A progress of research on application of fascial plane blocks in surgeries and their future direction: Review article

International Journal of Surgery, Journal Year: 2024, Volume and Issue: unknown

Published: March 11, 2024

Fascial plane blocks (FPBs) are gaining popularity in clinical settings owing to their improved analgesia when combined with either traditional regional anesthesia or general during the perioperative phase. The scope of study on FPBs has substantially increased over past 20 years, yet exact mechanism, issues linked approaches, and direction future research still up for debate. Given that it can be performed at all levels spine provides most areas body, erector spinae block (ESPB), one FPBs, been extensively studied chronic rational pain, visceral abdominal surgical analgesia, imaging, anatomical mechanisms. This led contention ESPB is ultimate Plan A block. Yet even though promising, unstable effect, probability local anesthetic poisoning, lack consensus definition assessment FPB’s success major concerns. In order precisely administer patients who require this condition, an algorithm uses artificial intelligence required. will assist healthcare professionals practicing precision medicine.

Language: Английский

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Analgesia efficacy of erector spinae plane block in laparoscopic Abdominal surgeries: A systemic review and meta-analysis

International Journal of Surgery, Journal Year: 2024, Volume and Issue: unknown

Published: April 3, 2024

Background Multimodal analgesia is now widely practised to minimise postoperative opioid consumption while optimising pain control. The aim of this meta-analysis was assess the analgesic efficacy erector spinae plane block (ESPB) in patients undergoing laparoscopic abdominal surgeries. This will be determined by perioperative consumption, subjective scores and incidences nausea vomiting. Methods We systemically searched electronic databases for randomised controlled trials (RCTs) published up February 2023 comparing ESPB with other adjuvant techniques Nine encompassing 666 subjects were included our study. Results shown reduce [mean difference (MD) -5.95mg (95% CI: -8.86 -3.04; P < 0.0001); I 2 =89%], intraoperative -102.4mcg -145.58 -59.21; 0.00001); =39%] incidence [RR 0.38 0.25 0.60; =0%] vomiting 0.32 0.17 0.63; =0.0009); Subgroup analysis on colorectal surgeries further showed reduction -0.68 -0.94 -0.41); 0.00001; =0%]. Conclusions study concludes that a valuable technique proven potentially promote faster recovery through control minimising requirements.

Language: Английский

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Regional analgesia as the core component of multimodal analgesia technique: Current controversies and future directions

Journal of Clinical Anesthesia, Journal Year: 2023, Volume and Issue: 92, P. 111227 - 111227

Published: Aug. 6, 2023

Language: Английский

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Analgesic efficacy of an opioid-free postoperative pain management strategy versus a conventional opioid-based strategy following open major hepatectomy: an open-label, randomised, controlled, non-inferiority trial

EClinicalMedicine, Journal Year: 2023, Volume and Issue: 63, P. 102188 - 102188

Published: Aug. 31, 2023

Convincing clinical evidence regarding completely opioid-free postoperative pain management using erector spinae plane block (ESPB) in patients undergoing open major hepatectomy (OMH) is lacking. Herein, we aimed to compare the analgesic efficacy of visualised continuous ESPB (VC-ESPB) and conventional intravenous opioid-based hepatocellular carcinoma (HCC) OMH.

Language: Английский

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Defining the optimal local anaesthetic infusion regimen for erector spinae plane block catheters: the devil is in the details

British Journal of Anaesthesia, Journal Year: 2024, Volume and Issue: 133(4), P. 730 - 733

Published: July 29, 2024

Language: Английский

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