Cardiothoracic & vascular anesthesia

Regional anaesthesia in Video or Robot assisted thoracic surgery: A French multicentre prospective observational cohort study (ARTIST study)

Anaesth Crit Care Pain MedPublished Prospective observational cohort 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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