Cardiothoracic & vascular anesthesia

Combined pectoralis and serratus anterior plane blocks with or without liposomal bupivacaine for minimally invasive thoracic surgery: A randomized clinical trial

J Clin AnesthPublished Randomised controlled trial

Primary result · Total OBAS, POD 1-3Result — go to the resultGeometric mean ratio 0.93 95% CI 0.76–1.14

Authors' conclusion

Liposomal bupivacaine did not improve OBAS during the initial postoperative three days following minimally invasive thoracic procedures.

Study context

Population
Adults scheduled for robotically or video-assisted thoracic surgery with combined ultrasound-guided pectoralis II and serratus anterior plane blockanalysed
Participants
189 adults
Comparison
Liposomal bupivacaine vs Bupivacaine
  • Liposomal bupivacainen = 95
  • Bupivacainen = 94reference
Primary endpoint
Overall benefit of analgesia score (OBAS)
Follow-up
Postoperative days 1-3

Primary result

Total OBAS, POD 1-3 · first three postoperative days

Geometric mean ratio

0.93

95% CI 0.76–1.14

P = 0.485

Treatment vs Control
geometric mean ratio 0.93 (95% CI 0.76–1.14); P = 0.485

As reported in the abstract

Further findings

Respiratory mechanics, total opioid consumption, pain scores

No observed treatment effect; average pain scores low in both groups

Original publication

Combined pectoralis and serratus anterior plane blocks with or without liposomal bupivacaine for minimally invasive thoracic surgery: A randomized clinical trial. J Clin Anesth. Published 18 July 2024. doi:10.1016/j.jclinane.2024.111550

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.