Effectiveness of erector spinae plane block in reducing opioid consumption after colorectal surgery: A comprehensive meta-analysis

Abstract

Despite the life-saving nature of colorectal surgeries, patients often experience intra and post-operative problems, especially pain and discomfort. This meta-analysis aimed to evaluate the effectiveness of erector spinae plane block (ESP block) in postoperative pain management for patients undergoing colorectal surgeries. A comprehensive systematic literature search was conducted in PubMed and Cochrane Library databases from inception until December 2023. Eight studies were deemed appropriate for inclusion. The pooled analysis demonstrated a significant decrease with the ESP block compared to the control group in postoperative opioid consumption [MD ​= ​−15.96 ​mg; 95 ​% CI (−28.74 to −3.18); p ​= ​0.014, I² ​= ​87 ​%], intraoperative opioid consumption [MD ​= ​−35.51 ​mg; 95 ​% CI (−62.63 to −8.40); p ​= ​0.010, I² ​= ​87 ​%], pain scores [MD ​= ​−0.94; 95 ​% CI (−1.27 to −0.60); p ​< ​0.000001, I² ​= ​86 ​%], with a significantly shorter duration of hospital stay [MD ​= ​−1.25 days; 95 ​% CI (−2.02 to −0.48); p ​= ​0.002, I² ​= ​23 ​%]. This meta-analysis support the use of erector spinae plane block (ESP) for postoperative pain management in colorectal surgeries. ESP shows significant reductions in opioid consumption, pain scores and hospital stay.