The application of cervical vagus nerve block in the awake video-assisted thoracic surgery for bullectomy

2021 ◽  
Vol 40 (2) ◽  
pp. 100823
Author(s):  
Wen-Yi Gong ◽  
Xiao-Fang Yue ◽  
Chen Cheng ◽  
Ting Peng ◽  
Kun Fan
Keyword(s):  
Thoracic Surgery ◽  
Vagus Nerve ◽  
Nerve Block ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted

scholarly journals The effectiveness of intercostal nerve block during complete video-assisted thoracic surgery

2014 ◽  
Vol 28 (6) ◽  
pp. 701-706
Author(s):  
Masataro Hayashi ◽  
Takahiro Mizoguchi ◽  
Junichi Murakami ◽  
Fumiho Sano ◽  
Kazuhiro Ueda ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Nerve Block ◽  
Intercostal Nerve ◽  
Intercostal Nerve Block ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted

scholarly journals A Comparison of the Analgesic Efficacy of Serratus Anterior Plane Block Vs Paravertebral Nerve Block for Video-assisted Thoracic Surgery: a Randomized Controlled Trial

2020 ◽  
Author(s):  
Yi Zhang ◽  
Ze Fu ◽  
Te Fang ◽  
Kexin Wang ◽  
Zimeng Liu ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Thoracic Surgery ◽  
Nerve Block ◽  
Controlled Trial ◽  
Serratus Anterior ◽  
Promising Alternative ◽  
Long Thoracic Nerve ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted ◽  
Anterior Plane

Abstract Background: Patients who undergo video-assisted thoracic surgery (VATS) that impair the integrity of the chest wall frequently experience moderate to severe postoperative pain. Serratus anterior plane block (SAPB) is a relatively novel technique that can block the lateral cutaneous branches of the intercostal nerves as well as the long thoracic nerve. Methods: Our study aimed to evaluate the analgesic efficiency of deep serratus plane block (DSPB) and superficial serratus anterior plane block (SSPB) as well as paravertebral nerve block (PVB) in the patients undergoing VATS. A total of 74 patients aged from 20-80 undergoing VATS were randomized to receive either DSPB or SSPB as well as PVB. Ultrasound (US) guided DSPB or SSPB as well as PVB with 20ml 0.5% ropivacaine was performed preoperatively to the patients according to their groups. All patients were provided with patient-controlled intravenous analgesia (PCIA) for postoperative analgesia. The primary outcomes were the levels of postoperative pain at rest and on coughing evaluated by visual analog scale (VAS), intraoperative and postoperative opioids consumption. The secondary outcomes included PCIA pressed times, side effects and satisfaction of analgesia, duration of nerve block, intraoperative hemodynamic changes and vasoactive drug dosage. Results: No significant differences of VAS score were found in the three groups at each time points. During operation, PVB reduced consumption of opioids (27.23±5.10mg) compared to DSPB (31.20±3.80mg) and SSPB (32.61±5.28mg) (p<0.05). The effective pressed times of PCIA in SSPB group (0.18±0.65) was significantly lower compared to PVB group (1.09±1.50) (p=0.009) at postoperative 12h. Accordingly, SSPB group reduced the dosage of PCIA (26.55±4.72ml) than PVB group (31.45±7.60ml) (p=0.046). Time consuming of PVB procedure was longer (11.14±1.66min) than DSPB (5.68±1.10min) and SSPB (4.77±1.04min) (p<0.001, respectively). PVB group was associated with more intraoperative atropine consumption (0.14±0.24mg) than DSPB group (0mg) (P=0.043). Conclusion: DSPB and SSPB are easy to perform and can serve as a promising alternative technique to PVB that may offer comparable analgesic effectiveness and a better side-effect profile for patients who undergoing VATS. Trial registration: This study was registered to Chinese Clinical Trials Registry on July 20, 2019. (Registration No: ChiCTR1900024678)

scholarly journals Comparison of the effect of ultrasound-guided thoracic paravertebral nerve block and intercostal nerve block for video-assisted thoracic surgery under spontaneous-ventilating anesthesia

2020 ◽  
Vol 66 (4) ◽  
pp. 452-457 ◽  
Author(s):  
Yongfeng Zheng ◽  
Hong Wang ◽  
Xiaodong Ma ◽  
Zheng Cheng ◽  
Weibao Cao ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Nerve Block ◽  
Clinical Efficacy ◽  
Ultrasound Guided ◽  
Intercostal Nerve Block ◽  
Nerve Blocks ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted ◽  
Number Of Patients ◽  
Grade One

SUMMARY OBJECTIVE The aim of the current study was to compare the efficacy of two different techniques for blocking chest nerves during video-assisted thoracic surgery (VATS) under spontaneous-ventilating anesthesia. METHODS One hundred patients were recruited in this study and divided into two groups. The first, P group, underwent the TPVB approach; the second, I group, underwent the ICNB approach. Then, the rate of clinical efficacy, duration of the block procedure, and its complications were recorded for comparison of the effect of the two approaches. RESULTS No difference was found in the clinical effect of chest nerve blocks between the two groups. Two patients in the ICNB group were converted to general anesthesia due to severe mediastinal flutter (grade three). The number of patients who had grade one mediastinal flutter in the TPVB group was significantly higher than in the ICNB group. Vascular puncture was detected in four patients in the ICNB group and in one patient in the TPVB group. No other complications were observed. CONCLUSIONS No difference was found regarding the clinical efficacy in the two groups. However, ultrasound-guided TPVB was superior to ultrasound-guided ICBN during VATS for pulmonary lobectomy under spontaneous-ventilating anesthesia. Additionally, vascular puncture should receive more attention.

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