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- Title
A prospective double-blinded randomized control trial comparing erector spinae plane block to thoracic epidural analgesia for postoperative pain in video-assisted thoracic surgery.
- Authors
Jeong-Min Hong; Eunsoo Kim; Soeun Jeon; Dowon Lee; Baik, Jiseok; Ah-Reum Cho; Jeong Su Cho; Hyo Yeong Ahn
- Abstract
Objectives: To compare the analgesic efficacies of erector spinae plane (ESP) block and thoracic epidural analgesia (TEA) in video-assisted thoracic surgery (VATS). Methods: Sixty patients undergoing VATS received patient-controlled TEA with a basal rate of 3 ml/hour (h), a bolus of 3 ml (Group E), or ESP block with programmed intermittent bolus infusions of 15 mL/3 h and a bolus of 5 ml (Group ES) for 2 postoperative days. The primary outcome was to compare pain scores at rest 24 h postoperatively between the 2 groups. Secondary outcomes included NRS score for 48 h, Original Article procedural time, dermatomal spread, use of rescue medication, adverse events, and patient satisfaction. Results: Patients with continuous ESP block had a higher NRS score than those with TEA but no statistical difference at a specific time. The dermatomal spread was more extensive in the TEA group than in the ESP block group (p=0.016); cumulative morphine consumption was higher in the ESP block group (p=0.047). The incidence of overall adverse events in the TEA group was higher than in the ESP block group (p=0.045). Conclusion: Erector spinae plane block may be inferior to TEA for analgesia following VATS, but it could have tolerable analgesia and a better side effect profile than TEA. Therefore, it could be an alternative to TEA as a component of multimodal analgesia.
- Subjects
VIDEO-assisted thoracic surgery; ERECTOR spinae muscles; EPIDURAL analgesia; POSTOPERATIVE pain; CHEST pain; ANALGESIA
- Publication
Saudi Medical Journal, 2023, Vol 44, Issue 2, p155
- ISSN
0379-5284
- Publication type
Article
- DOI
10.15537/smj.2023.44.2.20220644