ArticleJournal of cardiothoracic surgery2026
Effects of thoracic paravertebral block on postoperative cognitive functions among elderly patients undergoing thoracoscopic radical surgery for lung cancer.
Article in Journal of cardiothoracic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate the thoracic paravertebral block (TPVB)on postoperative cognitive functions among elderly patients undergoing thoracoscopic radical surgery for lung cancer.
methodsNinety patients who underwent thoracoscopic radical surgery for lung cancer were selected and divided into an experimental group and a control group, with 45 cases in each group. The patients in the experimental group were given TPVB under ultrasound guidance combined with general anesthesia, while the patients in the control group were given conventional general anesthesia. The clinical data, dosage of anesthetic drugs, blood glucose levels, hemodynamic parameters, incidence of adverse reactions, and cognitive function scores [evaluated by the mini-mental state examination (MMSE) scale and the Montreal cognitive assessment (MoCA) scale] of the two groups of patients were compared one day before and 24 h after the surgery.
resultsThe dosage of anesthetic drugs was significantly lower in the experimental group than in the control group for propofol, remifentanil, and sufentanil (all P = 0.00). Blood glucose and hemodynamics: One hour after the start of the surgery, at the end of the surgery, and at 6 and 24 h postoperatively, the blood glucose levels in the experimental group were significantly lower than those in the control group (P = 0.00, P = 0.01, P = 0.01, P = 0.02, respectively), heart rate (HR) in the experimental group was significantly lower than that in the control group (P = 0.00, P = 0.00, P = 0.01, P = 0.02, respectively), and mean arterial pressure (MAP) in the experimental group was significantly lower than that in the control group (P = 0.00, P = 0.00, P = 0.01, P = 0.01, respectively). Cognitive function scores: There was no statistical difference in MMSE and MoCA scores between the two groups before the surgery (MMSE: P = 0.42; MoCA: P = 0.39). At 24 h postoperatively, the MMSE score in the experimental group was 26.85 ± 4.12, significantly higher than that in the control group of 24.63 ± 3.61 (P = 0.02), and the MoCA score in the experimental group was 26.11 ± 2.03, significantly higher than that in the control group of 23.04 ± 1.86 (P = 0.01). Adverse reactions: The incidence of postoperative adverse reactions in the experimental group was 15.56%, significantly lower than that in the control group of 28.89% (χ²=4.117, P = 0.04).
conclusionTPVB under ultrasound guidance can effectively maintain the stability of patients’ hemodynamics and blood glucose levels, improve patients’ cognitive function, and reduce the incidence of postoperative adverse reactions.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.