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This review aims to assess the effect of the erector spinae plane block on postoperative outcomes in lung surgery patients.

May 29, 2026BMC AnesthesiologyOpen Access

Effect of erector spinae block on postoperative outcomes in patients undergoing lung surgical procedures: a systematic review and trial sequential analysis of randomized controlled trials

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This review aims to assess the effect of the erector spinae plane block on postoperative outcomes in lung surgery patients.
Systematic search for randomized controlled trials comparing ESPB with control in lung surgical patients.
Total of 20 RCTs with 1,391 patients included in the meta-analysis.
Outcomes measured included pain scores, opioid consumption, and postoperative nausea and vomiting.
ESPB significantly reduced resting pain at 6 h (MD: 1.26; p < 0.00001), 12 h (MD: 1.22; p = 0.003), and 24 h (MD: 0.61; p < 0.0001).
Movement-evoked pain decreased at 6 h (MD: 1.54; p < 0.0001), 12 h (MD: 1.32; p < 0.00001), and 24 h (MD: 0.91; p = 0.001).
Reduction in 24-hour opioid consumption was observed (MD: 16.74; p = 0.0005) and PONV incidence lowered (OR: 0.32; p < 0.001).

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Randomized trial examines the impact of erector spinae block on postoperative outcomes in lung surgery, suggesting modest improvements.

Voznyy et al. (2026) studied this question.

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