Cardiothoracic & vascular anesthesia
Regional Anesthesia Combined With Respiratory Physiotherapy Improves Postoperative PaO₂:FiO₂ Ratio and Pulmonary Atelectasis in Thoracolaparoscopic Esophagectomy:A Randomized Controlled Trial
Authors' conclusion
Regional anesthesia combined with respiratory physiotherapy significantly improved the PaO₂:FiO₂ ratio, reduced pulmonary atelectasis, and accelerated postoperative recovery after thoracolaparoscopic esophagectomy.
Study context
- Population
- Patients with esophageal cancer scheduled for elective thoracolaparoscopic esophagectomy, tertiary hospital
- Participants
- 81 patients
- Comparison
- C vs N vs ND
- Primary endpoint
- PaO₂:FiO₂ ratio
Methodological detailsthree-arm
- Three-arm
Primary result
As reported in the abstract
24 hours postoperatively
- Significantly higher in the ND group than in both C and N
- p < 0.05
Secondary outcomes
Pulmonary atelectasis — ND vs N and C
P < 0.01
Overall lung ultrasound scores · 1 and 24 hours postoperatively
- Significantly lower in ND than in C and N
- P < 0.05
Hospital LOS
- Shortest in ND among the 3 groups
- P < 0.05
Safety
Respiratory failure and unplanned reintubation
- Lowest rates in ND vs the other 2 groups
- P < 0.05
Original publication
Regional Anesthesia Combined With Respiratory Physiotherapy Improves Postoperative PaO₂:FiO₂ Ratio and Pulmonary Atelectasis in Thoracolaparoscopic Esophagectomy:A Randomized Controlled Trial. J Cardiothorac Vasc Anesth. Published 30 January 2026. doi:10. 1053/ j. jvca. 2026. 01. 039
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