The Effect of Single-Shot Erector Spinae Plane Block (ESPB) on Opioid Consumption for Various Surgeries: A Meta-Analysis of Randomized Controlled Trials

References

• Ljungqvist O, Scott M, Fearon KC. Enhanced recovery after surgery: a review. JAMA Surg. 2017;152:292–298.
   PubMed Web of Science ®Google Scholar
• Medbery RL, Fernandez FG, Khullar OV. ERAS and patient reported outcomes in thoracic surgery: a review of current data. J Thorac Dis. 2019;11:S976–S986.
   PubMed Web of Science ®Google Scholar
• Oderda GM, Gan TJ, Johnson BH, et al. Effect of opioid-related adverse events on outcomes in selected surgical patients. J Pain Palliat Care Pharmacother. 2013;27:62–70.
   PubMedGoogle Scholar
• Elzey MJ, Barden SM, Edwards ES. Patient characteristics and outcomes in unintentional, non-fatal prescription opioid overdoses: a systematic review. Pain Physician. 2016;19:215–228.
   PubMed Web of Science ®Google Scholar
• Nguyen J, Luk K, Vang D, et al. Morphine stimulates cancer progression and mast cell activation and impairs survival in transgenic mice with breast cancer. Br J Anaesth. 2014;113:i4–i13.
   PubMed Web of Science ®Google Scholar
• Shanthanna H, Ladha KS, Kehlet H, et al. Perioperative opioid administration. Anesthesiology. 2021;134:645–659.
   PubMed Web of Science ®Google Scholar
• Chia PA, Cannesson M, Bui CCM. Opioid free anesthesia: feasible? Curr Opin Anaesthesiol. 2020;33:512–517.
   PubMed Web of Science ®Google Scholar
• Forero M, Adhikary SD, Lopez H, et al. The erector spinae plane block: a novel analgesic technique in thoracic neuropathic pain. Reg Anesth PainMed. 2016;41:621–627.
   PubMed Web of Science ®Google Scholar
• Sotome S, Sawada A, Wada A, et al. Erector spinae plane block versus retrolaminar block for postoperative analgesia after breast surgery: a randomized controlled trial. J Anesth. 2021;35:27–34.
   PubMed Web of Science ®Google Scholar
• Zhu L, Wang M, Wang X, et al. Changes of Opioid Consumption After Lumbar Fusion Using Ultrasound-Guided Lumbar Erector Spinae Plane Block: a Randomized Controlled Trial. Pain Physician. 2021;24:E161–E168.
   PubMed Web of Science ®Google Scholar
• Yeşiltaş S, Abdallah A, Uysal Ö, et al. The Efficacy of Intraoperative Freehand Erector Spinae Plane Block in Lumbar Spondylolisthesis: a Randomized Controlled Study. Spine. 2021;46:E902–E910.
   PubMed Web of Science ®Google Scholar
• Liu L, Ni XX, Zhang LW, et al. Effects of ultrasound-guided erector spinae plane block on postoperative analgesia and plasma cytokine levels after uniportal VATS: a prospective randomized controlled trial. J Anesth. 2021;35:3–9.
   PubMed Web of Science ®Google Scholar
• Cesur S, Yörükoğlu HU, Aksu C, et al. Bilateral versus unilateral erector spinae plane block for postoperative analgesia in laparoscopic cholecystectomy: a randomized controlled study. Braz J Anesthesiol. 2021.
   Google Scholar
• Athar M, Parveen S, Yadav M, et al. A Randomized Double-Blind Controlled Trial to Assess the Efficacy of Ultrasound-Guided Erector Spinae Plane Block in Cardiac Surgery. J Cardiothorac Vasc Anesth. 2021;S1053-0770(21):211.
   Google Scholar
• Leong RW, Tan ESJ, Wong SN, et al. Efficacy of erector spinae plane block for analgesia in breast surgery: a systematic review and meta-analysis. Anaesthesia. 2021;76:404–413.
   PubMed Web of Science ®Google Scholar
• Ma J, Bi Y, Zhang Y, et al. Erector spinae plane block for postoperative analgesia in spine surgery: a systematic review and meta-analysis. Eur Spine J. 2021;30:3137–3149.
   PubMed Web of Science ®Google Scholar
• Ivanusic J, Konishi Y, Barrington MJ. A Cadaveric Study Investigating the Mechanism of Action of Erector Spinae Blockade. Reg Anesth Pain Med. 2018;43:567–571.
