Cardiothoracic & vascular anesthesia
Rhomboid intercostal block or thoracic paravertebral block for postoperative recovery quality after video-assisted thoracic surgery: A prospective, non-inferiority, randomised controlled trial
Primary result · Quality of recovery-40 scoreResult — go to the resultMean difference −1.6 95% CI −4.5 to 1.3Authors' conclusion
Our study suggests that RIB was non-inferior to TPVB for the quality of recovery, with almost the same postoperative analgesic effect as TPVB after VATS.
Study context
- Population
- Patients aged 18 to 80 years, ASA I to III, scheduled for elective video-assisted thoracoscopic surgery (VATS); single hospital in China, March 2021 to August 202275 completed
- Participants
- 80 patients
- Comparison
- Rhomboid intercostal block (RIB) vs thoracic paravertebral block (TPVB)
- Primary endpoint
- Quality of recovery-40 score (mean difference)
- Follow-up
- 24 h postoperatively
Methodological detailsprospective, non-inferiority
- Prospective
- Non-inferiority
Primary result
Quality of recovery-40 score
Mean difference
−1.6
95% CI −4.5 to 1.3
RIB vs TPVB
mean difference −1.6 (95% CI −4.5 to 1.3)
Non-inferiority margin 6.3 as printed, not drawn
As reported in the abstract
Further findings
AUC of pain numeric rating scores (NRS) over time, at rest and on movement · 6, 12, 24 and 48 h postoperatively
- AUC pain NRS on movement at 48 h
- P = 0.046
- No significant difference between groups (all P > 0.05), except on movement at 48 h
Postoperative sufentanil use · 0 to 24 h and 24 to 48 h
- No statistical differences between groups (all P > 0.05)
Original publication
Rhomboid intercostal block or thoracic paravertebral block for postoperative recovery quality after video-assisted thoracic surgery: A prospective, non-inferiority, randomised controlled trial. Eur J Anaesthesiol. Published 28 June 2023. doi:10.
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