Evaluation of the postoperative quality of recovery score in radical prostatectomy with erector spinae plane block: a randomized controlled trial
Abstract
BACKGROUND: Radical prostatectomy (RP) is associated with moderate to severe postoperative dynamic pain. In this study, we aimed to evaluate the effect of erector spinae plane block (ESPB) on postoperative Quality of Recovery (QoR), opioid consumption and pain scores in patients who underwent open RP. METHODS: This prospective randomized controlled study included 52 patients who underwent open RP. Patients were randomized into Group E (n = 26) with ESPB and Group W (n = 26) with wound infiltration. Patient QoR was measured preoperatively and postoperatively using a 40-item QoR-40 questionnaire. Additionally, tramadol consumption, nausea and vomiting, visual analog scale (VAS), sedation, and hemodynamic parameters were evaluated. RESULTS: The preoperative and postoperative results of the global QoR-40 questionnaire were statistically similar between the groups (p = 0.407). Postoperative VASRest and VASMovement were similar between the groups (p = 0.313 and p = 0.161, respectively). Tramadol consumption was lower in Group E at 2 and 24 h (p = 0.035 and p = 0.017, respectively). Intraoperative remifentanil consumption was significantly lower in Group E (p = 0.005). Complications, such as intraoperative bradycardia, hypotension, and bradycardia-hypotension, were more common in Group E (p = 0.001). Postoperatively, complications such as sedation, nausea, and vomiting, and the need for antiemetics were similar between the groups. CONCLUSION: ESPB did not improve the quality of…
How strong is the evidence?
Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 2 of 5 (High · randomized trial). Randomized trials of a reasonable size are the strongest single-study design. Reported size: 52 participants or records.
Read the paper
Related studies
- Effect of dexamethasone as an analgesic adjuvant to multimodal pain treatment after total knee arthroplasty: randomised clinical trial
- Effect of a Postoperative Multimodal Opioid-Sparing Protocol vs Standard Opioid Prescribing on Postoperative Opioid Consumption After Knee or Shoulder Arthroscopy: A Randomized Clinical Trial
- Comparison of the Post-Caesarean Analgesic Effect of Adding Dexmedetomidine to Paracetamol and Ketorolac: A Randomized Clinical Trial
- A triple-blind randomized clinical trial of different associations between dexamethasone and non-steroids anti-inflammatories for preemptive action in third molar extractions
- An open label randomized clinical trial of Indomethacin for mild and moderate hospitalised Covid-19 patients
- Oral paracetamol and/or ibuprofen for treating pain after soft tissue injuries: Single centre double-blind, randomised controlled clinical trial
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.