Evidence map›Paper›PMID 28679359›Full record

Observational studyBMC anesthesiology2017

Bilateral thoracic Paravertebral block for immediate postoperative pain relief in the PACU: a prospective, observational study.

Fei Liu, HuanKai Zhang, Yunxia Zuo

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC anesthesiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03240562 (Ultrasound-guided Serratus Anterior Plane Block for Thoracic Surgery Pain?), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT03240562 nacompletednot on this map

Ultrasound-guided Serratus Anterior Plane Block for Thoracic Surgery Pain?

TypeinterventionalSponsorSamsung Medical CenterRan2017 to 2017Enrolled89ConditionsPostoperative Pain, Thoracic CancerArmsserratus anterior plane block, patient controlled analgesia
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Fei LiuDepartment of Anesthesiology, West China Hospital, Sichuan University, No37 Guoxue Street, Chengdu, Sichuan, 610041, People's Republic of China. 30333870@qq.com.
HuanKai ZhangDepartment of Anesthesiology, Jie yang City people's Hospital, Jie yang, Guangdong, 522000, People's Republic of China.
Yunxia ZuoDepartment of Anesthesiology, West China Hospital, Sichuan University, No37 Guoxue Street, Chengdu, Sichuan, 610041, People's Republic of China.ORCID 0000-0002-9970-1338
Sichuan University · CNPeople's Hospital of Yangzhong · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo investigate the feasibility, effectiveness and safety of bilateral thoracic paravertebral block (TPVB) in the post anesthesia care unit (PACU) for pain relief in participants after laparotomy.

methodsA single shot of bilateral TPVB with 25 ml of 0.2% ropivacaine and 5 mg dexamethasone in combination for both sides at the 8th thoracic transverse level (T8) was performed on 201 participants who complained moderate to severe pain on arrival to PACU after laparotomy. The visual analog scale (VAS) pain scores at rest and on cough, heart rate, blood pressure, and pulse oximetry before and after bilateral TPVB for up to 1 h were recorded. The VAS Pain scores at rest and on cough at 24 h after bilateral TPVB were also recorded.

resultsBilateral TPVB was carried out successfully in all participants. The VAS pain scores at rest and on cough were 7.9 ± 1.6 and 8.7 ± 1.3 respectively pre-bilateral TPVB. The VAS pain scores at rest and on cough were significantly decreased to 1.1 ± 1.2 and 2.1 ± 1.6 respectively (P < 0.001) at 60 min after bilateral TPVB and to 2.1 ± 1.7 and 3.8 ± 1.9 at rest and on cough respectively ((P < 0.001) at 24 h after bilateral TPVB. At 10 min post-bilateral TPVB, only systolic blood pressure was reduced from 122 ± 19 mmHg to 111 ± 18 mmHg (P = 0.007) but then gradually became stable. No complications related to bilateral TPVB were observed.

conclusionBilateral TPVB can be provided for pain relief to the participants who suffer from moderate to severe pain after upper laparotomy in the PACU.

trial registrationChinese Clinical Trial Registry: ChiCTR-ONN-16009229 , Registered on 10 September 2016.

Indexed as

Nerve BlockAmidesAnesthetics, LocalAnti-Inflammatory AgentsDexamethasoneFemaleHumansLaparotomyMaleMiddle AgedPostoperative PainProspective StudiesRopivacaineThoracic VertebraeVisual Analog ScaleAmidesAnesthetics, LocalAnti-Inflammatory AgentsDexamethasoneRopivacainePost anesthesia care unitPostoperative painThoracic paravertebral block

Identifiers

PMID28679359
PMCPMC5499096
OpenAlexW2724911003

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.