Key result
A single-shot ultrasound-guided thoracic paravertebral block reduced the incidence of postoperative supraventricular tachycardia compared to intercostal nerve blocks (14.7% vs 46.9%, P=0.004).
Why the study?
Does single-shot ultrasound-guided thoracic paravertebral block reduce the incidence of postoperative supraventricular tachycardias compared to intercostal nerve blocks in patients undergoing thoracoscopic lobectomy?
Population
68 patients undergoing thoracoscopic lobectomy
Comparison
Single-shot ultrasound-guided thoracic… vs Two individual ultrasound-guided intercostal…
Design
RCT, Randomised into two equal groups of 34
Follow-up
48 hours
Authors
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USG thoracic PVB may lower postoperative SVT after lobectomy; leaves open confirmation in randomized trials before practice change.
RCT (n=68)
randomised into two equal groups
No
Does single-shot ultrasound-guided thoracic paravertebral block reduce the incidence of postoperative supraventricular tachycardias compared to intercostal nerve blocks in patients undergoing thoracoscopic lobectomy?
Absolute Event Rate: 14.7% vs 46.9%
p-value: p=0.004
Ultrasound-guided thoracic paravertebral block is more effective than intercostal nerve blocks at reducing postoperative supraventricular arrhythmias and atrial fibrillation after thoracoscopic lobectomy.
Wu et al. (2018) conducted an RCT in Patients undergoing thoracoscopic lobectomy (n=68). Ultrasound-guided thoracic paravertebral block (PVB) vs. Intercostal nerve blocks (ICNBs) was evaluated on Incidence of supraventricular tachycardia (SVT) (p=0.004). A single-shot ultrasound-guided thoracic paravertebral block reduced the incidence of postoperative supraventricular tachycardia compared to intercostal nerve blocks (14.7% vs 46.9%, P=0.004).
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