Cochrane · systematic review · CD013763
Erector spinae plane block for postoperative pain
Oostvogels, L, Weibel, S, Meißner, M, et al. · Cochrane Database of Systematic Reviews · 2024 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
18
current version
GRADE rated
13
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 5 · 27.8%Very low 3 · 16.7%Low 7 · 38.9%Moderate 3 · 16.7%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Current version onlySummary of findings ‐ Erector spinae plane block vs no block in adults undergoing surgery with general anaesthesia
Population: adults undergoing surgery with general anaesthesia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mean difference in postoperative pain intensity at rest 24 hours postoperatively (VAS 0 to 10) Summary of findings ‐ Erector spinae plane block vs no block | no estimate extracted | 17 studies · 958 participants | Moderate Downgraded: risk of bias, imprecision |
Rates of block‐related adverse events Summary of findings ‐ Erector spinae plane block vs no block | RR 1 [0.4, 2.49] | 18 studies · 1045 participants | Low Downgraded: imprecision |
Summary of findings ‐ Erector spinae plane block vs placebo block in adults undergoing surgery with general anaesthesia
Population: adults undergoing surgery with general anaesthesia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mean difference in postoperative pain intensity at rest 24 hours postoperatively (VAS 0 to 10) Summary of findings ‐ Erector spinae plane block vs placebo block | no estimate extracted | 8 studies · 499 participants | Moderate Downgraded: risk of bias, imprecision |
Rates of block‐related adverse events Summary of findings ‐ Erector spinae plane block vs placebo block | RR 1 [0.29, 3.41] | 10 studies · 592 participants | Low Downgraded: imprecision |
Summary of findings ‐ Erector spinae plane block vs paravertebral block in adults undergoing surgery with general anaesthesia
Population: adults undergoing surgery with general anaesthesia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mean difference in postoperative pain intensity at rest 24 hours postoperatively (VAS 0 to 10) Summary of findings ‐ Erector spinae plane block vs paravertebral block | no estimate extracted | 7 studies · 478 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Rates of block‐related adverse events Summary of findings ‐ Erector spinae plane block vs paravertebral block | RR 0.1 [0.02, 0.55] | 7 studies · 522 participants | Moderate Downgraded: risk of bias |
Summary of findings ‐ Erector spinae plane block vs transversus abdominis plane block in adults undergoing surgery with general anaesthesia
Population: adults undergoing surgery with general anaesthesia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mean difference in postoperative pain intensity at rest 24 hours postoperatively (VAS 0 to 10) Summary of findings ‐ Erector spinae plane block vs transversus abdominis plane block | no estimate extracted | 3 studies · 160 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Rates of block‐related adverse events Summary of findings ‐ Erector spinae plane block vs transversus abdominis plane block | RR 1 [0.15, 6.84] | 4 studies · 202 participants | Low Downgraded: imprecision |
Summary of findings ‐ Erector spinae plane block vs serratus anterior plane block in adults undergoing surgery with general anaesthesia
Population: adults undergoing surgery with general anaesthesia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mean difference in postoperative pain intensity at rest 24 hours postoperatively (VAS 0 to 10) Summary of findings ‐ Erector spinae plane block vs serratus anterior plane block | no estimate extracted | 0 studies · 0 participants | Ungraded |
Rates of block‐related adverse events Summary of findings ‐ Erector spinae plane block vs serratus anterior plane block | RR 1 [0.06, 15.59] | 2 studies · 110 participants | Low Downgraded: imprecision |
Summary of findings ‐ Erector spinae plane block vs pectoralis plane block in adults undergoing surgery with general anaesthesia
Population: adults undergoing surgery with general anaesthesia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mean difference in postoperative pain intensity at rest 24 hours postoperatively (VAS 0 to 10) Summary of findings ‐ Erector spinae plane block vs pectoralis plane block | no estimate extracted | 2 studies · 98 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Rates of block‐related adverse events Summary of findings ‐ Erector spinae plane block vs pectoralis plane block | no estimate extracted | 1 study · 47 participants | Ungraded |
Summary of findings ‐ Erector spinae plane block vs quadratus lumborum block in adults undergoing surgery with general anaesthesia
Population: adults undergoing surgery with general anaesthesia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mean difference in postoperative pain intensity at rest 24 hours postoperatively (VAS 0 to 10) Summary of findings ‐ Erector spinae plane block vs quadratus lumborum block | no estimate extracted | 1 study · 40 participants | Ungraded |
Rates of block‐related adverse events Summary of findings ‐ Erector spinae plane block vs quadratus lumborum block | no estimate extracted | 1 study · 40 participants | Ungraded |
Summary of findings ‐ Erector spinae plane block vs intercostal nerve block in adults undergoing surgery with general anaesthesia
Population: adults undergoing surgery with general anaesthesia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mean difference in postoperative pain intensity at rest 24 hours postoperatively (VAS 0 to 10) Summary of findings ‐ Erector spinae plane block vs intercostal nerve block | no estimate extracted | 2 studies · 131 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Rates of block‐related adverse events Summary of findings ‐ Erector spinae plane block vs intercostal nerve block | RR 0.09 [0.04, 2.28] | 3 studies · 181 participants | Very low Downgraded: risk of bias, imprecision |
Summary of findings ‐ Erector spinae plane block vs epidural analgesia in adults undergoing surgery with general anaesthesia
Population: adults undergoing surgery with general anaesthesia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mean difference in postoperative pain intensity at rest 24 hours postoperatively (VAS 0 to 10) Summary of findings ‐ Erector spinae plane block vs epidural analgesia | no estimate extracted | 2 studies · 81 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Rates of block‐related adverse events Summary of findings ‐ Erector spinae plane block vs epidural analgesia | no estimate extracted | 1 study · 50 participants | Ungraded |
