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

Br J AnaesthPublished 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

OutcomePIBCIP value
QoR-15 nausea and vomiting descriptorFavourable in PIB · only QoR descriptor with significant difference10 (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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