Trial reportRevista da Associacao Medica Brasileira (1992)2026
Analgesic efficacy of bilateral erector spinae plane block in pediatric tethered cord syndrome surgery: a prospective, randomized controlled trial.
Trial report in Revista da Associacao Medica Brasileira (1992), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe aim of this study was to evaluate the analgesic efficacy of the ultrasound-guided erector spinae plane block in pediatric patients undergoing surgery for tethered cord syndrome.
methodsIn a randomized, prospective, single-blind study, 73 patients aged 1-18 years with American Society of Anesthesiologists I-III status scheduled for tethered cord syndrome surgery were divided into control and erector spinae plane block groups. In the erector spinae plane block group, 0.5 mL kg-1 of 0.25% bupivacaine was administered under ultrasound guidance. Pain assessment scores were recorded in the recovery unit during the first 20 min and on the ward during the first 24 h. The groups' need for rescue analgesia, intraoperative anesthetic drug consumption, and the time to the first postoperative analgesic request were investigated.
resultsThe erector spinae plane block group had lower pain scores (up to approximately 4 h postoperatively), anesthetic and opioid consumption, and rescue analgesia requirements. A significant difference was observed in the time to first analgesic requirement. In total, 80.6% of patients in the control group still required additional analgesia at 30 min.
conclusionThe study demonstrated that erector spinae plane block delayed the time to first analgesic requirement and provided adequate postoperative analgesic effect in pediatric tethered cord syndrome surgery.
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