Cardiothoracic & vascular anesthesia

The impact of ultrasound-guided thoracic paravertebral nerve block on the quality of recovery after video-assisted thoracoscopic surgery: a meta-analysis of randomized controlled trials

Perioper Med (Lond)Published Systematic review and meta-analysis of randomised controlled trials

Pooled resultResult — go to the resultMD 10.48 95% CI 5.33–15.64

Authors' conclusion

This meta-analysis revealed that ultrasound-guided TPVB might improve the quality of recovery after VATS.

Study context

Population
Patients undergoing video-assisted thoracoscopic surgery (VATS)
Participants
890 patients · 7 randomized controlled trials (RCTs)
Comparison
Ultrasound-guided TPVB vs no TPVB or other blocks
Outcome
Postoperative quality of recovery (QoR) score
Methodological detailsrandom-effects or fixed-effects meta-analyses
  • Random-effects or fixed-effects meta-analyses

Pooled result

As reported in the abstract

MD

10.48

95% CI 5.33–15.64

TPVB vs Control
MD 10.48 (95% CI 5.33–15.64)

Further pooled results

OutcomeOR (95% CI)
PONV incidence0.20 (0.08–0.51)
OutcomeMD (95% CI)
VAS score- 1.57 (- 2.30 to - 0.85)
Time to extubation- 8.71 (- 15.47 to - 1.94)
Hospital LOS- 0.92 (- 1.72 to - 0.11)

Original publication

The impact of ultrasound-guided thoracic paravertebral nerve block on the quality of recovery after video-assisted thoracoscopic surgery: a meta-analysis of randomized controlled trials. Perioper Med (Lond). Published 7 August 2025. doi:10.1186/s13741-025-00536-6

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