   PubMed Web of Science ®Google Scholar
• Byrne K, Smith C. Human volunteer study examining the sensory changes of the thorax after an erector spinae plane block. Reg Anesth Pain Med. 2020;45:761–762.
   PubMed Web of Science ®Google Scholar
• Svendsen K, Borchgrevink P, Fredheim O, et al. Choosing the unit of measurement counts: the use of oral morphine equivalents in studies of opioid consumption is a useful addition to defined daily doses. Palliat Med. 2011;25:725–732.
   PubMed Web of Science ®Google Scholar
• Hozo SP, Djulbegovic B, Hozo I. Estimating the mean and variance from the median, range, and the size of a sample. BMC Med Res Methodol. 2005;5:13.
   PubMedGoogle Scholar
• Zhang TJ, Zhang JJ, Qu ZY, et al. Bilateral Erector Spinae Plane Blocks for Open Posterior Lumbar Surgery. J Pain Res. 2020;13:709–717.
   PubMed Web of Science ®Google Scholar
• Zhang Q, Wu Y, Ren F, et al. Bilateral ultrasound-guided erector spinae plane block in patients undergoing lumbar spinal fusion: a randomized controlled trial. J Clin Anesth. 2021;68:110090.
   PubMed Web of Science ®Google Scholar
• Yayik AM, Cesur S, Ozturk F, et al. Postoperative Analgesic Efficacy of the Ultrasound-Guided Erector Spinae Plane Block in Patients Undergoing Lumbar Spinal Decompression Surgery: a Randomized Controlled Study. World Neurosurg. 2019;126:e779–e785.
   PubMed Web of Science ®Google Scholar
• Yao Y, Li H, He Q, et al. Efficacy of ultrasound-guided erector spinae plane block on postoperative quality of recovery and analgesia after modified radical mastectomy: randomized controlled trial. Reg Anesth Pain Med. 2019;5:rapm-2019-100983.
   Google Scholar
• Yao Y, Fu S, Dai S, et al. Impact of ultrasound-guided erector spinae plane block on postoperative quality of recovery in video-assisted thoracic surgery: a prospective, randomized, controlled trial. J Clin Anesth. 2020;63:109783.
   PubMed Web of Science ®Google Scholar
• Wang HJ, Liu Y, Ge WW, et al. Comparison of ultrasound-guided serratus anterior plane block and erector spinae plane blockperioperatively in radical mastectomy. Zhonghua Yi Xue Za Zhi. 2019;99:1809–1813.
   PubMedGoogle Scholar
• Wahdan AS, Radwan TA, Mohammed MM, et al. Effect of bilateral ultrasound-guided erector spinae blocks on postoperative pain and opioid use after lumbar spine surgery: a prospective randomized controlled trial. Egyptian J Anaesthesia. 2021;37(1):100–106.
   Web of Science ®Google Scholar
• Tulgar S, Kose HC, Selvi O, et al. Comparison of Ultrasound-Guided Lumbar Erector Spinae Plane Block and Transmuscular Quadratus Lumborum Block for Postoperative Analgesia in Hip and Proximal Femur Surgery: a Prospective Randomized Feasibility Study. Anesth Essays Res. 2018;12:825–831.
   PubMedGoogle Scholar
• Tulgar S, Kapakli MS, Senturk O, et al. Evaluation of ultrasound-guided erector spinae plane block for postoperative analgesia in laparoscopic cholecystectomy: a prospective, randomized, controlled clinical trial. J Clin Anesth. 2018;49:101–106.
   PubMed Web of Science ®Google Scholar
• Tulgar S, Kapakli MS, Kose HC, et al. Evaluation of Ultrasound-Guided Erector Spinae Plane Block and Oblique Subcostal Transversus Abdominis Plane Block in Laparoscopic Cholecystectomy: randomized, Controlled, Prospective Study. Anesth Essays Res. 2019;13:50–56.
   PubMedGoogle Scholar
• Singh S, Kumar G. Ultrasound-guided erector spinae plane block for postoperative analgesia in modified radical mastectomy: a randomised control study. Indian J Anaesth. 2019;63:200–204.
   PubMed Web of Science ®Google Scholar
• Singh S, Choudhary NK, Lalin D, et al. Bilateral Ultrasound-guided Erector Spinae Plane Block for Postoperative Analgesia in Lumbar Spine Surgery: a Randomized Control Trial. J Neurosurg Anesthesiol. 2020;32:330–334.
