Efficacy and safety of sacral erector spinae plane (S-ESP) block in adult and pediatric patients during surgical procedures: A comprehensive systematic review and meta-analysis - PubMed
7 hours ago
- #Meta-analysis
- #Postoperative analgesia
- #Regional anesthesia
- The sacral erector spinae plane (S-ESP) block is a novel regional anesthesia technique for pelvic, perineal, and lumbosacral surgery.
- A systematic review and meta-analysis evaluated the efficacy and safety of S-ESP block in adults and children undergoing surgery.
- S-ESP block significantly reduced rescue analgesic requirement and prolonged the time to first rescue analgesia compared to controls.
- Benefits were consistent in both adults and children, with stronger effects observed in adult patients.
- Postoperative pain and quality of recovery improved, while adverse events were rare and mild.
- Evidence was limited by high heterogeneity and low certainty, necessitating further high-quality trials.
- S-ESP block shows potential as part of a multimodal analgesic strategy due to its systemic analgesic-sparing effect.