Cardiothoracic & vascular anesthesia
Postoperative recovery with continuous erector spinae plane block or video-assisted paravertebral block after minimally invasive thoracic surgery: a prospective, randomised controlled trial
Authors' conclusion
Compared with video-assisted, surgeon-placed paravertebral catheter, erector spinae catheter improved overall QoR-15 scores at 24 h and 48 h but without differences in pain or opioid consumption after minimally invasive thoracic surgery.
Study context
- Population
- Adults undergoing video-assisted thoracoscopic surgery (VATS)
- Participants
- 80 adults
- Comparison
- Ultrasound-guided erector spinae plane (ESP) catheter vs video-assisted paravertebral block (PVB) catheter
- ESPn = 37
- PVBn = 37reference
- Primary endpoint
- QoR-15 score
- Follow-up
- 24 h
Methodological detailstwo-centre, prospective, double-blind
- Two-centre
- Prospective
- Double-blind
Primary result
As reported in the abstract
QoR-15
ESP
118
Median · 25-75% 106–134
PVB
110
Median · 25-75% 89–121
P = 0.03
Secondary outcomes
CPSP incidence · 3 months
P = 0.7
Median
| Outcome | ESP | PVB | P value |
|---|---|---|---|
| QoR-15 · 48 h | 131 (25-75% 121–139) | 120 (25-75% 111–133) | P = 0.03 |
Peak inspiratory flow, pain AUC, Comprehensive Complication Index, LOS, opioid consumption
- No differences between ESP and PVB
Original publication
Postoperative recovery with continuous erector spinae plane block or video-assisted paravertebral block after minimally invasive thoracic surgery: a prospective, randomised controlled trial. Br J Anaesth. Published 13 September 2022. doi:10.
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