Why the study?
The optimal analgesia regimen for patients after video-assisted thoracoscopic lobectomy remained to be determined.
Does continuous paravertebral block or intercostal block improve postoperative analgesia in patients undergoing video-assisted thoracoscopic lobectomy compared to systemic analgesia?
RCT (n=54)
Randomized
Does continuous paravertebral block or intercostal block improve postoperative analgesia in patients undergoing video-assisted thoracoscopic lobectomy compared to systemic analgesia?
Continuous paravertebral block provides superior analgesia, reduces narcotic requirements, and is associated with fewer complications compared to intercostal block or systemic analgesia after thoracoscopic lobectomy.
Supports continuous paravertebral block for post-VATS lobectomy analgesia; extends RCT evidence favoring regional over systemic techniques.
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Novikova et al. (2022) conducted an RCT in Stage I-II lung cancer (n=54). Continuous paravertebral block (PVB) vs. Intraoperative intercostal block (ICB) or systemic analgesia was evaluated on Pain intensity by visual analog scale (VAS) in the first 72 hours postoperatively (p=0.03 vs ICB, 0.039 vs systemic).
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