{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:29:08Z","timestamp":1787020148024,"version":"build-2736575974"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T00:00:00Z","timestamp":1717372800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T00:00:00Z","timestamp":1717372800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Anesthesiol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Erector spinae plane block (ESPB) is a novel fascial plane block technique that can provide effective perioperative analgesia for thoracic, abdominal and lumbar surgeries. However, the effect of cervical ESPB on postoperative analgesia after arthroscopic shoulder surgery is unknown. The aim of this study is to investigate the analgesic effect and safety of ultrasound-guided cervical ESPB in arthroscopic shoulder surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Seventy patients undergoing arthroscopy shoulder surgery were randomly assigned to one of two groups: ESPB group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200935) or control group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200935). Patients in the ESPB group received an ultrasound-guided ESPB at the C7 level with 30 mL of 0.25% ropivacaine 30\u00a0min before induction of general anesthesia, whereas patients in the control group received no block. The primary outcome measures were the static visual analogue scale (VAS) pain scores at 4, 12, and 24\u00a0h after surgery. Secondary outcomes included heart rate (HR) and mean arterial pressure (MAP) before anesthesia (t1), 5\u00a0min after anesthesia (t2), 10\u00a0min after skin incision (t3), and 10\u00a0min after extubation (t4); intraoperative remifentanil consumption; the Bruggrmann comfort scale (BCS) score, quality of recovery-15 (QoR-15) scale score and the number of patients who required rescue analgesia 24\u00a0h after surgery; and adverse events.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The static VAS scores at 4, 12 and 24\u00a0h after surgery were significantly lower in the ESPB group than those in the control group (2.17\u2009\u00b1\u20090.71 vs. 3.14\u2009\u00b1\u20091.19, 1.77\u2009\u00b1\u20090.77 vs. 2.63\u2009\u00b1\u20090.84, 0.74\u2009\u00b1\u20090.66 vs. 1.14\u2009\u00b1\u20090.88, all\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.05). There were no significant differences in HR or MAP at any time point during the perioperative period between the two groups (all\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&gt;\u20090.05). The intraoperative consumption of remifentanil was significantly less in the ESPB group compared to the control group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.05). The scores of BCS and QoR-15 scale were higher in the ESPB group 24\u00a0h after surgery than those in the control group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.05). Compared to the control group, fewer patients in the ESPB group required rescue analgesia 24\u00a0h after surgery (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.05). No serious complications occurred in either group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Ultrasound-guided cervical ESPB can provide effective postoperative analgesia following arthroscopic shoulder surgery, resulting in a better postoperative recovery with fewer complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>Chictr.org.cn identifier ChiCTR2300070731 (Date of registry: 21\/04\/2023, prospectively registered).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12871-024-02586-7","type":"journal-article","created":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T05:01:47Z","timestamp":1717390907000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["The analgesic effect of ultrasound-guided cervical erector spinae block in arthroscopic shoulder surgery: a randomized controlled clinical trial"],"prefix":"10.1186","volume":"24","author":[{"given":"Manhua","family":"Zhu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruifen","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lingzhi","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qilu","family":"Ying","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,6,3]]},"reference":[{"key":"2586_CR1","first-page":"592","volume":"39","author":"K Lindley","year":"2010","unstructured":"Lindley K, Jones GL. 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BMC Anesthesiol. 2022;22(1):244.","journal-title":"BMC Anesthesiol"}],"container-title":["BMC Anesthesiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12871-024-02586-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12871-024-02586-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12871-024-02586-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T05:01:51Z","timestamp":1717390911000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcanesthesiol.biomedcentral.com\/articles\/10.1186\/s12871-024-02586-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,3]]},"references-count":21,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["2586"],"URL":"https:\/\/doi.org\/10.1186\/s12871-024-02586-7","relation":{},"ISSN":["1471-2253"],"issn-type":[{"value":"1471-2253","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,3]]},"assertion":[{"value":"28 March 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 May 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 June 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the Medical Ethics Committee of the Affiliated LiHuiLi Hospital of Ningbo University, China (KY2022PJ214), and the protocol was registered at the Chinese Clinical Trial Registry (ChiCTR2300070731) (prospectively registered). The initial registration date was 21\/04\/2023. All procedures performed in this study involving human participants were following the Ethical Standards of the Institutional Ethics Committee, as well as the 1964 Helsinki Declaration and subsequent amendments or comparable ethical standards. All patients signed written informed consent forms before surgery.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"196"}}