Randomized Controlled Trial
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 6, 2021; 9(19): 5126-5134
Published online Jul 6, 2021. doi: 10.12998/wjcc.v9.i19.5126
Erector spinae plane block at lower thoracic level for analgesia in lumbar spine surgery: A randomized controlled trial
Jing-Jing Zhang, Teng-Jiao Zhang, Zong-Yang Qu, Yong Qiu, Zhen Hua
Jing-Jing Zhang, Teng-Jiao Zhang, Zong-Yang Qu, Yong Qiu, Zhen Hua, Department of Anesthesiology, Beijing Hospital, National Center of Gerontology, Beijing 100730, China
Author contributions: Hua Z and Qu ZY designed the study; Hua Z and Zhang JJ collected the intraoperative data; Zhang TJ and Qiu Y collected the postoperative data; Zhang JJ analyzed the data and wrote the paper.
Institutional review board statement: The protocol was approved by the Beijing Hospital Medical Ethics Committee (2018BJYYEC-011-01).
Clinical trial registration statement: The protocol was registered with the Chinese Clinical Trial Registry at chictr.org.cn (ChiCTR1800015002).
Informed consent statement: An informed consent form was signed by each patient or their legal guardian before enrollment.
Conflict-of-interest statement: None declared.
Data sharing statement: No additional data are available.
CONSORT 2010 statement: The authors have read the CONSORT 2010 statement, and the manuscript was prepared and revised according to the CONSORT 2010 statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zhen Hua, MD, Professor, Department of Anesthesiology, Beijing Hospital, National Center of Gerontology, No. 1 Dahua Road, Dongcheng District, Beijing 100730, China. hua1013@163.com
Received: April 13, 2021
Peer-review started: April 13, 2021
First decision: April 23, 2021
Revised: May 6, 2021
Accepted: May 19, 2021
Article in press: May 19, 2021
Published online: July 6, 2021
Processing time: 71 Days and 21.9 Hours
Core Tip

Core Tip: The erector spinae plane block (ESPB) could anesthetize the dorsal rami of thoracic nerves and produce an extensive multi-dermatomal sensory block, which may improve the analgesic effect of patients undergoing lumber spine surgery. We designed this prospective randomized controlled trial and found that ESPB at a lower thoracic level could prolong the duration to the first patient controlled intravenous analgesia bolus, reduce the intraoperative opioid consumption, and improve postoperative recovery.