Cardiothoracic & vascular anesthesia
Programmed intermittent bolus versus continuous infusion for catheter-based erector spinae plane block on quality of recovery in thoracoscopic surgery: a single-centre randomised controlled trial
Authors' conclusion
Delivering ESP block analgesia after VATS via a PIB regimen resulted in similar QoR-15 at 24 h compared with a CI regimen.
Study context
- Population
- Patients undergoing video-assisted thoracoscopic surgery (VATS)
- Participants
- 60 patients
- Comparison
- Programmed intermittent bolus (PIB) vs CI
- Primary endpoint
- QoR-15 score
- Follow-up
- Up to 24 h after surgery
Methodological detailsprospective, double-blinded, single-centre
- Prospective
- Double-blinded
- Single-centre
Primary result
As reported in the abstract
PIB
115.5
IQR 107–125
CI
110
IQR 93–128
P = 0.29
Secondary outcomes
Rescue antiemetic requirement · up to 24 h after surgery
P = 0.04
| Outcome | PIB | CI | P value |
|---|---|---|---|
| QoR-15 nausea and vomiting descriptorFavourable in PIB · only QoR descriptor with significant difference | 10 (IQR 10–10) | 10 (IQR 7–10) | P = 0.03 |
Other secondary outcomes (respiratory function, opioid consumption, pain score, time to mobilisation, hospital LOS)
- No differences between groups
Original publication
Programmed intermittent bolus versus continuous infusion for catheter-based erector spinae plane block on quality of recovery in thoracoscopic surgery: a single-centre randomised controlled trial. Br J Anaesth. Published 29 July 2024. doi:10. 1016/ j. bja. 2024. 05. 041
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