Erector spinae plane block for postoperative analgesia in breast and thoracic surgery: A systematic review and meta-analysis
| Autor: | Weidang Xie, Yanan Liu, Zhongqing Chen, Wenyan Wang, Wei Huang |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Breast surgery medicine.medical_treatment Paraspinal Muscles Subgroup analysis Cochrane Library law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial 030202 anesthesiology law medicine Humans Paravertebral Block 030212 general & internal medicine Pain Postoperative business.industry Thoracic Surgery Nerve Block Anesthesiology and Pain Medicine Cardiothoracic surgery Meta-analysis Anesthesia Nerve block Analgesia business |
| Zdroj: | Journal of Clinical Anesthesia. 66:109900 |
| ISSN: | 0952-8180 |
| Popis: | Study objective The erector spinae plane block (ESPB) is a newly defined regional anesthesia technique first introduced in 2016. The aim of this study is to determine its analgesic efficacy compared with non-block care and thoracic paravertebral block (TPVB). Design We systematically searched PubMed, Web of Science citation index, Embase, the Cochrane Library, Google Scholar, and ClinicalTrials.gov register searched up to March 2020. We conducted a meta-analysis of randomized controlled trials (RCTs) that compared an ESPB to non-block care or TPVB for postoperative analgesia in breast and thoracic surgery patients. Primary outcome was 24-hour postoperative opioid consumption. Risk of bias was assessed using Cochrane methodology. Results 14 RCTs that comprised 1018 patients were included. Seven trials involved thoracic surgery patients and seven included breast surgery patients. Meta-analysis revealed that ESPB significantly reduced 24-hour opioid consumption compared with the non-block groups (−10.5 mg; 95% CI: −16.49 to −3.81; p = 0.002; I2 = 99%). Similarly, the finding was consistent in subgroup analysis between the breast surgery (−7.75 mg; 95%CI −13.98 to −1.51; p = 0.01; I2 = 97%) and thoracic surgery (−14.81 mg; 95%CI −21.18 to −8.44; p Conclusions ESPB improved analgesic efficacy in breast and thoracic surgery patients compared with non-block care. Furthermore, current literature supported the ESPB offered comparable analgesic efficacy to a TPVB. |
| Databáze: | OpenAIRE |
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