Regional anesthesia

Efficacy of ultrasound-guided bilateral costal margin block in laparoscopy-assisted gastrectomy: A double-blind randomized trial

Anaesth Crit Care Pain MedPublished Randomised controlled trial

Authors' conclusion

As a novel and easily-performed technique, ultrasound-guided bilateral CMB can reduce opioid consumption in patients undergoing laparoscopy-assisted gastrectomy.

Study context

Population
Patients undergoing laparoscopy-assisted gastrectomy
Participants
42 patients
Comparison
Block vs Control
  • Blockn = 21
  • Controln = 21reference
Primary endpoint
IV morphine equivalents
Follow-up
24 h after surgery
Methodological detailsprospective, double-blind
  • Prospective
  • Double-blind

Primary result

As reported in the abstract

P < 0.001

Secondary outcomes

Titrated morphine consumption in post-anesthesia care unit (PACU) and intraoperative remifentanil consumption

Lower in the block group than in the control group

Average pain scores in PACU and satisfaction with pain relief

Relatively lower average PACU pain scores and more satisfaction with pain relief in the block group

Hospital LOS after surgery

Comparable between the two groups (p > 0.05)

Safety

Adverse effects

Comparable between the two groups (p > 0.05)

Original publication

Efficacy of ultrasound-guided bilateral costal margin block in laparoscopy-assisted gastrectomy: A double-blind randomized trial. Anaesth Crit Care Pain Med. Published 7 April 2023. doi:10.1016/j.accpm.2023.101227

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