Efficacy and safety of erector spinae plane block for postoperative analgesia in breast cancer surgery—A systematic review and meta‐analysis

Background and Objectives We aim to evaluate the analgesic efficacy and safety of erector spinae plane block (ESPB) for postoperative analgesia in breast cancer surgeries. Methods PubMed, Web of Science, CBM, Embase, Cochrane, Wanfang, VIPP, and CNKI were searched to identify published eligible rand...

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Bibliographic Details
Published in:Journal of surgical oncology 2023-05, Vol.127 (6), p.905-920
Main Authors: Guan, Hong‐Yu, Yuan, Yi, Gao, Kai, Luo, Hong‐Xia
Format: Article
Language:English
Subjects:
Analgesia, Patient-Controlled
Analgesics, Opioid
Breast cancer
Breast Neoplasms
breast surgery
Cancer surgery
ESPB
Female
General anesthesia
Humans
Meta-analysis
Morphine
Morphine Derivatives
Narcotics
opioid consumption
Pain
pain scores
Pain, Postoperative
Patient satisfaction
postoperative analgesia
Postoperative period
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Summary:Background and Objectives We aim to evaluate the analgesic efficacy and safety of erector spinae plane block (ESPB) for postoperative analgesia in breast cancer surgeries. Methods PubMed, Web of Science, CBM, Embase, Cochrane, Wanfang, VIPP, and CNKI were searched to identify published eligible randomized controlled trials. The primary results were the postoperative 24 h morphine consumption and pain scores, while the secondary outcomes included pain scores at other times, press times of patient‐controlled intravenous analgesia (PCIA), times to request for first rescue analgesia, the incidence of request for rescue analgesia, opioid‐related complications, nerve blocks related complications and patient satisfaction. Results We included 20 studies meeting the inclusion criteria, which involved 1293 participants. The morphine consumption and the pain scores during 24 h postoperatively were significantly decreased in the ESPB group versus the control group (p 
ISSN:0022-4790
1096-9098
DOI:10.1002/jso.27221