Comparison of Continuous Serratus Anterior Plane Block (cSAPB) with Bupivacaine Versus Single Liposomal Bupivacaine Block in Postoperative Analgesia after Video-Assisted Thoracoscopic Surgery (VATS) ： A Randomised Controlled Trial DOI Creative Commons
Mingyue Zhang,

Zhuo Zheng,

Xianfeng Xie

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 18, 2024

Abstract Background Video-Assisted Thoracoscopic Surgery (VATS) is a commonly used minimally invasive technique in thoracic surgery. The continuous serratus anterior plane block (cSAPB) involves the placement of catheter deep fascia for slow and infusion local anesthetics. Liposomal bupivacaine formulation encapsulated liposomes, which prolongs release drug. This study compares impact cSAPB with single-shot SAPB liposomal on postoperative recovery quality pain control after VATS. Methods Patients were randomly assigned to two groups: one receiving conventional (cSAPB + CB) other (SAPB LB). primary outcome measure was Quality Recovery (QoR-15) scores at 24 48 hours post-surgery. Secondary outcomes included: intensity assessed using Visual Analog Scale (VAS) scale rest during breathing postoperatively, pulmonary function, total opioid consumption surgery, adverse events. Results QoR-15 significantly elevated LB group both post-surgery(24h: p = 0.001; 48h: 0.02). Comparative analysis revealed no statistically significant differences between CB terms VAS (24h: 0.06; 0.46), or 0.45; 0.73). Additionally, there lung function tests (FEV1/FVC ratio, 0.95), intraoperative (p 0.76), 0.69). However, incidence complications such as swelling reduced 0.03). Conclusions use single provides superior early reduces complications. Trial registration Chinese Clinical Registry, identifier ChiCTR2100054089, June 28,2024.

Language: Английский

Ultrasound-guided erector spinae nerve block for relief of chest pain from pneumonia in the emergency department DOI
Robert Stenberg,

Laine M. Goff,

Erin L. Simon

et al.

The American Journal of Emergency Medicine, Journal Year: 2024, Volume and Issue: 80, P. 230.e1 - 230.e2

Published: April 21, 2024

Language: Английский

Citations

4
The Analgesic Mechanism and Recent Clinical Application of Erector Spinae Plane Block: A Narrative Review DOI Creative Commons
Jing Yang, Ye Sun, Yi Yang

et al.

Journal of Pain Research, Journal Year: 2024, Volume and Issue: Volume 17, P. 3047 - 3062

Published: Sept. 1, 2024

Now, the erector spinae plane block (ESPB) is widely used in various thoracolumbar surgeries. It has unique advantages: simple and convenient operation, low safety risks, reduced opioid use. The ESPB thoracic surgery, abdominal spinal surgery. There are also relevant research reports on postoperative analgesia during general anesthesia This article searches PubMed Web of Science databases to find screen studies since 2019 retrospectively summarizes current indications ESPB. methodological quality included was assessed using Cochrane bias risk tool. results showed that generally provides low-level clinical evidence. complex anatomy muscles both responsible for its advantages restricts development. Few anatomical have clearly completely demonstrated diffusion relationship local anesthetics among structures muscles. uncontrollability prevents from being applied a wider scale with high level To further clarify scope application achieve best analgesic effect, future, we should focus course distribution their fascia nerves. necessary combine anatomical, imaging, histological methods obtain high-quality evidence guide application.

Language: Английский

Citations

4
Fascial plane blocks: Will they flourish or perish with time? DOI Creative Commons

Pradeep K. Bhatia,

Ghansham Biyani

Journal of Anaesthesiology Clinical Pharmacology, Journal Year: 2025, Volume and Issue: 41(1), P. 1 - 2

Published: Jan. 1, 2025

Language: Английский

Citations

0
Bayesian Network Meta-Analysis of Postoperative Analgesic Techniques in Thoracoscopic Lung Resection Patients DOI Creative Commons

Fang Yue,

Ya‐Hong Xie, Xiangdong Chen

et al.

