Erector spinae plane block versus subcostal transversus abdominis plane block in patients undergoing open liver resection surgery: A randomized controlled trial

Mostafa, M; Mousa, MS; Hasanin, A; Arafa, AS; Raafat, H; Ragab, AS

doi:10.1016/j.accpm.2022.101161

Pain medicine

Erector spinae plane block versus subcostal transversus abdominis plane block in patients undergoing open liver resection surgery: A randomized controlled trial

Anaesth Crit Care Pain MedPublished 22 Sep 2022Randomised controlled trial

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Authors' conclusion

In patients undergoing open liver resection surgery, ESPB provided superior analgesic properties than subcostal TAPB.

Study context

Population: Adults undergoing open liver resection surgeryall analysed
Participants: Sixty adults

Comparison: ESP block vs subcostal TAP block
ESPBn = 30
Subcostal transversus abdominis plane block (TAPB)n = 30reference
Primary endpoint: Morphine consumption
Follow-up: First 24 h postoperatively

Primary result

As reported in the abstract

Postoperative morphine consumption · 24 h

ESPB20median · IQR 15–20 · mg

Subcostal TAPB25median · IQR 20–30 · mg

P = 0.006

Secondary outcomes

Intraoperative morphine consumption

P = 0.007

ESPBmedian 0 mgIQR 0–0

Subcostal TAPBmedian 2 mgIQR 0–5

Time to first morphine requirement

P = 0.013

ESPBmedian 6.5 hIQR 5.5–6.5

Subcostal TAPBmedian 4.3 hIQR 1.0–6.5

Patient satisfaction

Higher satisfaction with ESPB than subcostal TAPB

Safety

Lower incidence of sedation with ESPB than subcostal TAPB

Original publication

Erector spinae plane block versus subcostal transversus abdominis plane block in patients undergoing open liver resection surgery: A randomized controlled trial. Anaesth Crit Care Pain Med. Published 22 September 2022. doi:10.1016/j.accpm.2022.101161

Read the original article ↗

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