Cardiothoracic & vascular anesthesia
Comparison of Paravertebral Block and Serratus Posterior Superior Intercostal Plane Block for Postoperative Analgesia After Video-Assisted Thoracoscopic Surgery: A Prospective, Randomized Controlled Trial
Primary resultResult — go to the resultMean difference −10.4 mg 95% CI −36.1 to 15.3Authors' conclusion
SPSIPB and TPVB were associated with similar postoperative opioid consumption, pain scores, and the incidence of adverse effects following VATS.
Study context
- Population
- Adults aged 18 to 80 years scheduled for elective video-assisted thoracoscopic surgery (VATS), tertiary university hospital
- Participants
- 60 adults
- Comparison
- Serratus posterior superior intercostal plane block (SPSIPB) vs thoracic paravertebral block (TPVB)
- SPSIPBn = 30
- TPVBn = 30reference
- Primary endpoint
- Cumulative postoperative opioid consumption (oral morphine equivalents)
- Follow-up
- 24 hours
Methodological detailsprospective, single-centre
- Prospective
- Single-centre
Primary result
As reported in the abstract
Mean difference
−10.4 mg
95% CI −36.1 to 15.3
P = 0.439
By group
SPSIPB vs TPVB
mean difference −10.4 mg (95% CI −36.1 to 15.3); P = 0.439
Secondary outcomes
Pain scores (numeric rating scale (NRS) 0-10) at 1, 3, 6, 12 and 24 h
- No significant differences at any assessed time point (p > 0.05)
Safety
Opioid-related adverse effects
- No significant differences at any assessed time point (p > 0.05)
Original publication
Comparison of Paravertebral Block and Serratus Posterior Superior Intercostal Plane Block for Postoperative Analgesia After Video-Assisted Thoracoscopic Surgery: A Prospective, Randomized Controlled Trial. J Cardiothorac Vasc Anesth. Published 29 June 2026. doi:10.
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