Cardiothoracic & vascular anesthesia
Impact of Regional Anesthesia on Subjective Quality of Recovery in Patients Undergoing Thoracic Surgery: A Systematic Review and Meta-Analysis
Authors' conclusion
The available evidence suggests that regional anesthesia can enhance QoR after video-assisted thoracic surgery.
Study context
- Population
- Adults undergoing thoracic surgery6 RCTs, VATS, quality of recovery (QoR) analysis
- Participants
- 532 adults
- Comparison
- Perioperative RA vs no RA
- Outcome
- Total QoR score
- Follow-up
- 24 hours after surgery
Pooled result
As reported in the abstract
RA vs ControlMean difference (95% CI)
QoR-40; I2 = 89%; 4 trials, 296 patients
9.48(3.53–15.44)
QoR-15; I2 = 0%; 2 trials, 236 patients
6.7(2.58–10.82)
Further pooled results
Postoperative opioid consumption
- Significantly reduced with RA
Postoperative pulmonary function and respiratory complications
- Insufficient data to meta-analyze
Safety
Nausea and vomiting
- Incidence significantly reduced with RA
Original publication
Impact of Regional Anesthesia on Subjective Quality of Recovery in Patients Undergoing Thoracic Surgery: A Systematic Review and Meta-Analysis. J Cardiothorac Vasc Anesth. Published 5 May 2023. doi:10.
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