Erector spinae plane block for analgesia after cesarean delivery : a systematic review with meta-analysis
Copyright © 2021 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. All rights reserved..
BACKGROUND: Erector spinae plane block (ESPB) is a regional block that may be used for several surgeries. However, the evidence regarding obstetrical procedures is not pooled in the literature.
OBJECTIVES: To assess whether ESPB improves the postoperative pain after cesarean section by a systematic review and meta-analysis.
METHODS: The protocol of this review was registered on PROSPERO (CRD42020192760). We included randomized controlled trials from databases until August 2020. The primary outcome was pain measured on a visual analogic scale; secondary outcomes were analgesic duration, postoperative opioid dose within the 24 hours, nausea/vomiting. The risk of bias and the GRADE criteria to assess quality of evidence were analyzed.
RESULTS: From 436 retrieved studies, three were selected. There was no difference in the pain scores between ESPB and controls at rest after surgery at 4 h (mean difference [MD] = 0.00; 95% CI: -0.72 to 0.72; I² = 0%; very low certainty), 12 h (MD = -1.00; 95% CI: -2.00 to -0.00; I² = 0%, low certainty) and 24 h (MD = -0.68; 95% CI: -1.56 to 0.20; I² = 50%; very low certainty). There was a smaller consumption of tramadol with ESPB compared with controls (MD = -47.66; 95% CI: -77.24 to -18.08; I² = 59%; very low certainty). The analgesic duration of ESPB was longer than the controls (MD = 6.97; 95% CI: 6.30 to 7.65; I² = 58%; very low certainty).
CONCLUSION: ESPB did not decrease the postoperative pain scores when compared to other comparators. However, ESPB showed a lower consumption of tramadol and a longer blockade duration, although the quality of evidence of these outcomes were very low.
| Errataetall: |
CommentIn: Int J Obstet Anesth. 2023 Feb;53:103614. - PMID 36535864 |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:72 |
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| Enthalten in: |
Brazilian journal of anesthesiology (Elsevier) - 72(2022), 4 vom: 01. Juli, Seite 506-515 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Ribeiro Junior, Idelberto do Val [VerfasserIn] |
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| Links: |
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| Themen: |
39J1LGJ30J |
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| Anmerkungen: |
Date Completed 12.07.2022 Date Revised 24.02.2023 published: Print-Electronic CommentIn: Int J Obstet Anesth. 2023 Feb;53:103614. - PMID 36535864 Citation Status MEDLINE |
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| doi: |
10.1016/j.bjane.2021.09.015 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM332133117 |
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| 245 | 1 | 0 | |a Erector spinae plane block for analgesia after cesarean delivery |b a systematic review with meta-analysis |
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| 500 | |a CommentIn: Int J Obstet Anesth. 2023 Feb;53:103614. - PMID 36535864 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2021 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. All rights reserved. | ||
| 520 | |a BACKGROUND: Erector spinae plane block (ESPB) is a regional block that may be used for several surgeries. However, the evidence regarding obstetrical procedures is not pooled in the literature | ||
| 520 | |a OBJECTIVES: To assess whether ESPB improves the postoperative pain after cesarean section by a systematic review and meta-analysis | ||
| 520 | |a METHODS: The protocol of this review was registered on PROSPERO (CRD42020192760). We included randomized controlled trials from databases until August 2020. The primary outcome was pain measured on a visual analogic scale; secondary outcomes were analgesic duration, postoperative opioid dose within the 24 hours, nausea/vomiting. The risk of bias and the GRADE criteria to assess quality of evidence were analyzed | ||
| 520 | |a RESULTS: From 436 retrieved studies, three were selected. There was no difference in the pain scores between ESPB and controls at rest after surgery at 4 h (mean difference [MD] = 0.00; 95% CI: -0.72 to 0.72; I² = 0%; very low certainty), 12 h (MD = -1.00; 95% CI: -2.00 to -0.00; I² = 0%, low certainty) and 24 h (MD = -0.68; 95% CI: -1.56 to 0.20; I² = 50%; very low certainty). There was a smaller consumption of tramadol with ESPB compared with controls (MD = -47.66; 95% CI: -77.24 to -18.08; I² = 59%; very low certainty). The analgesic duration of ESPB was longer than the controls (MD = 6.97; 95% CI: 6.30 to 7.65; I² = 58%; very low certainty) | ||
| 520 | |a CONCLUSION: ESPB did not decrease the postoperative pain scores when compared to other comparators. However, ESPB showed a lower consumption of tramadol and a longer blockade duration, although the quality of evidence of these outcomes were very low | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Meta-Analysis | |
| 650 | 4 | |a Review | |
| 650 | 4 | |a Systematic Review | |
| 650 | 4 | |a Anesthesia, obstetrical | |
| 650 | 4 | |a Cesarean section | |
| 650 | 4 | |a Meta-analysis | |
| 650 | 4 | |a Systematic review | |
| 650 | 7 | |a Analgesics |2 NLM | |
| 650 | 7 | |a Tramadol |2 NLM | |
| 650 | 7 | |a 39J1LGJ30J |2 NLM | |
| 700 | 1 | |a Carvalho, Vanessa Henriques |e verfasserin |4 aut | |
| 700 | 1 | |a Brito, Luiz Gustavo Oliveira |e verfasserin |4 aut | |
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