Pain and Therapy, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 22, 2025

Postoperative analgesia in thoracoscopic lung resection is crucial, with several nerve block techniques—including thoracic epidural anesthesia (TEA), paravertebral (PVB), erector spinae plane (ESPB), intercostal (INB), and serratus anterior (SAPB)—commonly employed. However, there remains ongoing debate regarding the optimal technique. To evaluate compare effectiveness of these methods, a systematic review was conducted across multiple databases, including PubMed, Embase, Web Science, Cochrane Library, identifying relevant randomized clinical trials (RCTs). A Bayesian network meta-analysis performed to assess postoperative pain management, subgroup analyses meta-regression examine key factors influencing outcomes, such as risk bias, continuous catheter analgesia, patient-controlled (PCA). The results revealed that for 12-h resting visual analog scale (VAS) scores, surface under cumulative ranking curve (SUCRA) TEA > PVB ESPB control INB SAPB, whereas at 24 h, it shifted SAPB. For coughing VAS ranked highest, followed by PVB, ESPB, control. At TEA, INB, inconsistency test showed good consistency, minimal publication neither study quality nor local anesthetic infiltration incision site significantly impacted outcomes. Excluding studies without PCA did not change SUCRA rankings. consistently highest 24-h scores. Clustered plots indicated were most suitable techniques analgesia. emerged analgesic resection. While superior efficacy, offered fewer side effects, providing safety advantage. considered less due its excessive effects.

Language: Английский

Citations

0
Comparison of ultrasound-guided subtransverse process interligamentary plane block with paravertebral block for postoperative analgesia in thoracic surgery: protocol for a randomised non-inferiority trial DOI Creative Commons
Wei Wu, Danyang Wang, Yang Liu

et al.

BMJ Open, Journal Year: 2024, Volume and Issue: 14(3), P. e082135 - e082135

Published: March 1, 2024

Introduction The subtransverse process interligamentary (STIL) plane block is an emerging interfascial that has garnered attention for its potential to provide effective postoperative analgesia breast and thoracic surgeries. However, a direct comparative assessment between the STIL paravertebral currently lacking. Consequently, our study aims assess analgesic efficacy of in comparison patients undergoing video-assisted thoracoscopic surgery (VATS). Methods analysis This randomised, parallel-controlled, double-blind, non-inferiority trial, with goal enrolling 114 participants scheduled uniportal VATS at Shanghai Pulmonary Hospital. Participants will be randomly assigned 1:1 ratio through randomisation receive either (n=57) or (n=57). primary outcome area under curve Numerical Rating Scale(NRS) scores recorded over 48-hour period following surgical procedure. Secondary outcomes encompass evaluation Quality Recovery-40, cumulative sufentanil consumption, serum inflammatory factors, rescue medication usage, incidence adverse events patient satisfaction scores. Ethics dissemination received approval from Medical Committee Hospital (approval no. L22-329). Written informed consent obtained all participants. findings submitted publication peer-reviewed journals. Trial registration number ChiCTR2200066909.

Language: Английский

Citations

0
Comparison of Continuous Serratus Anterior Plane Block (cSAPB) with Bupivacaine Versus Single Liposomal Bupivacaine Block in Postoperative Analgesia after Video-Assisted Thoracoscopic Surgery (VATS) ： A Randomised Controlled Trial DOI Creative Commons
Mingyue Zhang,

Zhuo Zheng,

Xianfeng Xie

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 18, 2024

Abstract Background Video-Assisted Thoracoscopic Surgery (VATS) is a commonly used minimally invasive technique in thoracic surgery. The continuous serratus anterior plane block (cSAPB) involves the placement of catheter deep fascia for slow and infusion local anesthetics. Liposomal bupivacaine formulation encapsulated liposomes, which prolongs release drug. This study compares impact cSAPB with single-shot SAPB liposomal on postoperative recovery quality pain control after VATS. Methods Patients were randomly assigned to two groups: one receiving conventional (cSAPB + CB) other (SAPB LB). primary outcome measure was Quality Recovery (QoR-15) scores at 24 48 hours post-surgery. Secondary outcomes included: intensity assessed using Visual Analog Scale (VAS) scale rest during breathing postoperatively, pulmonary function, total opioid consumption surgery, adverse events. Results QoR-15 significantly elevated LB group both post-surgery(24h: p = 0.001; 48h: 0.02). Comparative analysis revealed no statistically significant differences between CB terms VAS (24h: 0.06; 0.46), or 0.45; 0.73). Additionally, there lung function tests (FEV1/FVC ratio, 0.95), intraoperative (p 0.76), 0.69). However, incidence complications such as swelling reduced 0.03). Conclusions use single provides superior early reduces complications. Trial registration Chinese Clinical Registry, identifier ChiCTR2100054089, June 28,2024.

Language: Английский

Citations

0