Retrolaminar versus erector spinae plane block for enhanced recovery after cesarean section: a retrospective study
Authors' conclusion
In elective CS, ESPB provided superior early postoperative analgesia and reduced opioid consumption compared to RLB.
Study context
- Population
- Adult women undergoing elective cesarean section under spinal anesthesia, without GA126 screened
- Participants
- 122 women
- Exposure
- Erector spinae plane block (ESPB) vs retrolaminar block (RLB)
- ESPBn = 64
- RLBn = 58reference
- Outcome
- Total tramadol consumption
- Follow-up
- 24 h postoperatively
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
24-h tramadol consumption · 24 h
P = 0.001
Observational data: associations, not effects.
Secondary outcomes
Time to first rescue analgesia
P = 0.001
| Outcome | P value |
|---|---|
| VAS scores · 6 hSignificantly lower with ESPB | P = 0.005 |
| VAS scores · 12 hSignificantly lower with ESPB | P < 0.001 |
VAS scores at 1 and 24 h
- No differences at 1 or 24 h
ObsQoR-11 T scores and discharge times
- Comparable between groups
Safety
Hypotension · adverse events infrequent
P = 0.246
Original publication
Retrolaminar versus erector spinae plane block for enhanced recovery after cesarean section: a retrospective study. Perioper Med (Lond). Published 26 February 2026. doi:10.
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