Key result
Ultrasound-guided erector spinae plane block and thoracic paravertebral block reduced 48-hour postoperative fentanyl consumption compared to no intervention.
Why the study?
The comparative effectiveness of ultrasound-guided erector spinae plane block and thoracic paravertebral block versus no intervention for postoperative pain management after VATS required evaluation.
Does ultrasound-guided ESPB or TPVB reduce postoperative opioid consumption in adult patients undergoing video-assisted thoracic surgery compared to no intervention?
RCT (n=90)
Single-blind
Randomizing computer program
No
Does ultrasound-guided ESPB or TPVB reduce postoperative opioid consumption in adult patients undergoing video-assisted thoracic surgery compared to no intervention?
Both ultrasound-guided ESPB and TPVB significantly reduce postoperative opioid consumption and pain scores following video-assisted thoracic surgery compared to no block, with ESPB offering a shorter procedure time and higher single-puncture success rate.
Answers are grounded in this paper and cite their sources.
Supports ESPB or TPVB for opioid-sparing analgesia after VATS; confirms efficacy versus no block in this RCT.
Objective: Evaluation of the effectiveness of ultrasound (US)-guided erector spinae plane block (ESPB) and thoracic paravertebral block (TPVB) compared to no intervention control group for postoperative pain management in video assisted thoracic surgery (VATS) patients.Method: Three groups -Group ESPB, Group TPVB and the control group (n=30 per group) were included in this prospective, randomized, controlled study.The US-guided blocks were performed preoperatively in the ESPB and TPVB groups.Intravenous patient-controlled postoperative analgesia via fentanyl was administered in all of the patients.The patients were evaluated using visual analogue scale (VAS) scores, opioid consumption, and adverse events.Results: At all time intervals fentanyl consumption and VAS scores were significantly lower both in ESPB and TPVB groups compared to the control group (p<0.001).Block procedure time was significantly lower and success of one time puncture was higher in Group ESPB as compared with that in Group TPVB (p<0.001).Conclusion: ESPB and TPVB provide more effective analgesia compared to control group in patients who underwent video-assisted thoracic surgery.ESPB had a shorter procedural time and higher success of single-shot technique compared to TPVB.
No takes yet. Share an insight, caveat, or question.
Çiftçi et al. (2020) conducted an RCT in Postoperative pain following video-assisted thoracic surgery (n=90). Ultrasound-guided erector spinae plane block (ESPB) and thoracic paravertebral block (TPVB) vs. No intervention was evaluated on Postoperative mean total fentanyl consumption at 48 hours (µg) (p=<0.001). Ultrasound-guided erector spinae plane block and thoracic paravertebral block reduced 48-hour postoperative fentanyl consumption compared to no intervention.
Synapse has enriched 10 related papers. Consider them for comparative context: