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Published on: May 26, 2023
Comparative Analysis of Thoracic Paravertebral Block and Erector Spinae Plane Block on Respiratory Function and
Xiao-Rui Wang1, Yun-Xing Zhang1, Chen-Bin Huang1
1College of Anesthesiology, Shanxi Medical University, Taiyuan, China.
Purpose:
In this study, we investigated the effects of a single preoperative ultrasound-guided thoracic paravertebral block (TPVB) and erector spinae plane block (ESPB) on the respiratory function, and the quality of recovery in patients undergoing thoracoscopic lobectomy.
Design:
A prospective, randomized, double-blind study.
Methods:
Ninety patients undergoing elective thoracoscopic lobectomy under general anesthesia were randomly allocated into the control (the C group), TPVB (the T group), and ESPB (the E group) groups. The primary observation indicators were postoperative pulmonary function. Secondary observation indicators included the quality of recovery-15 scale score, postoperative visual analog scale (VAS) score, postoperative sufentanil dosage, and postoperative adverse reactions.
Findings:
Compared with those in the C group, patients in the T and E groups had higher forced expiratory volume in 1 second/forced vital capacity, forced expiratory flow between 25% and 75% of vital capacity, and arterial partial pressure of oxygen at 24 and 48 hours postoperatively, and quality of recovery-15 scale scores at 12, 24, and 48 hours postoperatively (P < .05), as well as lower perioperative sufentanil dosage and VAS scores at 1, 6, and 12 hours postoperatively (P < .05). In addition, there was no statistically significant difference in VAS scores at 24 and 48 hours postoperatively among the three groups (P > .05).
Conclusions:
These results indicated that preoperative ultrasound-guided single TPVB and ESPB could all effectively protect respiratory function, enhance analgesic effect, improve quality of recovery, and promote the rapid recovery in patients undergoing thoracoscopic lobectomy.
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