Evidence map›Paper›PMID 34739134›Full record

SynthesisAnaesthesia2022

PROSPECT guidelines for video-assisted thoracoscopic surgery: a systematic review and procedure-specific postoperative pain management recommendations.

S Feray, J Lubach, G P Joshi, F Bonnet, M Van de Velde, PROSPECT Working Group *of the European Society of Regional Anaesthesia and Pain Therapy

6 registry-linked trialsOpen access · hybridAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Anaesthesia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 6 registered trials, which are not on this map. Cited by 200 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
200citing papers in PubMed, 9 pooled it
36.8field-weighted citation impact, top 1% 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.

NCT05863416 phase4completednot on this mapstarted 2024, after this paper: background citation

Adjunctive Dexmedetomidine Infusion in Non-intubated Video-assisted Thoracoscopic Surgery

TypeinterventionalSponsorTri-Service General Hospital (TSGH)Ran2024 to 2026Enrolled144ConditionsDexmedetomidine, Thoracoscopy, AnalgesiaArmsDexmedetomidine infusion
NCT06210958 nacompletednot on this mapstarted 2024, after this paper: background citation

A Randomized Comparison of Cutaneous Sensory Blockade Between Ultrasound Guided Single and Triple Injections of Intertransverse Process Block in Patients Undergoing Video Assisted Thoracoscopic Surgery

TypeinterventionalSponsorChiang Mai UniversityRan2024 to 2024Enrolled40ConditionsIntertransverse Process Block, Video Assisted Thoracic SurgeryArmsIntertransverse process block
NCT06488014 nacompletednot on this mapstarted 2024, after this paper: background citation

Comparison of the Effect of Preoperative and Postoperative Erector Spina Plan Block and Paravertebral Block on Postoperative Pain in Video Assisted Thoracic Surgery (VATS)

TypeinterventionalSponsorAnkara UniversityRan2024 to 2025Enrolled80ConditionsAnesthesia, Nerve Block, Pain, Postoperative, Thoracic Surgery, Video AssistedArmsErector spina plan block (ESP), Paravertebral block
NCT06838026 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Internal, External Intercostal Nerve Block and Intercostal Catheter for Pain Management After Uniportal VATS: A Clinical Trial

TypeinterventionalSponsorAl-Quds UniversityRan2025 to 2026Enrolled90ConditionsThoracic, Pain, Postoperative, Analgesia, Satisfaction, PatientArmsExternal Intercostal Nerve Block, Internal Intercostal Nerve Block, Intercostal Catheter
NCT07002788 naactive not recruitingnot on this mapstarted 2024, after this paper: background citation

Comparison of Postoperative Analgesic Efficacy of Paravertebral Block and Serratus Anterior Plane Block in Patients Undergoing Video-assisted Thoracoscopic Surgery (VATS)

TypeinterventionalSponsorHacettepe UniversityRan2024 to 2026Enrolled122ConditionsLung Cancer (NSCLC), Lung Adenocarcinoma, Video Assisted Thoracic Surgery (VATS)ArmsBupivacaine, Morphine, Paracetamol, Diklofenak Sodyum
NCT07610408 narecruitingnot on this mapstarted 2026, after this paper: background citation

Comparison of the Effectiveness of Intravenous Analgesia Protocols Used After the Duration of Block Action for Postoperative Pain Control in Thoracic Surgery

TypeinterventionalSponsorAnkara Etlik City HospitalRan2026 to 2026Enrolled135ConditionsPostoperative Pain After Thoracic Surgery, Postoperative Pain, Thoracic Surgery, Video Assisted, Patient Controlled AnalgesiaArmsFentanyl IV PCA, Tramadol IV PCA, Ibuprofen IV PCA
3 · Its place in the literature

Who cites it

200 citing papers in PubMed, 9 syntheses or guidelines pooled it, 279 citations in OpenAlex.

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  12. Behavioral speech therapy intervention can improve the postoperative pain and performance status of lung cancer patients undergoing thoracoscopic surgery.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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140 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 3 countries.

S FerayDepartment of Anaesthesia, Intensive Care and Peri-operative Medicine, Hôpital Tenon, Paris, France.
J LubachDepartment of Anaesthesiology, KU Leuven and University Hospital Leuven, Leuven, Belgium.
G P JoshiDepartment of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, TX, USA.
F BonnetDepartment of Anaesthesia, Intensive Care and Peri-operative Medicine, Hôpital Tenon, Paris, France.
M Van de VeldeDepartment of Cardiovascular Sciences, KU Leuven and University Hospital Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0001-8638-5287
PROSPECT Working Group *of the European Society of Regional Anaesthesia and Pain Therapy
KU Leuven · BESorbonne Université · FRThe University of Texas Southwestern Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Video-assisted thoracoscopic surgery has become increasingly popular due to faster recovery times and reduced postoperative pain compared with thoracotomy. However, analgesic regimens for video-assisted thoracoscopic surgery vary significantly. The goal of this systematic review was to evaluate the available literature and develop recommendations for optimal pain management after video-assisted thoracoscopic surgery. A systematic review was undertaken using procedure-specific postoperative pain management (PROSPECT) methodology. Randomised controlled trials published in the English language, between January 2010 and January 2021 assessing the effect of analgesic, anaesthetic or surgical interventions were identified. We retrieved 1070 studies of which 69 randomised controlled trials and two reviews met inclusion criteria. We recommend the administration of basic analgesia including paracetamol and non-steroidal anti-inflammatory drugs or cyclo-oxygenase-2-specific inhibitors pre-operatively or intra-operatively and continued postoperatively. Intra-operative intravenous dexmedetomidine infusion may be used, specifically when basic analgesia and regional analgesic techniques could not be given. In addition, a paravertebral block or erector spinae plane block is recommended as a first-choice option. A serratus anterior plane block could also be administered as a second-choice option. Opioids should be reserved as rescue analgesics in the postoperative period.

Indexed as

AnalgesicsAnalgesics, OpioidAnti-Inflammatory Agents, Non-SteroidalDrug Therapy, CombinationHumansNerve BlockPain ManagementPostoperative PainPractice Guidelines as TopicRandomized Controlled Trials as TopicThoracic Surgery, Video-AssistedAnalgesicsAnalgesics, OpioidAnti-Inflammatory Agents, Non-Steroidalanalgesiaevidence-based medicinepostoperative painsystematic reviewvideo-assisted thoracoscopic surgery

Identifiers

PMID34739134
PMCPMC9297998
OpenAlexW3211155108

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.