Efficacy of Erector Spinae Plane Block on Analgesic Outcomes in Patients Undergoing Metabolic Surgery: A Meta-Analysis of Randomized Controlled Trials.

Shu-Wei Liao, Wei-Cheng Liu, Chih-Wei Hsu, I-Wen Chen, Jheng-Yan Wu, Kuo-Chuan Hung

Journal: Obesity surgery 2025;35(3):1135-1145

PMID: 39888542

Abstract

This meta-analysis evaluated the analgesic efficacy of erector spinae plane block (ESPB) in metabolic surgery through analysis of ten randomized controlled trials (786 patients). ESPB demonstrated superior pain control compared to placebo from 2-12 h postoperatively, with peak effect at 6 h and sustained movement-related pain reduction through 24 h. ESPB showed comparable analgesic efficacy to other nerve blocks within 24 h postoperatively. The technique significantly reduced intraoperative and postoperative opioid consumption, extended time to first analgesic requirement, and decreased rescue analgesia needs. Additionally, ESPB recipients experienced reduced postoperative nausea and vomiting and shorter hospital stays. These findings support ESPB as an effective component of multimodal analgesia protocols for metabolic surgery, though standardization of techniques and long-term outcome studies are needed.

Address: Department of Anesthesiology, Chi Mei Medical Center, Tainan City, Taiwan.; School of Medicine, College of Medicine, National Sun Yat-Sen University, Kaohsiung City, Taiwan.; Department of Anesthesiology, Chi Mei Medical Center, Tainan City, Taiwan.; Department of Occupational Therapy, Shu-Zen junior College of Medicine and Management, Kaohsiung City, Taiwan.; Department of Psychiatry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung City, Taiwan.; Department of Nutrition, Chi Mei Medical Center, Tainan City, Taiwan.; Department of Anesthesiology, Chi Mei Medical Center, Tainan City, Taiwan.; Center of General Education, Chia Nan University of Pharmacy and Science, Tainan City, Taiwan.; School of Medicine, College of Medicine, National Sun Yat-Sen University, Kaohsiung City, Taiwan. [email protected].; Department of Anesthesiology, Chi Mei Medical Center, Liouying, Tainan City, Taiwan. [email protected].

DOI: 10.1007/s11695-025-07724-9

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https://dx.doi.org/10.1007/s11695-025-07724-9

MeSH Terms: Humans, Analgesia, Analgesics, Opioid, Nerve Block, Pain Management, Pain, Postoperative, Paraspinal Muscles, Randomized Controlled Trials as Topic, Treatment Outcome