Related Experiment Video
Updated: Jun 4, 2026
Non-Intubated Video-Assisted Thoracoscopic Surgery
Published on: May 26, 2023
Comparison of Ultrasound-Guided Erector Spinae Plane Block, Thoracic Paravertebral Block, and Control for
Yisheng You1, Xuru Zhang1, Xiaowei Zheng2
1Department of Anesthesiology, Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital, Fuzhou, 350014, People's Republic of China.
Background:
The objective of this study was to examine the effect of ultrasound-guided Erector Spinae Plane Block (ESPB) and Thoracic Paravertebral Block (TPVB) on the quality of recovery (QoR) in video-assisted thoracic surgery (VATS).
Methods:
A total of 129 patients were randomly assigned to three groups: ESPB group and TPVB group received ultrasound-guided nerve blocks, and Control group received multimodal analgesia protocol only. The primary outcome measure was QoR-15 scale at 24 hours postoperatively. Secondary outcome measures included visual analog scale (VAS) scores at rest and cough, intraoperative remifentanil dosage, number of postoperative patient-controlled intravenous (PCI) self-controlled compressions, and the incidence of adverse effects.
Results:
The QoR-15 scores at 24 hours postoperatively were significantly higher in ESPB and TPVB group as compared to Control group. The static (at rest) and dynamic (at cough) VAS scores within 7 h of surgery, intraoperative remifentanil dosage, and number of postoperative PCI self-controlled compressions were significantly lower in ESPB and TPVB groups as compared to Control group (all P<0.001). The occurrence of nausea, vomiting, and dizziness in ESPB and TPVB group was lower than that in Control group (P<0.05), whereas other adverse effects were not statistically different between the three groups.
Conclusion:
The ultrasound-guided ESPB may be a promising form of regional anesthesia to aid recovery after VATS surgery, which is similar to TPVB.
Trial Registration:
This study has been registered at the Chinese Clinical Trial Registry (ChiCTR2500105099).
