ArticleWorld journal of methodology2025
Analgesic efficacy of continuous ultrasound-guided unilateral erector spinae block and thoracic epidural analgesia in patients undergoing antero-lateral thoracotomy.
Article in World journal of methodology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundChest physiotherapy and incentive spirometry, essential for pulmonary care, can exacerbate acute post-thoracotomy pain. Pain relief is, therefore, essential to facilitate early mobilization. This study evaluated the analgesic efficacy of unilateral continuous erector spinae block (ESB) compared to thoracic epidural analgesia (TEA) in terms of quality of pain relief and perioperative hemodynamic changes.
aimTo compare the analgesic efficacy of continuous ultrasound-guided unilateral ESB and thoracic epidural in patients undergoing antero-lateral thoracotomy.
methodsThis prospective, observational study was conducted at a tertiary care hospital of central India. Sixty-eight adult patients of either gender, posted for elective thoracic surgeries requiring one lung ventilation, were allocated to either TEA (
resultsThe proportion of patients requiring rescue opioids within 24 hours post-extubation was similar between the two group. Resting numerical rating scale scores (0 hour, 6 hours, and 72 hours post-extubation) were significantly higher in the ESB group compared to the TEA group [1.70 ± 1.03
conclusionThe two techniques provided similar opioid-sparing effects following antero-lateral thoracotomy, though TEA exhibited a superior analgesic efficacy at the expense of increased hemodynamic instability requiring vasopressor support.
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