Cardiothoracic & vascular anesthesia

Continuous erector spinae plane block versus thoracic epidural analgesia in video-assisted thoracoscopic surgery: a prospective randomized open-label non-inferiority trial

Reg Anesth Pain MedPublished Randomised controlled trial

Authors' conclusion

The continuous ESP block is non-inferior to TEA in video-assisted thoracoscopic surgery.

Study context

Population
Patients undergoing elective unilateral video-assisted thoracoscopic surgery
Participants
90 patients
Comparison
Erector spinae plane (ESP) block vs thoracic epidural analgesia (TEA)
Primary endpoint
QoR-15 score (baseline before surgery and POD 0, 1 and 2)
Follow-up
Postoperative days 0, 1, and 2
Methodological detailsmulticentre, prospective, open-label, non-inferiority, Conducted between July 2020 and December 2022
  • Multicentre
  • Prospective
  • Open-label
  • Non-inferiority
  • Conducted between July 2020 and December 2022

Primary result

As reported in the abstract

QoR-15

Mean difference

1

95% CI −9 to −12P = 0.79

day 0

Mean difference

−1

95% CI −11 to −8P = 0.81

day 1

Mean difference

−2

95% CI −14 to −11P = 0.79

day 2

Original publication

Continuous erector spinae plane block versus thoracic epidural analgesia in video-assisted thoracoscopic surgery: a prospective randomized open-label non-inferiority trial. Reg Anesth Pain Med. Published 11 January 2024. doi:10.1136/rapm-2023-105047

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