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Erector Spinae Plane Block in Abdominal Surgery: A Meta-Analysis
Dmitriy Viderman1, Mina Aubakirova1, Yerkin G Abdildin2
1Department of Biomedical Sciences, Nazarbayev University School of Medicine, Nur-Sultan, Kazakhstan.
Frontiers in Medicine
|March 14, 2022
Summary
Erector spinae plane block (ESPB) significantly reduced opioid use and time to first pain relief after major abdominal surgery. However, it did not significantly improve pain scores or reduce nausea and vomiting compared to standard care.
Area of Science:
- Anesthesiology
- Surgical Pain Management
- Regional Anesthesia
Background:
- Acute postoperative pain is a significant challenge following abdominal surgery.
- Opioids, while effective, carry risks like respiratory depression and nausea.
- Regional anesthesia techniques aim to mitigate these opioid-related side effects.
Approach:
- A meta-analysis was conducted on randomized controlled trials comparing erector spinae plane block (ESPB) with standard medical pain management.
- Studies published before May 2021 were systematically searched and analyzed.
- Data on opioid consumption, pain relief efficacy, time to first opioid demand, and complication rates were extracted.
Key Points:
- Ultrasound-guided ESPB significantly decreased postoperative opioid consumption.
- The time to the first analgesic request was notably reduced in the ESPB group.
- No significant differences were observed in pain scores, nausea, or vomiting between groups.
Conclusions:
- ESPB is effective in reducing opioid requirements after major abdominal surgery.
- While ESPB shows promise, its impact on pain scores and associated symptoms requires further investigation.
- No serious complications were associated with the use of ESPB in the analyzed studies.
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