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Meta-Analyses

Open Access Special Issue

The analgesic effect of erector spinae plane block in thoracic surgery: a systematic review and meta-analysis of randomized controlled trials

  • Yi Li1
  • You-Ling Hou1
  • Hong-Yu Guan1
  • Hong-Xia Luo1

1Department of Anesthesiology, Yongchuan affiliated Hospital of Chongqing Medical University, 402160 Yongchuan, Chongqing, China

DOI: 10.22514/sv.2021.124

Submitted: 07 May 2021 Accepted: 08 June 2021

Online publish date: 08 July 2021

*Corresponding Author(s): Hong-Xia Luo E-mail: luohongxia1232021@163.com

Abstract

Objectives: The aim of this study is to evaluate the analgesic effect of erector spinae plane block (ESPB) in patients undergoing thoracic surgery.

Methods: We systematically searched Embase, PubMed, The Cochrane Library, VIP database, CNKI, Wanfang database, CBM, from 2010 to December, 2020 to perform a meta-analysis of randomized controlled trials (RCTs) on the analgesic effect of ESPB in thoracic surgery patients. The primary outcome were postoperative pain scores at various time points.

Results: Eighteen studies with a total of 1303 patients were included. The meta-analysis found that ESPB reduced postoperative 48-hour pain scores at rest or movement at different time points compared with the control group, reduced the incidence of postoperative nausea and vomiting (PONV) (odds ratio, OR = 0.48, 95% CI = 0.33∼0.71, P < 0.05), and reduced the number of patient-controlled intravenous analgesia (PCIA) pressing times (mean difference, MD = −6.83, 95% CI = −8.73∼−4.94, P < 0.05).

Conclusions: Compared with general anesthesia (GA), GA combined with ESPB significantly decreases postoperative pain, PONV and opioids requirements following thoracic surgery.


Keywords

Erector spinae plane block; Thoracic surgery; Analgesia; Meta-analysis; Randomized controlled trial


Cite and Share

Yi Li,You-Ling Hou,Hong-Yu Guan,Hong-Xia Luo. The analgesic effect of erector spinae plane block in thoracic surgery: a systematic review and meta-analysis of randomized controlled trials. Signa Vitae. 2021.doi:10.22514/sv.2021.124.

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