Comparing erector spinae plane (ESP) and thoracic paravertebral (TPV) block analgesic effect after elective video-assisted thoracic surgery: a randomized, multiple-blinded, non-inferiority trial.

ABSTRACT:

Background

Video-assisted thoracic surgery (VATS) is the gold standard for minimally invasive lung resections. Postoperative pain from VATS can hinder breathing and increase complications. Thoracic epidural analgesia (TEA) is effective but invasive. Less invasive options like thoracic paravertebral (TPV) block and erector spinae plane (ESP) block are being explored. This study compares ESP and TPV in a randomized, non-inferiority trial, focusing on opioid consumption post-VATS.

Methods

This single-center, randomized, multiple-blinded, controlled, non-inferiority trial included 50 patients undergoing VATS at the Regional Hospital of Bellinzona and Valli (ORBV). Patients were randomized to receive either an ESP block with local anesthetic and a TPV block with saline (Anest ESP

SUBMITTER: Dossi R 

PROVIDER: S-EPMC11986791 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature