Evidence map›Paper›PMID 41080070›Full record

Trial reportDrug design, development and therapy2025

Liposomal Bupivacaine in Ultrasound-Guided Paravertebral Block Reduces Opioid Consumption and Accelerates Recovery After Thoracic Surgery: A Randomized Controlled Trial.

Li-Lei Wang, Youzhuang Zhu, Li-Yuan Hui, Xiao Zhang, Jian-Shuai He, Nian-Liang Zhang, Yuan Dong, Wei Feng

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Drug design, development and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

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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

8 authors.

Li-Lei Wang *Department of Anesthesiology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong Province, People's Republic of China.
Youzhuang Zhu *Department of Anesthesiology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong Province, People's Republic of China.ORCID 0009-0006-6519-6931
Li-Yuan HuiDepartment of Anesthesiology, People's Hospital of Rizhao, Rizhao, Shandong Province, People's Republic of China.
Xiao ZhangDepartment of Anesthesiology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong Province, People's Republic of China.
Jian-Shuai HeDepartment of Anesthesiology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong Province, People's Republic of China.
Nian-Liang ZhangDepartment of Anesthesiology, People's Hospital of Rizhao, Rizhao, Shandong Province, People's Republic of China.
Yuan DongNeuropsychiatry Research Institute, The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao, Shandong Province, People's Republic of China.
Wei FengDepartment of Anesthesiology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong Province, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Liposomal bupivacaine (LB) can provide prolonged analgesia, which may reduce patients' opioid consumption, improve comfort, and facilitate recovery. Looser tissue and lower vascularity in the paravertebral space may facilitate LB diffusion and duration, so we investigated the effects of LB in multimodal analgesia after thoracic surgery with paravertebral block. Methods: In this single-center, double-blind, randomized, parallel-controlled trial, 102 patients undergoing elective thoracoscopic surgery were randomized 1:1 to thoracic paravertebral block with LB (6.67 mg/mL) or ropivacaine hydrochloride (RH; 0.33%). The primary outcome was opioid consumption within 72 h postoperatively. Secondary outcomes included pain ratings at 6, 12, 24, 48, and 72 h postoperatively; rescue analgesia; time to first ambulation and defecation; post-anesthesia care unit and hospital length of stay; and adverse events. Results: One patient was excluded due to block failure, leaving 101 patients (LB group, n = 51; RH group, n = 50). LB significantly reduced 72-h opioid consumption compared to RH (difference = -181.4 mg; 95% CI: -232.8, -130.0 mg; Conclusion: Ultrasound-guided paravertebral block with LB may reduce postoperative opioid consumption and enhance recovery in patients undergoing thoracic surgery. Trial Registration: Chinese Clinical Trials Registry Platform (chictr.org.cn): ChiCTR2400091217.

Indexed as

Analgesics, OpioidAnesthetics, LocalBupivacaineNerve BlockPostoperative PainThoracic Surgical ProceduresAdultAgedDouble-Blind MethodFemaleHumansLiposomesMaleMiddle AgedUltrasonography, InterventionalAnalgesics, OpioidAnesthetics, LocalBupivacaineLiposomesliposomal bupivacainemultimodal analgesiapain managementthoracic paravertebral blockvideo-assisted thoracoscopic surgery

Identifiers

PMID41080070
PMCPMC12514961

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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.