   PubMed Web of Science ®Google Scholar
• Siam EM, Abo Aliaa DM, Elmedany S, et al. Erector spinae plane block combined with general anaesthesia versus conventional general anaesthesia in lumbar spine surgery. Egyptian J Anaesthesia. 2020;36(1):201–226.
   Web of Science ®Google Scholar
• Shim JG, Ryu KH, Kim PO, et al. Evaluation of ultrasound-guided erector spinae plane block for postoperative management of video-assisted thoracoscopic surgery: a prospective, randomized, controlled clinical trial. J Thorac Dis. 2020;12:4174–4182.
   PubMed Web of Science ®Google Scholar
• Sharma S, Arora S, Jafra A, et al. Efficacy of erector spinae plane block for postoperative analgesia in total mastectomy and axillary clearance: a randomized controlled trial. Saudi J Anaesth. 2020;14:186–191.
   PubMed Web of Science ®Google Scholar
• Seelam S, Nair AS, Christopher A, et al. Efficacy of single-shot ultrasound-guided erector spinae plane block for postoperative analgesia after mastectomy: a randomized controlled study. Saudi J Anaesth. 2020;14:22–27.
   PubMed Web of Science ®Google Scholar
• Prasad MK, Varshney RK, Jain P, et al. Postoperative analgesic efficacy of fluoroscopy-guided erector spinae plane block after percutaneous nephrolithotomy (PCNL): a randomized controlled study. Saudi J Anaesth. 2020;14:480–486.
   PubMed Web of Science ®Google Scholar
• Park S, Park J, Choi JW, et al. The efficacy of ultrasound-guided erector spinae plane block after mastectomy and immediate breast reconstruction with a tissue expander: a randomized clinical trial. Korean J Pain. 2021;34:106–113.
   PubMed Web of Science ®Google Scholar
• Oksuz G, Bilgen F, Arslan M, et al. Ultrasound-Guided Bilateral Erector Spinae Block Versus Tumescent Anesthesia for Postoperative Analgesia in Patients Undergoing Reduction Mammoplasty: a Randomized Controlled Study. Aesthetic Plast Surg. 2019;43:291–296.
   PubMed Web of Science ®Google Scholar
• Mostafa SF, Abdelghany MS, Abu Elyazed MM. Ultrasound-Guided Erector Spinae Plane Block in Patients Undergoing Laparoscopic Bariatric Surgery: a Prospective Randomized Controlled Trial. Pain Pract. 2021;21:445–453.
   PubMed Web of Science ®Google Scholar
• Kwon HM, Kim DH, Jeong SM, et al. Does Erector Spinae Plane Block Have a Visceral Analgesic Effect?: a Randomized Controlled Trial. Sci Rep. 2020;10:8389.
   PubMedGoogle Scholar
• Krishna SN, Chauhan S, Bhoi D, et al. Bilateral Erector Spinae Plane Block for Acute Post-Surgical Pain in Adult Cardiac Surgical Patients: a Randomized Controlled Trial. J Cardiothorac Vasc Anesth. 2019;33:368–375.
   PubMed Web of Science ®Google Scholar
• Kim D, Kim JM, Choi GS, et al. Ultrasound-guided erector spinae plane block for postoperative analgesia in laparoscopic liver resection: a prospective, randomised controlled, patient and observer-blinded study. Eur J Anaesthesiol. 2021;38:S106–S112.
   PubMed Web of Science ®Google Scholar
• Ibrahim M, Elnabtity AM. Analgesic efficacy of erector spinae plane block in percutaneous nephrolithotomy: a randomized controlled trial. Anaesthesist. 2019;68:755–761.
   PubMed Web of Science ®Google Scholar
• Ibrahim M. Erector Spinae Plane Block in Laparoscopic Cholecystectomy, Is There a Difference? A Randomized Controlled Trial. Anesth Essays Res. 2020;14:119–126.
   PubMedGoogle Scholar
• Hamed MA, Goda AS, Basiony MM, et al. Erector spinae plane block for postoperative analgesia in patients undergoing total abdominal hysterectomy: a randomized controlled study original study. J Pain Res. 2019;12:1393–1398.
   PubMed Web of Science ®Google Scholar
• Gürkan Y, Aksu C, Kuş A, et al. Ultrasound guided erector spinae plane block reduces postoperative opioid consumption following breast surgery: a randomized controlled study. J Clin Anesth. 2018;50:65–68.
