The impact of ultrasound-guided erector spinae plane block combined with paravertebral block on postoperative rebound pain following thoracoscopic lobectomy.

Yihang He, Dongxu Chen, Youbo Zuo, Jing Lin

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Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed

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1 citing paper in PubMed.

Rebound pain following peripheral nerve block in extremity fracture surgery: pathophysiological mechanisms based on the "Triple-Hit" model and multimodal preventive strategies.Frontiers in medicine · 2026
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4 authors.

Yihang He *Department of Anesthesiology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, China.

Dongxu Chen *Department of Anesthesiology, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China.

Youbo ZuoDepartment of Anesthesiology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, China.

Jing LinDepartment of Anesthesiology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Thoracic paravertebral block (TPVB) is the mainstream analgesic regimen for post-video-assisted thoracoscopic surgery (VATS) pain management. However, rebound pain frequently emerges once the block effect subsides. Given that the erector spinae plane block (ESPB) may modulate the incidence of rebound pain through its mechanism of local anesthetic diffusion into the paravertebral space, this study sought to evaluate whether combining TPVB with ESPB could effectively reduce postoperative rebound pain in VATS patients. Methods: A total of 110 patients scheduled for elective video-assisted thoracoscopic lobectomy were enrolled and randomly allocated via a random number table to either the TPVB group (Group P, Results: Compared with Group P, Group PE had a significantly lower incidence of rebound pain within 24 h postoperatively (23.64% vs. 47.27%, Conclusion: Compared with TPVB alone, the combination of TPVB and ESPB significantly reduces the incidence of postoperative rebound pain, prolongs analgesic duration, and improves the quality of postoperative recovery.

Indexed as

erector spinae plane blockparavertebral blockpostoperative recovery qualityrebound painthoracoscopic surgery

Identifiers

PMID40852353

DOI10.3389/fmed.2025.1651245

PMCPMC12367649

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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.