Comparing erector spinae plane block with serratus anterior plane block for minimally invasive thoracic surgery: a randomised clinical trial

Finnerty, Dylan; McMahon, Aisling C.; McNamara, John R.; Hartigan, Sean D.; Griffin, M.; Buggy, Donal J.

doi:10.1016/j.bja.2020.06.020

Cited by 135 publications

(127 citation statements)

References 36 publications

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“…First, we investigated the analgesic effects of ESPB on three-port VATS, while one-or two-port VATS are also prevalent in these years; therefore, a large study involving more types of VATS is needed to investigate the analgesic effects of ESPB on VATS. However, recently published expert opinion suggests that the pain levels are similar to those of patients who undergo VATS [27]. Second, our study did not investigate the incidence of postoperative complications, such as pneumonia, surgical site infection, and acute kidney injury; it has been reported that regional anaesthesia may be associated with a lower incidence of these complications [27].…”

Section: Discussionmentioning

confidence: 83%

“…A previous study has reported that ESPB can provide superior quality of recovery at 24 h, better analgesia, and lower morbidity after minimally invasive thoracic surgery. [27] For a more accurate evaluation of patient recovery, a baseline QoR-15 value was collected for all enrolled patients. Given the patient factors such as fatigue and anxiety related to impending surgery, the ability of QoR-15 in the immediate preoperative period to provide an accurate baseline has been questioned [29].…”

Section: Discussionmentioning

confidence: 99%

“…However, recently published expert opinion suggests that the pain levels are similar to those of patients who undergo VATS [27]. Second, our study did not investigate the incidence of postoperative complications, such as pneumonia, surgical site infection, and acute kidney injury; it has been reported that regional anaesthesia may be associated with a lower incidence of these complications [27]. Third, we only collected analgesia and rehabilitation information until postoperative 24h, since acute postoperative pain is a powerful predictor of post-thoracotomy pain syndrome (PTPS) [32].…”

Section: Discussionmentioning

confidence: 99%

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The Effects of Erector Spinae Plane Block on Perioperative Opioid Consumption and Rehabilitation in Video Assisted Thoracic Surgery

Zhang

Han

Zhou

et al. 2021

Preprint

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Background The present study aimed to observe whether the ultrasound-guided continuous erector spinae plane block (ESPB) has an effect on opioid consumption and postoperative rehabilitation in patients who undergo video-assisted thoracic surgery (VATS).Methods In this prospective study, 120 patients aged 20–70 yrs, undergoing elective VATS, were randomly allocated to one of three groups: Group C (General anaesthesia with patient-controlled intravenous analgesia [PCIA]), Group T (General anaesthesia with patient-controlled epidural analgesia [PCEA]), or Group E (General anaesthesia with continuous ESPB and PCIA). The perioperative opioid consumption; VAS scores; preoperative and postoperative QoR-15 score; and postoperative opioid-related adverse events were all assessed.Results The intraoperative sufentanil consumption in group T and E was significantly lower than that in group C (both P < 0.001), and the postoperative sufentanil consumption in group E was also significantly lower than that of group C (P = 0.001). Compared with group C, the VAS scores at rest or during coughing immediately out of the post-anesthesia care unit (PACU), at postoperative 6h, 12h, and 24h, were significantly lower in group T (P < 0.05). However, the VAS scores in group E were lower than those of group C only at rest at postoperative 6h and 12h (P < 0.05), and were significantly higher than those of group T at all study times (P < 0.05).Conclusion Ultrasound-guided continuous ESPB could significantly reduce perioperative opioid consumption in VATS and improve postoperative rehabilitation. However, these effects were inferior to those provided by TEA.Trial registration The present study was prospectively registered at http://www.chictr.org/cn /(Registration number: ChiCTR1900023050); Registration date: May 8,2019

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The Effects of Erector Spinae Plane Block on Perioperative Opioid Consumption and Rehabilitation in Video Assisted Thoracic Surgery

Zhang

Han

Zhou

et al. 2021

Preprint

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“…Gürkan et al [17] reported that ESP block has a good analgesic effect after modified radical mastectomy for unilateral breast cancer. Recently, Finnerty et al [12] found that compared with SAP, ESP had higher recovery quality, and better analgesic effects within 24 hours after minimally invasive thoracotomy. Their findings are similar to those of the present study, which found for the first time that during MRM, the application of ESP block resulted in lower tramadol consumption, lower postoperative pain score, longer duration to first pain, fewer complaints of pain, and higher postoperative patient satisfaction than those achieved using SAB block.…”

Section: Discussionmentioning

confidence: 99%

“…0.5% ropivacaine 20mL was injected into the interfascial plane between the rhomboid major muscle and the erector spine muscle. Under the guidance of ultrasound, the local anesthetic spread to the depths of the erector spinae muscle in the mode of longitudinal fascia [12].…”

Section: Application Of Block Interventionmentioning

confidence: 99%

Comparison of rhomboid intercostal nerve block, erector spinae plane block, and serratus plane block on analgesia for modified radical mastectomy: A prospective, randomized, controlled trial

Deng

Jiang

Zhou

et al. 2021

Preprint

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Background and objectives Breast cancer is one of the most common malignant tumors in women. Herein, we compared the analgesic efficacy of ultrasound-guided rhomboid intercostal nerve block , erector spinae plane block and serratus plane block after modified radical mastectomy of unilateral breast cancer. Methods: A total of 90 patients who underwent modified radical mastectomy for unilateral breast cancer were selected. patients were randomly allocated into three groups receiving ultrasound-guided serratus plane block, erector spinae plane block, and the rhomboid intercostal block group. All groups received 20 mL 0.5% ropivacaine. Within 24 hours after operation, the patient received intravenous injection of tramadol 1-2 mg/kg to relieve pain in the surgical ward. Results: The dosage of tramadol 24-hours postoperatively in the rhomboid intercostal block and erector spinae plane block groups was significantly lower than that in serratus plane block group (P < 0.001). There was no statistical difference in tramadol consumption between the erector spinae plane block and rhomboid intercostal block groups within 24 hours (P = 0.676). The numerical rating scale scores in the erector spinae plane block and rhomboid intercostal block groups at 0.5, 1, 3, 6, 12, 18, and 24 hours postoperatively once patients were active were significantly lower than in the serratus plane block group (P < 0.05 for all comparisons); however, The numerical rating scale scores between rhomboid intercostal block and erector spinae plane block groups did not differ significatively within 24 hours after surgery when patients were active. Conclusions: Ultrasound-guided rhomboid intercostal block and erector spinae plane block can reduce the dosage of tramadol and NRS score compared with serratus plane block after modified radical mastectomy.

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Erector spinae plane block for postoperative pain

Schnabel,

Weibel,

Pogatzki-Zahn

et al. 2023

Cochrane Database of Systematic Reviews

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Comparing erector spinae plane block with serratus anterior plane block for minimally invasive thoracic surgery: a randomised clinical trial

Cited by 135 publications

References 36 publications

The Effects of Erector Spinae Plane Block on Perioperative Opioid Consumption and Rehabilitation in Video Assisted Thoracic Surgery

The Effects of Erector Spinae Plane Block on Perioperative Opioid Consumption and Rehabilitation in Video Assisted Thoracic Surgery

Comparison of rhomboid intercostal nerve block, erector spinae plane block, and serratus plane block on analgesia for modified radical mastectomy: A prospective, randomized, controlled trial

Erector spinae plane block for postoperative pain

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