Effects of ultrasound-guided erector spinae plane block on postoperative analgesia and plasma cytokine levels after uniportal VATS: a prospective randomized controlled trial

2020 ◽  
Author(s):  
Lin Liu ◽  
Xin-xin Ni ◽  
Ling-wei Zhang ◽  
Kai Zhao ◽  
Hong Xie ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Postoperative Analgesia ◽  
Controlled Trial ◽  
Erector Spinae ◽  
Ultrasound Guided ◽  
Plasma Cytokine ◽  
Randomized Controlled ◽  
Erector Spinae Plane Block ◽  
Prospective Randomized Controlled Trial ◽  
Cytokine Levels

scholarly journals Ultrasound-guided single erector spinae plane block versus thoracic paravertebral block for patients undergoing video-assisted thoracoscopic lobectomy: a single center randomized controlled trial

2020 ◽  
Author(s):  
Danxu Ma ◽  
Huilong Ren ◽  
Xueyang Li ◽  
Huili Li ◽  
Jia Jiang ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Postoperative Analgesia ◽  
Controlled Trial ◽  
Erector Spinae ◽  
Control Group ◽  
Ultrasound Guided ◽  
Thoracic Paravertebral Block ◽  
Randomized Controlled ◽  
Erector Spinae Plane Block ◽  
Vas Scores

Abstract Background: Whether ultrasound-guided erector spinae plane block (ESPB) can replace thoracic paravertebral block (TPVB) remains unknown. This study aimed to determine the efficacy of ESPB compared with TPVB for postoperative analgesia after video-assisted thoracoscopic lobectomy under general anesthesia. Methods: This prospective randomized controlled trial divided patients into a control group, a TPVB group (0.3 mL/kg, 0.5% ropivacaine), and an ESPB group (0.5 mL/kg, 0.5% ropivacaine). Dermatomes with loss of pinprick sensation, were recorded during 30 min after block administration. Visual analog scale (VAS) scores, total analgesic dose, and complications after surgery were recorded. Results: Whether at rest or during coughing, the VAS scores were lower in ESPB group at 1, 6, 18, 24, and 48 h after surgery compared with the Control group. VAS scores were similar in the ESPB and TPVB groups at 1 h, but were lower in the ESPB group at 6, 18, 24, and 48 h postoperatively. Conclusions: Single ESPB provided superior postoperative analgesia than TPVB, without causing any adverse effect.

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