Evidence map›Paper›PMID 41137009›Full record

ArticleJournal of cardiothoracic surgery2025

Paravertebral nerve block versus combined serratus anterior plane and intercostal nerve blocks in thoracoscopic lung segment surgery in elderly: a retrospective study.

Meng Xia, Runfeng Wang

Abstract readComparative Study
In one paragraph

Article in Journal of cardiothoracic surgery, 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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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Meng XiaDepartment of Anesthesiology, Affiliated Nanjing Brain Hospital, Nanjing Medical University, 264 Guangzhou Road, Nanjing, 210029, Jiangsu, China.
Runfeng WangICU,Affiliated Nanjing Brain Hospital, Nanjing Medical University, 264 Guangzhou Road, Nanjing, 210029, Jiangsu, China. 515990887@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn order to accelerate the rapid recovery of elderly patients undergoing lung surgery, we tend to use multimodal analgesic protocols. A retrospective analytical study was used to analyse postoperative analgesic regimens suitable for older adults.To compare the efficacy of ultrasound-guided paravertebral nerve block and anterior serratus planar nerve block combined with intercostal nerve block for postoperative analgesia in elderly patients undergoing thoracoscopic segmental lung resection.

designElderly patients undergoing elective thoracoscopic segmental lung resection in our hospital were reviewed and divided into the paravertebral nerve block group (Group T) and the anterior serratus plane nerve block combined with intercostal nerve block group (Group S).

settingDepartment of Anaesthesiology, Brain Hospital (Chest Campus), Nanjing Medical University, China.

interventionsIn both groups, the appropriate nerve block was performed under ultrasound guidance while the patients were lying on their sides after induction of anaesthesia. MEASUREMENTS & MAIN

resultsThe primary outcomes of interest were the Visual Analogue Scale (VAS) scores for pain at rest and motion, assessed at preoperative (T0), 24 h postoperative (T1), 48 h postoperative (T2), and 72 h postoperative (T3) for both groups. Additionally, the number of postoperative self-controlled compressions and the number of rescue analgesia administrations within the first 48 h postoperatively were recorded.The primary endpoints of the study are as follows: The resting and motion VAS scores of the two groups were compared at each time point, and the resting and motion VAS scores of the two groups at T1, T2 and T3 were higher than those at T0, and the differences were statistically significant (P < 0.05),and there was a difference in the number of postoperative remedial analgesia in group T compared with group S (P < 0.05).

conclusionBoth ultrasound-guided thoracic paravertebral nerve block and anterior serratus plane block combined with intercostal nerve block can provide effective postoperative analgesia for elderly patients undergoing thoracoscopic pulmonary segmentectomy, serving as safe and feasible multimodal analgesia protocols.Compared to paravertebral nerve block, the anterior serratus plane block combined with intercostal nerve block is advantageous due to its relative ease of application.

Indexed as

Intercostal NervesNerve BlockPneumonectomyPostoperative PainThoracic Surgery, Video-AssistedThoracoscopyAgedAged, 80 and overFemaleHumansMalePain MeasurementRetrospective StudiesUltrasonography, InterventionalSerratus plane block combined with intercostal nerve blockThoracic paravertebralThoracoscopic surgery

Identifiers

PMID41137009
PMCPMC12553285

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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.