Effectiveness of erector spinae plane block in reducing opioid consumption after colorectal surgery: A comprehensive meta-analysis.

Muneeb Akhtar, Syed Muhammad; Fareed, Areeba; Afzal, Urwah; Asghar, Muhammad Sohaib; Mumtaz, Munazza; Faraz, Fatima; Naeem, Huda; Vaid, Rayyan

Muneeb Akhtar, Syed Muhammad; Fareed, Areeba; Afzal, Urwah; Asghar, Muhammad Sohaib; Mumtaz, Munazza; Faraz, Fatima; Naeem, Huda; Vaid, Rayyan.

Afiliação

Muneeb Akhtar SM; Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan. Electronic address: syed.akhtar19@dmc.duhs.edu.pk.
Fareed A; Department of Medicine, Karachi Medical and Dental College, Karachi, Pakistan. Electronic address: areebafareed201@gmail.com.
Afzal U; Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan. Electronic address: urwahafzal1@gmail.com.
Asghar MS; Division of Nephrology and Hypertension, Mayo Clinic Rochester, MN, USA. Electronic address: sohaib_asghar123@yahoo.com.
Mumtaz M; Department of Obstetrics and Gynecology, Civil Hospital, Karachi, Pakistan. Electronic address: dr.mona20@gmail.com.
Faraz F; Department of Medicine, Rawalpindi Medical University, Pakistan. Electronic address: fatima.faraz49@gmail.com.
Naeem H; Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan. Electronic address: naeemhuda12@gmail.com.
Vaid R; Department of Medicine, Karachi Medical and Dental College, Karachi, Pakistan. Electronic address: rayyanvaid222@gmail.com.

Am J Surg ; 232: 31-44, 2024 Jun.

Article em En | MEDLINE | ID: mdl-38336575

ABSTRACT

ABSTRACT

Despite the life-saving nature of colorectal surgeries, patients often experience intra and post-operative problems, especially pain and discomfort. This meta-analysis aimed to evaluate the effectiveness of erector spinae plane block (ESP block) in postoperative pain management for patients undergoing colorectal surgeries. A comprehensive systematic literature search was conducted in PubMed and Cochrane Library databases from inception until December 2023. Eight studies were deemed appropriate for inclusion. The pooled analysis demonstrated a significant decrease with the ESP block compared to the control group in postoperative opioid consumption [MD â= â-15.96 âmg; 95 â% CI (-28.74 to -3.18); p â= â0.014, I2 â= â87 â%], intraoperative opioid consumption [MD â= â-35.51 âmg; 95 â% CI (-62.63 to -8.40); p â= â0.010, I2 â= â87 â%], pain scores [MD â= â-0.94; 95 â% CI (-1.27 to -0.60); p â< â0.000001, I2 â= â86 â%], with a significantly shorter duration of hospital stay [MD â= â-1.25 days; 95 â% CI (-2.02 to -0.48); p â= â0.002, I2 â= â23 â%]. This meta-analysis support the use of erector spinae plane block (ESP) for postoperative pain management in colorectal surgeries. ESP shows significant reductions in opioid consumption, pain scores and hospital stay.

Assuntos

Analgésicos Opioides; Bloqueio Nervoso; Dor Pós-Operatória; Músculos Paraespinais; Humanos; Dor Pós-Operatória/prevenção & controle; Bloqueio Nervoso/métodos; Analgésicos Opioides/administração & dosagem; Analgésicos Opioides/uso terapêutico; Músculos Paraespinais/inervação; Manejo da Dor/métodos; Reto/cirurgia; Reto/inervação

Palavras-chave

Analgesia; Colorectal surgery; Erector spinae plane block; Opioid; Postoperative pain

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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Dor Pós-Operatória / Músculos Paraespinais / Analgésicos Opioides / Bloqueio Nervoso Tipo de estudo: Systematic_reviews Limite: Humans Idioma: En Revista: Am J Surg Ano de publicação: 2024 Tipo de documento: Article

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