A short comment on: “Analgesic efficacy of erector spinae plane block in patients undergoing major gynecologic surgery: a randomized controlled study” Feng-Ting Ma*

This commentary critically evaluates the study by Bang et al. (Bang et al., 2024) on the analgesic efficacy of the erector spinae plane block (ESPB) in patients undergoing major gynecologic surgery. The study highlights ESPB as an adjunct to postoperative multimodal analgesia, comparing it to the current standard of patient-controlled intravenous analgesia (PCIA) primarily managed with opioids. While ESPB was shown to reduce early postoperative pain, it did not significantly decrease opioid consumption. Concerns are raised regarding the variability in non-opioid analgesic protocols and the timing of baseline assessments for quality of recovery. These issues suggest potential areas for refinement in future research to enhance the reliability and applicability of the findings in clinical practice. It is worthy of paying attention to this difference in clinic for later personal and precise administration.