The comparison of erector spinae plane block and caudal block for postoperative analgesia in paediatric surgery - meta-analysis.

Q2 Medicine

Medicinski Glasnik Pub Date : 2024-09-01 DOI:10.17392/1709-21-02

Mahendratama Purnama Adhi, Rapto Hardian, Arif Budiman Susatya, Elizeus Hanindito, Arie Utariani

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引用次数: 0

Abstract

Aim: To assess the efficacy of Erector Spinae Plane Block (ESPB) compared to caudal block in reducing postoperative pain in paediatric surgery.

Methods: An electronic literature search was conducted using the Cochrane Library, PubMed, and Google Scholar databases, with data collected from January 2018 until September 2023. This meta-analysis includes English-language randomized controlled trials (RCTs) studies contrasting ESPB with caudal block in paediatric patients. The primary outcome was the 24-hour post-operative pain scores. The secondary outcome included the time to rescue analgesia, the number of patients requiring rescue analgesia, and the occurrence of post-operative nausea and vomiting (PONV) and urinary retention.

Results: Five RCTs with 295 samples were included. The results showed no significant difference between ESPB and caudal block in postoperative pain scores at 1st hour SMD (standardized mean difference) of -0.17 (95% CI -0.70, 0.36; I2=76%; p= 0.53), 2nd hour of SMD: -0.50 (95% CI -1.21, 0.21; I2=88%; p=0.17), 6th hour SMD -1.09 (95% CI -2.21, 0.03; I2=95%; p = 0.06), 12th hour SMD -0.77 (95% CI -1.75, 0.21; I2=93%; p=0.12), and the 24th hour SMD -0.13 (95% CI -0.39, 0.12;, I2=2%; p=0.30) were found. Furthermore, there was no significant difference in the time first to rescue analgesia, the number of patients requiring analgesia rescue, PONV occurrence, and urinary retention.

Conclusion: ESPB and caudal block showed equivalent analgesia efficacy and safety in paediatric surgery.

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儿科手术术后镇痛中竖脊平面阻滞与尾骨阻滞的比较--荟萃分析。

目的：评估脊柱后凸肌平面阻滞（ESPB）与尾骨阻滞相比在减轻儿科手术术后疼痛方面的疗效：使用 Cochrane Library、PubMed 和 Google Scholar 数据库进行电子文献检索，数据收集时间为 2018 年 1 月至 2023 年 9 月。本荟萃分析包括儿科患者ESPB与尾骨阻滞对比的英文随机对照试验（RCT）研究。主要结果是术后24小时疼痛评分。次要结果包括抢救性镇痛的时间、需要抢救性镇痛的患者人数以及术后恶心呕吐（PONV）和尿潴留的发生率：结果：共纳入了 5 项研究，295 个样本。结果显示，ESPB 和尾部阻滞在术后疼痛评分上没有明显差异，第 1 小时 SMD（标准化平均差）为 -0.17 (95% CI -0.70, 0.36; I2=76%; p= 0.53)，第 2 小时 SMD：-0.50 (95% CI -1.21, 0.21; I2=88%; p=0.17)，第 6 小时 SMD -1.09 (95% CI -2.21, 0.03; I2=95%; p=0.06)，第 12 小时 SMD -0.77 (95% CI -1.75, 0.21; I2=93%; p=0.12)，第 24 小时 SMD -0.13 (95% CI -0.39, 0.12;, I2=2%; p=0.30)。此外，在首次镇痛抢救时间、需要镇痛抢救的患者人数、PONV发生率和尿潴留方面没有明显差异：结论：ESPB和尾部阻滞在儿科手术中显示出同等的镇痛效果和安全性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medicinski Glasnik 医学-医学：内科

CiteScore

2.30

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Medicinski Glasnik (MG) is the official publication (two times per year) of the Medical Association of Zenica-Doboj Canton. Manuscripts that present of original basic and applied research from all fields of medicine (general and clinical practice, and basic medical sciences) are invited.