Cardiothoracic & vascular anaesthesia
Analgesia for minimally invasive thoracic surgery: comparing thoracic paravertebral to erector spinae plane block—a retrospective single-center study
Main finding · PACU opioid consumption (OME)Result — go to the resultDifference 9.4 mg less OME 95% CI −15.7 to −3.0Authors' conclusion
TPVB compared with ESPB for MITS was associated with decreased opioid use in PACU and shorter PACU and hospital LOS.
Study context
- Population
- Patients undergoing one-sided Minimally Invasive Thoracic Surgery (MITS) with Thoracic Paravertebral Block (TPVB) or Erector Spinae Plane Block (ESPB), Beth Israel Deaconess Medical Center, 2020–2024
- Participants
- 404 patients
- Exposure
- TPVB vs ESPB
- TPVBn = 121
- ESPBn = 283reference
- Outcome
- Opioid consumption in PACU (cumulative oral morphine equivalents, OME)
Methodological detailssingle-center, hospital registry data, multivariable negative binomial regression
- Single-center
- Hospital registry data
- Multivariable negative binomial regression
Main finding
PACU opioid consumption (OME)
Difference
9.4 mg less OME
95% CI −15.7 to −3.0
P < 0.01
As reported in the abstract
- Overall median (IQR) postanesthesia care unit (PACU) oral morphine equivalents (OME)
- 25.5 mg (15.0-42.5)
Observational data: associations, not effects.
Secondary outcomes
| Outcome | Difference (min shorter) (95% CI) | P value | |
|---|---|---|---|
| Time to first opioid administrationPredicted | 11.4 (1.3–21.5) | P = 0.03 | |
| −100102030Difference, min shorter (linear scale) |
| Outcome | Estimate | P value |
|---|---|---|
| PACU LOSAdjusted | difference 118 min shorter (95% CI −216 to −20) | P = 0.02 |
| Hospital LOSAdjusted | difference 1.2 fewer days (95% CI −1.6 to −0.7) | P < 0.001 |
Original publication
Analgesia for minimally invasive thoracic surgery: comparing thoracic paravertebral to erector spinae plane block—a retrospective single-center study. Reg Anesth Pain Med. Published 30 September 2026. doi:10.
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