Evidence map›Paper›PMID 41220830›Full record

ArticleProceedings (Baylor University. Medical Center)2025

A retrospective analysis of T1 erector spinae plane blocks compared to multimodal pain management alone in first rib resections for patients with thoracic outlet syndrome.

Richard Cook, Daniel C Gunn, Richard P Dutton, Gregory J Pearl, Bradley R Grimsley, Saravanan Ramamoorthy

Abstract read
In one paragraph

Article in Proceedings (Baylor University. Medical Center), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

6 authors.

Richard CookDepartment of Anesthesiology, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas, USA.ORCID https://orcid.org/0009-0001-0945-336X
Daniel C GunnDepartment of Anesthesiology and Pain Medicine, Baylor University Medical Center, Dallas, Texas, USA.
Richard P DuttonDepartment of Anesthesiology, U.S. Anesthesia Partners, Dallas, Texas, USA.
Gregory J PearlDepartment of Vascular Surgery, Baylor Scott & White The Heart Hospital - Dallas, Dallas, Texas, USA.
Bradley R GrimsleyDepartment of Vascular Surgery, Baylor Scott & White The Heart Hospital - Dallas, Dallas, Texas, USA.
Saravanan RamamoorthyDepartment of Anesthesiology and Pain Medicine, Baylor University Medical Center, Dallas, Texas, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Erector spinae plane blocks (ESPB), a new and increasingly popular technique for controlling thoracic pain, have typically been performed around the T5 level. Using a T1 ESPB for first rib resections in patients with thoracic outlet syndrome (TOS) might offer better pain control relative to the current standard of intravenous multimodal pain management alone. Methods: All first rib resections for patients with TOS during an 18-month period (n = 380) were analyzed. In-hospital opioid consumption, the number of patients discharged with an opioid prescription, and hospital admission length were compared between patients receiving ESPBs and multimodal pain management alone. Results: ESPB patients received 26.18% less morphine milligram equivalents on postoperative day 1 ( Conclusion: T1 ESPBs offer effective regional pain control for TOS patients undergoing first rib resections while mitigating the potential for opioid dependence and abuse. No increased risk of complication with ESPB was observed relative to multimodal pain management alone.

Indexed as

Erector spinae plane blockfirst rib resectionpostoperative analgesiathoracic outlet syndrome

Identifiers

PMID41220830
PMCPMC12599884

What OpenQuestion holds

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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.