Ipsilateral High Thoracic Ultrasound-Guided Erector Spinae Plane Block for Post-Thoracotomy Shoulder Pain in Thoracic Cancer Surgeries: A Randomized Controlled Clinical Trial
Authors' conclusion
Ultrasound-guided HT-ESPB is a safe and efficacious strategy for the management of PTISP.
Study context
- Population
- Adults undergoing thoracic cancer surgery, National Cancer Institute2 equal groups
- Participants
- 76 adults
- Comparison
- Ultrasound-guided high thoracic erector spinae plane block (HT-ESPB) plus thoracic epidural analgesia (TEA) vs TEA alone
Methodological detailsdouble-blind, parallel-group
- Double-blind
- Parallel-group
Primary result
As reported in the abstract
Incidence of ISP · first postoperative hour
P < 0.001
Further findings
- ESPB: lower postoperative VAS scores, longer time to first rescue analgesia, fewer rescue analgesic doses for ISP, lower heart rate and MAP
Safety
- No significant complications reported
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Ipsilateral High Thoracic Ultrasound-Guided Erector Spinae Plane Block for Post-Thoracotomy Shoulder Pain in Thoracic Cancer Surgeries: A Randomized Controlled Clinical Trial. J Cardiothorac Vasc Anesth. Published 25 July 2025. doi:10.
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