Evidence map›Paper›PMID 37665743›Full record

Trial reportRadiology and oncology2023

Erector spinae plane block versus intercostal nerve block for postoperative analgesia in lung cancer surgery.

Polona Gams, Marko Bitenc, Nenad Danojevic, Tomaz Jensterle, Aleksander Sadikov, Vida Groznik, Maja Sostaric

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Radiology and oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 4% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

7 authors at 2 institutions in 1 country.

Polona GamsSurgery Bitenc, Thoracic Surgery Clinic, Golnik, Slovenia.
Marko BitencSurgery Bitenc, Thoracic Surgery Clinic, Golnik, Slovenia.
Nenad DanojevicSurgery Bitenc, Thoracic Surgery Clinic, Golnik, Slovenia.
Tomaz JensterleSurgery Bitenc, Thoracic Surgery Clinic, Golnik, Slovenia.
Aleksander SadikovFaculty of Computer and Information Science, University of Ljubljana, Ljubljana, Slovenia.
Vida GroznikFaculty of Computer and Information Science, University of Ljubljana, Ljubljana, Slovenia.
Maja SostaricSurgery Bitenc, Thoracic Surgery Clinic, Golnik, Slovenia.
University of Ljubljana · SIUniversity Clinic of Pulmonary and Allergic Diseases Golnik · SI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA recent trend in postoperative analgesia for lung cancer surgery relies on regional nerve blocks with decreased opioid administration. Our study aims to critically assess the continuous ultrasound-guided PATIENTS AND

methodsA prospective randomized-control study was performed to compare outcomes of patients, scheduled for video-assisted thoracoscopic (VATS) lung cancer resection, allocated to the ESPB or ICNB group. Primary outcomes were total opioid consumption and subjective pain scores at rest and cough each hour in 48 h after surgery. The secondary outcome was respiratory muscle strength, measured by maximal inspiratory and expiratory pressures (MIP/MEP) after 24 h and 48 h.

results60 patients met the inclusion criteria, half ESPB. Total opioid consumption in the first 48 h was 21. 64 ± 14.22 mg in the ESPB group and 38.34 ± 29.91 mg in the ICNB group (p = 0.035). The patients in the ESPB group had lower numerical rating scores at rest than in the ICNB group (1.19 ± 0.73

conclusionsIn the first 48 h after surgery, patients with continuous ESPB required fewer opioids and reported less pain than patients with ICNB. There were no differences regarding respiratory muscle strength, postoperative complications, and time to hospital discharge. In addition, continuous ESPB demanded more surveillance than ICNB.

Indexed as

AnalgesiaLung NeoplasmsNerve BlockAnalgesics, OpioidHumansIntercostal NervesPainProspective StudiesAnalgesics, Opioiderector spinae plane blockintercostal nerve blockpostoperative analgesiathoracic anesthesiavideo-assisted thoracic surgery

Identifiers

PMID37665743
PMCPMC10476902
OpenAlexW4386415274

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.