   PubMed Web of Science ®Google Scholar
• Gürkan Y, Aksu C, Kuş A, et al. Erector spinae plane block and thoracic paravertebral block for breast surgery compared to IV-morphine: a randomized controlled trial. J Clin Anesth. 2020;59:84–88.
   PubMed Web of Science ®Google Scholar
• Gultekin MH, Erdogan A, Akyol F. Evaluation of the Efficacy of the Erector Spinae Plane Block for Postoperative Pain in Patients Undergoing Percutaneous Nephrolithotomy: a Randomized Controlled Trial. J Endourol. 2020;34:267–272.
   PubMed Web of Science ®Google Scholar
• GhamryMR E, Elgebaly AS, Anwar AG, et al. Ultrasound-guided erector spinae plane block for acute pain management in patients undergoing posterior lumbar interbody fusion under general anaesthesia. South Afr J Anaesth Analg. 2019;25:26–31.
   Web of Science ®Google Scholar
• Fu J, Zhang G, Qiu Y. Erector spinae plane block for postoperative pain and recovery in hepatectomy: a randomized controlled trial. Medicine. 2020;99:e22251.
   PubMed Web of Science ®Google Scholar
• Finnerty D, Ní Eochagáin A, Ahmed M, et al. A randomised trial of bilateral erector spinae plane block vs. no block for thoracolumbar decompressive spinal surgery. Anaesthesia. 2021;76:1499–1503.
   PubMed Web of Science ®Google Scholar
• Eskin MB, Ceylan A, Özhan MÖ, et al. Ultrasound-guided erector spinae block versus mid-transverse process to pleura block for postoperative analgesia in lumbar spinal surgery. Anaesthesist. 2020;69:742–750.
   PubMed Web of Science ®Google Scholar
• Elsabeeny WY, Shehab NN, Wadod MA, et al. Perioperative Analgesic Modalities for Breast Cancer Surgeries: a Prospective Randomized Controlled Trial. J Pain Res. 2020;13:2885–2894.
   PubMed Web of Science ®Google Scholar
• Dost B, Kaya C, Ozdemir E, et al. Ultrasound-guided erector spinae plane block for postoperative analgesia in patients undergoing open radical prostatectomy: a randomized, placebo-controlled trial. J Clin Anesth. 2021;72:110277.
   PubMed Web of Science ®Google Scholar
• Ciftci B, Ekinci M, Gölboyu BE, et al. High Thoracic Erector Spinae Plane Block for Arthroscopic Shoulder Surgery: a Randomized Prospective Double-Blind Study. Pain Med. 2021;22:776–783.
   PubMed Web of Science ®Google Scholar
• Ciftci B, Ekinci M, Celik EC, et al. Ultrasound-Guided Erector Spinae Plane Block versus Modified-Thoracolumbar Interfascial Plane Block for Lumbar Discectomy Surgery: a Randomized, Controlled Study. World Neurosurg. 2020;144:e849–e855.
   PubMed Web of Science ®Google Scholar
• Ciftci B, Ekinci M, Celik EC, et al. Ultrasound-Guided Erector Spinae Plane Block and Thoracic Paravertebral Block for Postoperative Analgesia Management following Video-Assisted Thoracic Surgery: a Prospective, Randomized, Controlled Study. Anestezi Dergisi. 2020;28:170–178.
   Google Scholar
• Ciftci B, Ekinci M, Celik EC, et al. Efficacy of an Ultrasound-Guided Erector Spinae Plane Block for Postoperative Analgesia Management After Video-Assisted Thoracic Surgery: a Prospective Randomized Study. J Cardiothorac Vasc Anesth. 2020;34:444–449.
   PubMed Web of Science ®Google Scholar
• Calia R, La Brocca L, Ventimiglia M, et al. The erector spinae plane block as an analgesic regional technique in acute post-surgical pain control in lumbar surgery. preliminary findings of a randomized trial. Reg Anesth Pain Med. 2019;44:A237.
   Google Scholar
• Bryniarski P, Bialka S, Kepinski M, et al. Erector Spinae Plane Block for Perioperative Analgesia after Percutaneous Nephrolithotomy. Int J Environ Res Public Health. 2021;18:3625.
