Erector Spinae Plane Block and its Impact on Postoperative Diaphragmatic Dysfunction in Morbidly Obese Patients Undergoing Laparoscopic Sleeve Gastrectomy: A Double-Blind Randomized Control Trial - Takeaways - MDSpire

Erector Spinae Plane Block and its Impact on Postoperative Diaphragmatic Dysfunction in Morbidly Obese Patients Undergoing Laparoscopic Sleeve Gastrectomy: A Double-Blind Randomized Control Trial

  • By

  • Mina Adolf Helmy

  • Mohamed Saber Mostafa

  • Arsany Talaat Saber

  • Mai Ahmed Ali

  • Lydia Magdy Milad

  • November 4, 2025

  • 0 min

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  • 1

    Class III obesity poses significant health risks and is associated with postoperative complications, including diaphragmatic dysfunction after laparoscopic sleeve gastrectomy.

  • 2

    The erector spinae plane block (ESPB) may reduce the incidence of postoperative diaphragmatic dysfunction in morbidly obese patients undergoing laparoscopic surgery.

  • 3

    This study is the first randomized controlled trial to investigate the effects of ESPB on diaphragmatic function in patients with class III obesity.

  • 4

    Diaphragmatic excursion was measured using ultrasound, with dysfunction defined as an excursion of less than 10 mm two hours postoperatively.

  • 5

    The trial included 81 participants, randomly assigned to either the control or ESPB group, with outcomes assessed through pulmonary function tests and pain scores.

Original Source(s)

Erector Spinae Plane Block and its Impact on Postoperative Diaphragmatic Dysfunction in Morbidly Obese Patients Undergoing Laparoscopic Sleeve Gastrectomy: A Double-Blind Randomized Control Trial

  • by Mina Adolf Helmy, Mohamed Saber Mostafa, Arsany Talaat Saber, Mai Ahmed Ali, Lydia Magdy Milad

  • November 4, 2025

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