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October 23, 2025BMC AnesthesiologyOpen Access

Ultrasound-guided erector spinae plane block versus rhomboid intercostal sub-serratus plane block for postoperative analgesia in open radical nephrectomy: a randomized clinical study

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Authors

DEDoaa Abd EltwabCairo UniversitySASayed M AbedCairo UniversityASAhmad SaadCairo University

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Overview

Randomized clinical trial shows reduced morphine consumption in patients receiving ESPB for open radical nephrectomy, indicating better analgesia than RISS block.

Key Points

  • Total morphine consumption was lower in patients receiving ESPB at 16.4 mg compared to RISS at 18.2 mg.
  • VAS pain scores at rest were significantly lower at 12 and 18 hours for the ESPB group with p values of 0.002 and 0.018 respectively.
  • This randomized clinical trial assessed the effectiveness of ultrasound-guided regional anesthesia techniques for postoperative analgesia.
  • Findings highlight ESPB as potentially superior for managing pain after open radical nephrectomy surgical procedures.

Cite This Study

Eltwab et al. (2025) studied this question.

synapsesocial.com/papers/68fa32a40df2e6cd2f74226ahttps://doi.org/10.1186/s12871-025-03377-4
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Comparison of analgesic efficacy of erector spinae plane block with rhomboid intercostal subserratus plane block in patients undergoing modified radical mastectomy: A randomised control trial2026
  2. 2Efficacy of ultrasound-guided erector spinae plane block versus retrolaminar block for postoperative analgesia in patients undergoing thoracotomy2023
  3. 3Comparison of Ultrasound-guided Erector Spinae Plane Block Versus Rhomboid Intercostal Block for Perioperative Analgesia in Breast Cancer Surgery2026
  4. 4Comparison of erector spinae plane block and rhomboid intercostal block for postoperative pain management in patients undergoing unilateral breast surgery2026
  5. 5Comparison of ultrasound-guided rhomboid intercostal and subserratus plane block versus thoracic paravertebral block for analgesia in thoracoscopic surgery: a randomized, controlled, non-inferiority trial2024 · 5 citations