Evidence map›Paper›PMID 38951892›Full record

Trial reportJournal of cardiothoracic surgery2024

Comparative analysis of the analgesic effects of intercostal nerve block, ultrasound-guided paravertebral nerve block, and epidural block following single-port thoracoscopic lung surgery.

Liang Shen, Zi Ye, Fei Wang, Gao-Feng Sun, Cheng Ji

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Journal of cardiothoracic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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.

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

9 citing papers in PubMed.

  1. Trial
  2. Article
  3. Observational
  4. Review
  5. Review
  6. Article
  7. Article
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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

5 authors.

Liang Shen *Department of Thoracic Surgery, The Second Affiliated Hospital of Nantong University, Nantong First People's Hospital, No. 666 of Shengli Road, Chongchuan District, Nantong, 226000, China. shenliangsl88@126.com.
Zi Ye *Department of Neurosurgery, Nantong First People's Hospital, The Second Affiliated Hospital of Nantong University, Nantong, 226000, People's Republic of China.
Fei WangDepartment of Thoracic Surgery, The Second Affiliated Hospital of Nantong University, Nantong First People's Hospital, No. 666 of Shengli Road, Chongchuan District, Nantong, 226000, China.
Gao-Feng SunDepartment of Thoracic Surgery, The Second Affiliated Hospital of Nantong University, Nantong First People's Hospital, No. 666 of Shengli Road, Chongchuan District, Nantong, 226000, China.
Cheng JiDepartment of Thoracic Surgery, The Second Affiliated Hospital of Nantong University, Nantong First People's Hospital, No. 666 of Shengli Road, Chongchuan District, Nantong, 226000, China.

Funding

Research Project of Municipal Health Commission of Nantong MS2023037
6 · The paper itself

Abstract

objectiveIn this study, we compared the analgesic effects of intercostal nerve block (ICNB), ultrasound-guided paravertebral nerve block (PVB), and epidural block (EB) following single-port thoracoscopic lung surgery.

methodA total of 120 patients who underwent single-hole thoracoscopic lung surgery were randomly and equally divided into three groups: ICNB group, the PVB group, and the EB group. ICNB was performed under direct thoracoscopic visualization before the conclusion of the surgery in the ICNB group, while PVB and EB were performed after general anesthesia in the PVB and EB groups, respectively. Patient-controlled intravenous analgesia (PCIA) was used following the surgery in all the groups. The following indicators were recorded: Intraoperative sufentanil dosage, anesthesia awakening time, postoperative intubation time, nerve block operation time, postoperative visual analog scale (VAS) pain scores during resting and coughing at regular intervals of 0, 2, 4, 8, 24, and 48 h, the time until first PCIA, number of effective compressions within 24 h postoperatively, number of rescue analgesia interventions, and the side effects.

resultsIn comparison to the ICNB group, the PVB and EB groups had a lower intraoperative sufentanil dosage, significantly shorter anesthesia awakening time, and postoperative intubation time, but longer nerve block operation time, lower VAS scores when resting and coughing within 24 h postoperatively (all p-values less than 0.05). Conversely, there were no statistically significant differences in VAS scores during resting and coughing after 24 h (all p-values greater than 0.05). Time to first PCIA, number of effective compressions and number of rescue analgesia at the 24-hour mark postoperatively were significantly better in the PVB and EB groups than that in the ICNB group (P < 0.05). However, there was a higher incidence of side effects observed in the EB group (P < 0.05).

conclusionThe analgesic effect of PVB and EB following single-port thoracoscopic lung surgery is better than that of ICNB. PVB causes fewer side effects and complications and is safer and more effective.

Indexed as

Intercostal NervesNerve BlockPostoperative PainUltrasonography, InterventionalAdultAgedFemaleHumansLungMaleMiddle AgedPain MeasurementThoracic Surgery, Video-AssistedThoracoscopyAnalgesiaEpidural blockIntercostal nerve blockParavertebral nerve blockThoracoscopy

Identifiers

PMID38951892
PMCPMC11218308

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Registered trials

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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.