   PubMed Web of Science ®Google Scholar
• Anushree RT, Vasudevan D, Simha J, et al. To study the efficacy of bilateral ultrasound guided erector spinae plane block for postoperative analgesia in donor laparoscopic nephrectomy surgery. Indian J Anaesth. 2020;1:ISAP226.
   Google Scholar
• Altiparmak B, Toker MK, Uysal Aİ, Kuşçu Y, Demirbilek SG. Efficacy of ultrasound-guided erector spinae plane block for analgesia after laparoscopic cholecystectomy: a randomized controlled trial. Braz J Anesthesiol. 2019;69:561–568.
   PubMedGoogle Scholar
• Aksu C, Kuş A, Yörükoğlu HU, et al. Analgesic effect of the bi-level injection erector spinae plane block after breast surgery: a randomized controlled trial. Agri. 2019;31:132–137.
   PubMed Web of Science ®Google Scholar
• Aksu C, Kus A, Yörükoglu HU, et al. The effect of erector spinae plane block on postoperative pain following laparoscopic cholecystectomy: a randomized controlled study. JARSS. 2019;27:9–14.
   Google Scholar
• Abu Elyazed MM, Mostafa SF, Abdelghany MS, et al. Ultrasound-Guided Erector Spinae Plane Block in Patients Undergoing Open Epigastric Hernia Repair: a Prospective Randomized Controlled Study. Anesth Analg. 2019;129:235–240.
   PubMed Web of Science ®Google Scholar
• Abdelhamid BM, Khaled D, Mansour MA, et al. Comparison between the ultrasound-guided erector spinae block and the subcostal approach to the transversus abdominis plane block in obese patients undergoing sleeve gastrectomy: a randomized controlled trial. Minerva Anestesiol. 2020;86:816–826.
   PubMed Web of Science ®Google Scholar
• Abd Ellatif SE, Sara M. Ultrasound guided erector spinae plane block versus quadratus lumborum block for postoperative analgesia in patient undergoing open nephrectomy: a randomized controlled study. Egyptian J Anaesthesia. 2021;37:123–134.
   Web of Science ®Google Scholar
• Simanski CJ, Althaus A, Hoederath S, et al. Incidence of chronic postsurgical pain (CPSP) after general surgery. Pain Med. 2014;15:1222–1229.
   PubMed Web of Science ®Google Scholar
• Edgley C, Hogg M, De Silva A, et al. Severe acute pain and persistent post-surgical pain in orthopaedic trauma patients: a cohort study. Br J Anaesth. 2019;123:350–359.
   PubMed Web of Science ®Google Scholar
• De Cassai A, Bonvicini D, Correale C, et al. Erector spinae plane block: a systematic qualitative review. Minerva Anestesiol. 2019;85:308–319.
   PubMed Web of Science ®Google Scholar
• Zhang Y, Liu T, Zhou Y, et al. Analgesic efficacy and safety of erector spinae plane block in breast cancer surgery: a systematic review and meta-analysis. BMC Anesthesiol. 2021;21:59.
   PubMed Web of Science ®Google Scholar
• Huang W, Wang W, Xie W, et al. Erector spinae plane block for postoperative analgesia in breast and thoracic surgery: a systematic review and meta-analysis. J Clin Anesth. 2020;66:109900.
   PubMed Web of Science ®Google Scholar
• Kendall MC, Alves L, Traill LL, et al. The effect of ultrasound-guided erector spinae plane block on postsurgical pain: a meta-analysis of randomized controlled trials. BMC Anesthesiol. 2020;20:99.
   PubMedGoogle Scholar
• Shaheen PE, Walsh D, Lasheen W, et al. Opioid equianalgesic tables: are they all equally dangerous? J Pain Symptom Manage. 2009;38:409–417.
   PubMed Web of Science ®Google Scholar
• Hozumi J, Egi M, Sugita S, et al. Dose of intraoperative remifentanil administration is independently associated with increase in the risk of postoperative nausea and vomiting in elective mastectomy under general anesthesia. J Clin Anesth. 2016;34:227–231.
   PubMed Web of Science ®Google Scholar
• Bayman EO, Parekh KR, Keech J, et al. A Prospective Study of Chronic Pain after Thoracic Surgery. Anesthesiology. 2017;126:938–951.
   PubMed Web of Science ®Google Scholar
• Glare P, Aubrey KR, Myles PS. Transition from acute to chronic pain after surgery. Lancet. 2019;393:1537–1546.
   PubMed Web of Science ®Google Scholar