A pilot randomized-controlled trial evaluating the erector spinae plane block in thoracic and breast surgery.

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
Yoshiaki UdaMichael J Barrington

Abstract

This pilot study evaluated the feasibility of investigating the effect of the erector spinae plane (ESP) block on the patient-centred outcomes of quality of recovery-15 (QoR-15), and brief pain inventory (BPI) in thoracic and breast surgery patients. In this randomized-controlled pilot trial, 82 patients undergoing video-assisted thoracoscopic surgery (n = 77) and mastectomy (n = 5) received either continuous ESP block with ropivacaine (ropivacaine group) or the same procedure with 0.9% saline (saline group). All patients received surgical intercostal block (thoracic surgery) or local anesthetic infiltration (breast surgery). Feasibility as the primary outcome was evaluated on recruitment (three patients per week), catheter retention (above 90% at 24 hr), and patient attrition (less than 10%). Secondary outcomes comprised of QoR-15, BPI, and opioid consumption. Recruitment rate was 1.8 patients per week. Catheters were retained in 77 patients (94%) at 24 hr. At three months, five patients were lost to follow-up (6%). At 24 hr compared with baseline, the ropivacaine group had a smaller decline in QoR-15 score (median difference, 14; 95% confidence interval [CI], 2 to 26; P = 0.02) and a smaller increase in BPI global score (medi...Continue Reading

References

Mar 25, 2010·BMJ : British Medical Journal·Kenneth F SchulzUNKNOWN CONSORT Group
Feb 28, 2013·JAMA : the Journal of the American Medical Association·Melanie CalvertUNKNOWN CONSORT PRO Group
Dec 7, 2013·Regional Anesthesia and Pain Medicine·Craig M IronfieldBrian Sites
Dec 24, 2015·Pharmacoepidemiology and Drug Safety·Suzanne NielsenNatasa Gisev
Jan 26, 2016·Anesthesiology·Evan D Kharasch, L Michael Brunt
May 10, 2016·Anesthesiology·Paul S MylesAlicia Dennis
Aug 9, 2016·Regional Anesthesia and Pain Medicine·Mauricio ForeroKi Jinn Chin
Oct 7, 2018·Journal of Clinical Anesthesia·Ban C H TsuiThomas J Caruso
Dec 19, 2018·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Gregory DobsonMichael Wong

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Citations

Jul 25, 2021·Journal of Cardiothoracic and Vascular Anesthesia·Chang-Hoon KooHyun-Jung Shin

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