Evidence map›Paper›PMID 33627193›Full record

ArticlePilot and feasibility studies2021

Continuous erector spinae plane block versus intercostal nerve block in patients undergoing video-assisted thoracoscopic surgery: a pilot randomized controlled trial.

Dillon Horth, William Sanh, Peter Moisiuk, Turlough O'Hare, Yaron Shargall, Christian Finley, Waël Hanna, John Agzarian, Mauricio Forero, Kim Davis and 3 more

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Pilot and feasibility studies, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03176667 (Ultrasound Guided Erector Spinae Plane Block in Patients Undergoing Video-assisted Thoracoscopic Surgery), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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.

NCT03176667 nacompletednot on this map

Ultrasound Guided Erector Spinae Plane Block in Patients Undergoing Video-assisted Thoracoscopic Surgery (VATS) Lobectomy or Wedge Resections - a Pilot Randomized Control Trial

TypeinterventionalSponsorMcMaster UniversityRan2018 to 2019Enrolled20ConditionsPost-operative PainArmsUltrasound guided erector spinae plane block, Intercostal block
3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

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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

13 authors.

Dillon HorthDepartment of Anesthesia, McMaster University, Hamilton, Ontario, Canada.
William SanhDepartment of Anesthesia, McMaster University, Hamilton, Ontario, Canada.
Peter MoisiukDepartment of Anesthesia, McMaster University, Hamilton, Ontario, Canada.
Turlough O'HareDepartment of Anesthesia, McMaster University, Hamilton, Ontario, Canada.
Yaron ShargallDepartment of Surgery, McMaster University, Hamilton, Ontario, Canada.
Christian FinleyDepartment of Surgery, McMaster University, Hamilton, Ontario, Canada.
Waël HannaDepartment of Surgery, McMaster University, Hamilton, Ontario, Canada.
John AgzarianDepartment of Surgery, McMaster University, Hamilton, Ontario, Canada.
Mauricio ForeroDepartment of Anesthesia, McMaster University, Hamilton, Ontario, Canada.
Kim DavisDepartment of Anesthesia, St. Joseph's Health Care Hamilton, Hamilton, Ontario, Canada.
Thuva VanniyasingamDepartment of Anesthesia, McMaster University, Hamilton, Ontario, Canada.
Lehana ThabaneHealth Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada.
Harsha ShanthannaDepartment of Anesthesia, McMaster University, Hamilton, Ontario, Canada. shanthh@mcmaster.ca.ORCID http://orcid.org/0000-0002-4105-4465

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe optimal analgesia method in video-assisted thoracoscopic surgery (VATS) remains controversial. Intercostal nerve blockade (ICNB) is limited by its duration of action. The erector spinae plane (ESP) block has the potential to provide satisfactory analgesia for VATS; however, the effectiveness of continuous ESP versus surgeon-performed ICNB has not been investigated. The objectives of this study were to establish feasibility of patient recruitment and follow-up before undertaking a fully powered randomized controlled trial (RCT); and, secondarily, to compare opioid usage, pain control, and sensory blockade.

methodsThis feasibility RCT was undertaken at St Joseph's Hospital, Hamilton, Ontario, Canada, and included 24 patients (>18 years) having elective VATS with at least one overnight stay. Exclusion criteria were patient refusal, body mass index >40 kg/m

resultsFeasibility of primary outcomes was successfully demonstrated. Five patients had an epidural in anticipation of open surgery. Mean opioid consumption as equivalent morphine units was less in the ESP group over the first 24 h (mean difference, 1.63 [95% CI -1.20 to 4.45]) and 48 h (mean difference, 2.34 [95% CI -1.93 to 6.61]). There were no differences in adverse effects.

conclusionsA fully powered RCT is feasible with modifications. Our results also suggest that continuous ESP is safe and can decrease opioid needs. However, it is important to consider procedures to improve compliance to protocol and adherence to assigned interventions.

trial registrationClinicaltrials.gov identifier: NCT03176667 . Registered June 5, 2017.

Indexed as

Erector spinae plane blockIntercostal nerve blockadePerioperative analgesiaVideo-assisted thoracoscopic surgery

Identifiers

PMID33627193
PMCPMC7903734

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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.