BMC anesthesiology · 2025
The analgesic efficacy of erector spinae plane block for percutaneous nephrolithotomy: a systematic review and meta-analysis of randomized controlled trials.
СтатьяСистематический обзорМетаанализНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Yang Lin, Yang Hongmei, Zhang Fan, Zhou Yu, Lv Yalan, Zheng Changjian
Аннотация
INTRODUCTION: The analgesic efficacy of erector spinae plane block (ESPB) for postoperative analgesia after percutaneous nephrolithotomy(PCNL).
METHODS: We searched Pubmed, Embase, Cochrane library, the Chinese Biomedical Literature Database, and randomized controlled trials (RCTs) assessing analgesic efficacy of ESPB for PCNL are included in this meta-analysis.The related trials met the inclusion criteria were analyzed using RevMan 5.4 and GRADE pro software.
RESULTS: Nine RCTs are included in the meta-analysis showed that ESPB group had significantly lower requirement of opioid consumption (MD-20.66 ,95% CI -34.84 to-6.49;P<0.00001),lower pain scores with ESPB use throughout the 24-hour postop period(MD -0.56,95% CI -0.90 to -0.22;P=0.001) and longer the first rescue time in minutes(MD52.68, 95% CI 8.66 to 96.7,P=0.02) ,in hours (MD11.76, 95% CI 5.59 to 17.92, P=0.0002),respectively.
CONCLUSION: The available evidence suggests that ESPB was an efficient and safe procedure for postoperative pain management in PCNL.
METHODS: We searched Pubmed, Embase, Cochrane library, the Chinese Biomedical Literature Database, and randomized controlled trials (RCTs) assessing analgesic efficacy of ESPB for PCNL are included in this meta-analysis.The related trials met the inclusion criteria were analyzed using RevMan 5.4 and GRADE pro software.
RESULTS: Nine RCTs are included in the meta-analysis showed that ESPB group had significantly lower requirement of opioid consumption (MD-20.66 ,95% CI -34.84 to-6.49;P<0.00001),lower pain scores with ESPB use throughout the 24-hour postop period(MD -0.56,95% CI -0.90 to -0.22;P=0.001) and longer the first rescue time in minutes(MD52.68, 95% CI 8.66 to 96.7,P=0.02) ,in hours (MD11.76, 95% CI 5.59 to 17.92, P=0.0002),respectively.
CONCLUSION: The available evidence suggests that ESPB was an efficient and safe procedure for postoperative pain management in PCNL.