Perioperative analgesic efficacy of ultrasound-guided erector spinae plane block and posterior transversus abdominis plane block in paediatric patients undergoing open pyeloplasty: A prospective randomised trial.
Seema Naib, Venkata Varadayya Naidu Bongarala, Venkata Ganesh et al.
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In 30 seconds
This prospective randomized trial evaluated the analgesic efficacy of ultrasound-guided Erector spinae plane block (ESP) versus posterior transversus abdominis plane block (pTAP) in 40 pediatric patients undergoing open pyeloplasty. The study found that the ESP group had significantly lower 24-hour postoperative acetaminophen consumption (13.5 ± 4.7 mg/kg) compared to the pTAP group (25.4 ± 8.3 mg/kg), with a mean difference of -12 mg/kg (p < 0.001).
Key findings
- ESP group had 24 h postoperative acetaminophen consumption of 13.5 ± 4.7 mg/kg vs 25.4 ± 8.3 mg/kg in the pTAP group (p < 0.001).
- Median time to first rescue analgesia was longer in the ESP group at 18 h compared to 9 h in the pTAP group (p < 0.001).
- FLACC scores were significantly lower in the ESP group at 30 min and 12 h postoperatively.
Why it matters
Effective pain management is crucial in pediatric surgery to enhance recovery and reduce complications. This study suggests that ESP blocks may provide superior analgesia, potentially improving postoperative outcomes in children undergoing open pyeloplasty.