed Abdelmawla Saleh, Engy Sami Attia Sami

Abstract read
In one paragraph

Article in Anesthesiology research and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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

1 citing paper in PubMed.

  1. Article
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

5 authors.

Eman Abdelnaby Mohamed SolimanAssistant Lecturer of Anaesthesia, Intensive Care and Pain Management Faculty of Medicine, Ain Shams University, Cairo, Egypt, asu.edu.eg.ORCID https://orcid.org/0009-0007-0792-2111
Mohsen Abdelgani BasyoniAll from the Department of Anaesthesia, Intensive Care and Pain Management, Faculty of Medicine, Ain Shams University, Cairo, Egypt, asu.edu.eg.
Amira Fathy Hafni SolimanAll from the Department of Anaesthesia, Intensive Care and Pain Management, Faculty of Medicine, Ain Shams University, Cairo, Egypt, asu.edu.eg.
Mohamed Abdelmawla SalehAll from the Department of Anaesthesia, Intensive Care and Pain Management, Faculty of Medicine, Ain Shams University, Cairo, Egypt, asu.edu.eg.
Engy Sami Attia SamiAll from the Department of Anaesthesia, Intensive Care and Pain Management, Faculty of Medicine, Ain Shams University, Cairo, Egypt, asu.edu.eg.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Effective postoperative analgesia is essential after laparoscopic appendectomy. This randomized, double-blind controlled study compared the analgesic efficacy of ultrasound-guided erector spinae plane block (ESP) and the transversus abdominis plane block (TAP). Methods: This randomized, double-blind controlled study included 72 adult patients undergoing laparoscopic appendectomy. The primary outcome was the 24 h postoperative Numerical Rating Scale (NRS) pain score. Secondary outcomes included time to first rescue analgesia, total 24 h pethidine consumption, intraoperative fentanyl requirements, and adverse events. Patients were randomized to receive either an ultrasound-guided erector spinae plane block or a transversus abdominis plane block. Results: The erector spinae plane block group demonstrated significantly lower postoperative pain scores (mean difference -0.8 to -1.4), longer time to first rescue analgesia (mean difference 1.6 hours; 95% CI: 1.2-2.0), and reduced 24-hour pethidine consumption (mean difference -43.1 mg; 95% CI: -54.0 to -32.1). No major complications occurred. Conclusion: The erector spinae plane block provides superior postoperative analgesia after laparoscopic appendectomy and supports its inclusion in multimodal analgesic pathways.

Indexed as

erector spinae plane blocklaparoscopic appendectomypostoperative analgesiaregional anesthesiatransversus abdominis plane block

Identifiers

PMID42180591
PMCPMC13195795

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Registered trials

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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.