Summary of findings ‐ Erector spinae plane block vs no block in adults undergoing surgery with general anaesthesia
Population: adults undergoing surgery with general anaesthesia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mean difference in postoperative pain intensity at rest 24 hours postoperatively (VAS 0 to 10) Summary of findings ‐ Erector spinae plane block vs no block | no estimate extracted | 17 studies · 958 participants | Moderate Downgraded: risk of bias, imprecision |
Rates of block‐related adverse events Summary of findings ‐ Erector spinae plane block vs no block | RR 1 [0.4, 2.49] | 18 studies · 1045 participants | Low Downgraded: imprecision |
Summary of findings ‐ Erector spinae plane block vs placebo block in adults undergoing surgery with general anaesthesia
Population: adults undergoing surgery with general anaesthesia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mean difference in postoperative pain intensity at rest 24 hours postoperatively (VAS 0 to 10) Summary of findings ‐ Erector spinae plane block vs placebo block | no estimate extracted | 8 studies · 499 participants | Moderate Downgraded: risk of bias, imprecision |
Rates of block‐related adverse events Summary of findings ‐ Erector spinae plane block vs placebo block | RR 1 [0.29, 3.41] | 10 studies · 592 participants | Low Downgraded: imprecision |
Summary of findings ‐ Erector spinae plane block vs paravertebral block in adults undergoing surgery with general anaesthesia
Population: adults undergoing surgery with general anaesthesia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mean difference in postoperative pain intensity at rest 24 hours postoperatively (VAS 0 to 10) Summary of findings ‐ Erector spinae plane block vs paravertebral block | no estimate extracted | 7 studies · 478 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Rates of block‐related adverse events Summary of findings ‐ Erector spinae plane block vs paravertebral block | RR 0.1 [0.02, 0.55] | 7 studies · 522 participants | Moderate Downgraded: risk of bias |
Summary of findings ‐ Erector spinae plane block vs transversus abdominis plane block in adults undergoing surgery with general anaesthesia
Population: adults undergoing surgery with general anaesthesia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mean difference in postoperative pain intensity at rest 24 hours postoperatively (VAS 0 to 10) Summary of findings ‐ Erector spinae plane block vs transversus abdominis plane block | no estimate extracted | 3 studies · 160 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Rates of block‐related adverse events Summary of findings ‐ Erector spinae plane block vs transversus abdominis plane block | RR 1 [0.15, 6.84] | 4 studies · 202 participants | Low Downgraded: imprecision |
Summary of findings ‐ Erector spinae plane block vs serratus anterior plane block in adults undergoing surgery with general anaesthesia
Population: adults undergoing surgery with general anaesthesia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mean difference in postoperative pain intensity at rest 24 hours postoperatively (VAS 0 to 10) Summary of findings ‐ Erector spinae plane block vs serratus anterior plane block | no estimate extracted | 0 studies · 0 participants | Ungraded |
Rates of block‐related adverse events Summary of findings ‐ Erector spinae plane block vs serratus anterior plane block | RR 1 [0.06, 15.59] | 2 studies · 110 participants | Low Downgraded: imprecision |
Summary of findings ‐ Erector spinae plane block vs pectoralis plane block in adults undergoing surgery with general anaesthesia
Population: adults undergoing surgery with general anaesthesia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mean difference in postoperative pain intensity at rest 24 hours postoperatively (VAS 0 to 10) Summary of findings ‐ Erector spinae plane block vs pectoralis plane block | no estimate extracted | 2 studies · 98 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Rates of block‐related adverse events Summary of findings ‐ Erector spinae plane block vs pectoralis plane block | no estimate extracted | 1 study · 47 participants | Ungraded |
Summary of findings ‐ Erector spinae plane block vs quadratus lumborum block in adults undergoing surgery with general anaesthesia
Population: adults undergoing surgery with general anaesthesia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mean difference in postoperative pain intensity at rest 24 hours postoperatively (VAS 0 to 10) Summary of findings ‐ Erector spinae plane block vs quadratus lumborum block | no estimate extracted | 1 study · 40 participants | Ungraded |
Rates of block‐related adverse events Summary of findings ‐ Erector spinae plane block vs quadratus lumborum block | no estimate extracted | 1 study · 40 participants | Ungraded |
Summary of findings ‐ Erector spinae plane block vs intercostal nerve block in adults undergoing surgery with general anaesthesia
Population: adults undergoing surgery with general anaesthesia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mean difference in postoperative pain intensity at rest 24 hours postoperatively (VAS 0 to 10) Summary of findings ‐ Erector spinae plane block vs intercostal nerve block | no estimate extracted | 2 studies · 131 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Rates of block‐related adverse events Summary of findings ‐ Erector spinae plane block vs intercostal nerve block | RR 0.09 [0.04, 2.28] | 3 studies · 181 participants | Very low Downgraded: risk of bias, imprecision |
Summary of findings ‐ Erector spinae plane block vs epidural analgesia in adults undergoing surgery with general anaesthesia
Population: adults undergoing surgery with general anaesthesia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mean difference in postoperative pain intensity at rest 24 hours postoperatively (VAS 0 to 10) Summary of findings ‐ Erector spinae plane block vs epidural analgesia | no estimate extracted | 2 studies · 81 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Rates of block‐related adverse events Summary of findings ‐ Erector spinae plane block vs epidural analgesia | no estimate extracted | 1 study · 50 participants | Ungraded |