ArticleJournal of thoracic disease2016
Management of acute postoperative pain with continuous intercostal nerve block after single port video-assisted thoracoscopic anatomic resection.
Article in Journal of thoracic disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07011069 (Comparison of the Efficacy of Rhomboid Intercostal and Subserratus Plane Block), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Comparison of the Efficacy of Rhomboid Intercostal and Subserratus Plane Block (RISS) Versus Erector Spinae Plane (ESP) Blocks in Video-Assisted Thoracoscopic Surgery (VATS) for Postoperative Pain Management and Respiratory Function
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- Assessment of Intercostal Nerve Block Analgesia for Thoracic Surgery: A Systematic Review and Meta-analysis.JAMA network open · 2021Pooled it
- Modified continuous intercostal nerve block for postoperative analgesia after uniportal thoracoscopic surgery.BMC surgery · 2025Article
- Peripheral regional anaesthesia and outcomes: a narrative review of the literature from 2013 to 2023.British journal of anaesthesia · 2024Review
- Analysis of Pain Management after Anatomic VATS Resection in Austrian Thoracic Surgery Units.Journal of clinical medicine · 2023Article
- Pain management after pneumothorax surgery: intercostal nerve block or thoracic epidural analgesia.Interdisciplinary cardiovascular and thoracic surgery · 2023Article
- Is intensive care necessary after major thoracic surgery? A propensity score-matched study.Turk gogus kalp damar cerrahisi dergisi · 2023Article
- Acute pain management after thoracoscopic lung resection: a systematic review and explorative meta-analysis.Interdisciplinary cardiovascular and thoracic surgery · 2023Article
- Intravenous patient-controlled analgesia plus psychoeducational intervention for acute postoperative pain in patients with pulmonary nodules after thoracoscopic surgery: a retrospective cohort study.BMC anesthesiology · 2021Article
- Incorporation of an intercostal catheter into a multimodal analgesic strategy for uniportal video-assisted thoracoscopic surgery: a feasibility study.Journal of cardiothoracic surgery · 2021Observational
- Postoperative pain control with continuous paravertebral nerve block and intercostal nerve block after two-port video-assisted thoracic surgery.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2021Article
- Devising the guidelines: the concept of uniportal video-assisted thoracoscopic surgery-incisions and anesthetic management.Journal of thoracic disease · 2019Review
- Intramuscular stimulation as a novel alternative method of pain management after thoracic surgery.Journal of thoracic disease · 2019Article
- Feasibility of a single mediastinal drain through the abdominal wall after esophagectomy.Medicine · 2018Article
- Improving postoperative pain management after video-assisted thoracic surgery lung resection contributes to enhanced recovery, but guidelines are still lacking.Journal of thoracic disease · 2018Article
- What is the best pain control after thoracic surgery?Journal of thoracic disease · 2018Article
- The feasibility of thoracoscopic-guided intercostal nerve block during uniportal video-assisted thoracoscopic lobectomy of the lung.Journal of minimal access surgeryArticle
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEffective postoperative pain control for thoracic surgery is very important, not only because it reduces pulmonary complications but also because it accelerates the pace of recovery. Moreover, it increases patients' satisfaction with the surgery. In this study, we present a simple approach involving the safe placement of intercostal catheter (ICC) after single port video-assisted thoracoscopic surgery (VATS) anatomic resection and we evaluate postoperative analgesic function with and without it.
methodsWe identified patients who underwent single port anatomic resection with ICC placed intraoperatively as a route for continuous postoperative levobupivacaine (0.5%) administration and retrospectively compared them with a group of single port anatomic resection patients without ICC. The operation time, postoperative day 0, 1, 2, 3 and discharge day pain score, triflow numbers, narcotic requirements, drainage duration and post-operative hospital stay were compared.
resultsIn total, 78 patients were enrolled in the final analysis (39 patients with ICC and 39 without). We found patients with ICC had less pain sensation numerical rating scale (NRS) on postoperative day 0, 1 (P=0.023, <0.001) and better triflow performance on postoperative day 1 and 2 (P=0.015, 0.032). In addition, lower IV form morphine usage frequency and dosage (P=0.009, 0.017), shorter chest tube drainage duration (P=0.001) and postoperative stay (P=0.005) were observed in the ICC group.
conclusionsContinuous intercostal nerve blockade by placing an ICC intraoperatively provides effective analgesia for patients undergoing single port VATS anatomic resection. This may be considered a viable alternative for postoperative pain management.
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