Cardiothoracic & vascular anesthesia
Regional anaesthesia in Video or Robot assisted thoracic surgery: A French multicentre prospective observational cohort study (ARTIST study)
Authors' conclusion
RA is widely implemented in minimally invasive thoracic surgery, though significant variability exists in block selection and combination.
Study context
- Population
- Consecutive adults (≥18 years) scheduled for elective Video-Assisted Thoracic Surgery (VATS)/Robot-Assisted Thoracic Surgery (RATS) in 23 French surgical centres
- Participants
- 456 adults · 23 centres
- Outcome
- Prevalence of RA use
Methodological detailsmulticentre, Enrolment January 2021 to September 2022
- Multicentre
- Enrolment January 2021 to September 2022
Main finding
As reported in the abstract
RA use
- Received regional anaesthesia (RA)
- 413/456 (91%)
- Thoracic epidural analgesia
- 56/413 (14%)
- Paravertebral blocks
- 292/413 (71%)
- Erector spinae plane blocks
- 71/413 (17%)
- Serratus anterior plane blocks
- 72/413 (17%)
- Intercostal nerve blocks
- 32/413 (8%)
Observational data: associations, not effects.
Secondary outcomes
Number of RA techniques (RA patients)
- Single type of RA
- 257/413(62%)
- Multiple RA techniques
- 102/413 (25%)
Comparison between block types
- No significant differences between block types
Original publication
Regional anaesthesia in Video or Robot assisted thoracic surgery: A French multicentre prospective observational cohort study (ARTIST study). Anaesth Crit Care Pain Med. Published 22 March 2026. doi:10. 1016/ j. accpm. 2026. 101830
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