Trial reportThe Annals of thoracic surgery2023
Paravertebral vs Epidural Anesthesia for Video-assisted Thoracoscopic Surgery: A Randomized Trial.
Trial report in The Annals of thoracic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 25 citations in OpenAlex.
- Paravertebral analgesia versus wound infiltration in children recovering from cardiac surgery: a randomized controlled trial.Regional anesthesia and pain medicine · 2026Trial
- Trial
- Comparison of postoperative analgesia by thoracoscopic-guided thoracic paravertebral block and thoracoscopic-guided intercostal nerve block in uniportal video-asssited thoracic surgery: a prospective randomized controlled trial.World journal of surgical oncology · 2024Trial
- Paravertebral Block for Postoperative Pain Management After Open Thoracotomy: A Review of Efficacy and Risks.Current pain and headache reports · 2026Review
- Analgesia for patients undergoing video-assisted thoracic surgery: a survey of Canadian thoracic surgeons.Journal of thoracic disease · 2026Article
- Comparison of the efficacy and safety of thoracic epidural and paravertebral block in postoperative analgesia after thoracic surgery: a meta-analysis of randomized trials.Frontiers in medicine · 2026Review
- Thoracoscopy-Guided vs. Ultrasound-Guided Paravertebral Block in Thoracoscopic Surgery: A Non-Inferiority Randomized Trial.Journal of clinical medicine · 2025Article
- Rethinking Thoracotomy Analgesia: Paravertebral Block Versus Thoracic Epidural Analgesia in Real-World Practice.Cureus · 2025Article
- Article
- The impact of ultrasound-guided thoracic paravertebral nerve block on the quality of recovery after video-assisted thoracoscopic surgery: a meta-analysis of randomized controlled trials.Perioperative medicine (London, England) · 2025Review
- Effect of single-injection thoracic paravertebral block with liposomal bupivacaine on the quality of recovery after thoracic surgery: a protocol for an open-label, randomized controlled trial.Frontiers in medicine · 2025Article
- Comparison of thoracoscopy-guided thoracic paravertebral block and patient-controlled intravenous analgesia for postoperative analgesia after uniportal thoracoscopic pulmonary wedge resection: a prospective randomized controlled trial.Frontiers in medicine · 2025Article
- The effect of ultrasound-guided thoracic paravertebral nerve block combined with hydromorphone on postoperative analgesia and inflammatory response in thoracoscopic surgery: a randomized controlled trial.Frontiers in medicine · 2025Article
- Effectiveness of Combining Thoracic Paravertebral Nerve Block and Serratus Anterior Plane Block in Non-Intubated Spontaneous-Ventilation Video-Assisted Thoracoscopic Surgery: A Retrospective Case-Control Study.Journal of inflammation research · 2025Article
- Article
- Article
- The ideal regional block after video-assisted thoracoscopic surgery: do we have it?Journal of thoracic disease · 2024Article
- Is paravertebral block the new standard of care for postoperative analgesia after thoracoscopic surgery?Journal of thoracic disease · 2024Article
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe choice of postoperative pain management for patients who experience moderate to severe acute pain after thoracoscopic surgery is debatable. This study aimed to determine whether paravertebral block (PVB) provides more benefits than thoracic epidural analgesia (TEA) for thoracoscopic surgery.
methodsFrom February 2020 to April 2022, patients without chronic pain who were scheduled to undergo thoracoscopic surgery were randomly assigned to the PVB group or the TEA group. The visual analogue scale score was used to measure the degree of pain when the patients were at rest or coughing.
resultsIn total, 176 eligible patients were enrolled in this study. No significant difference in the visual analogue scale score was found between the 2 groups at rest (P = .395) or with coughing (P = .157). Additionally, there was no significant difference in the average pain score between these 2 states (P = .221). The median time for catheter placement in the PVB group was 5 minutes, which was shorter than that (14 minutes) in the TEA group (P < .001). Moreover, the catheter placement failure rate in the PVB group was lower than that in the TEA group (P = .038). The incidence of hypotension (P = .016) and urinary retention (P = .006) in the PVB group was lower than that in the TEA group.
conclusionsPVB can provide pain relief that is similar to that of TEA but with no additional puncture pain, a shorter catheter placement time, and fewer side effects in patients undergoing video-assisted thoracoscopic surgery.
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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.