Erector spinae plane block provided equivalent postoperative analgesia to thoracic paravertebral block following video-assisted thoracic surgery, with similar 48-hour morphine consumption (14.9 mg vs 15.2 mg, p=0.6).
RCT (n=80)
Double-blind
Simple randomization using a computer program by closed envelope technique
No
Does ultrasound-guided erector spinae plane block provide equivalent postoperative analgesia compared to thoracic paravertebral block in patients undergoing video-assisted thoracic surgery?
Erector spinae plane block provides equivalent postoperative analgesia to thoracic paravertebral block following video-assisted thoracic surgery, with the added benefits of shorter block time and higher patient satisfaction.
Absolute Event Rate: 14.9% vs 15.2%
p-value: p=0.6
Abstract Background It is advised to use a regional block to lower postoperative opioid usage. Therefore, we aimed to compare the analgesic effect of erector spinae plane block (ESPB) and thoracic paravertebral block (TPVB) on the need for morphine following video-assisted thoracic surgery (VATS). Results The findings revealed that TPVB and ESPB groups were equivalent in analgesic efficacy with postoperative morphine consumption in mg 15.2 ± 2.7 and 14.9 ± 2.4 respectively. statistically significant shorter block time in ESPB was 8.1 ± 1.7 min in contrast to 11.35 ± 1.7 min in TPVB and better patient satisfaction in the ESPB than in TPVB groups ( p value 0.05). There were significantly lower heart rate (HR) and blood pressure (BP) trends in 15 and 30 min intraoperatively ( p value < 0.001) in the TPVB group. Conclusions ESPB has analgesic efficacy equivalent to TPVB from aspects of equivalent postoperative morphine consumption and VAS at rest and during cough with shorter block time and better patient satisfaction. Trial registration Pan African Clinical Trial Registry PACTR202109527452994. Registered on 8 September 2021.
Sobhy et al. (Mon,) conducted a rct in Postoperative pain after video-assisted thoracic surgery (VATS) (n=80). Erector spinae plane block (ESPB) vs. Thoracic paravertebral block (TPVB) was evaluated on Consumption of postoperative morphine throughout the first 48 hours (p=0.6). Erector spinae plane block provided equivalent postoperative analgesia to thoracic paravertebral block following video-assisted thoracic surgery, with similar 48-hour morphine consumption (14.9 mg vs 15.2 mg, p=0.6).