Comparison of the effects of ultrasound-guided thoracic paravertebral block and erector spinae plane block on postoperative acute and chronic pain in patients undergoing video-assisted thoracoscopic surgery

Authors : Musa ZENGİN, Gülay ÜLGER, Ramazan BALDEMİR, Hilal SAZAK, Koray AYDOĞDU, Ali ALAGÖZ

Pages : 1600-1605

Doi:10.32322/jhsm.1176638

View : 16 | Download : 6

Publication Date : 2022-10-25

Article Type : Research Paper

Abstract :Aim: The aim of the study was to compare the effects of ultrasound insert ignore into journalissuearticles values(US);-guided Erector spinae plane block insert ignore into journalissuearticles values(ESPB); and thoracic paravertebral block insert ignore into journalissuearticles values(TPVB); on postoperative acute and chronic pain. Material and Method: Patients aged range of 18 to 80 years and underwent video-assisted thoracoscopic surgery insert ignore into journalissuearticles values(VATS); were included in a single-blinded randomized trial. All patients were informed about the study and their written consent was obtained. The primary outcome was determined as acute postoperative visual analog scale insert ignore into journalissuearticles values(VAS); scores, and secondary outcomes were postoperative morphine consumption and the incidence of chronic pain. US-guided ESPB and TPVB were performed to all patients and they were assigned randomly to ESPB insert ignore into journalissuearticles values(Group 1); and TPVB insert ignore into journalissuearticles values(Group 2); groups according to the analgesia protocol. Results: Visual analog scale insert ignore into journalissuearticles values(VAS); resting and VAS cough scores at the 1st, 2nd, 4th, 8th, and 16th hours were found to be statistically significantly higher in the TPVB group than in the ESPB group insert ignore into journalissuearticles values(p<0.05); Morphine consumption insert ignore into journalissuearticles values(p:0.042); and additional analgesic insert ignore into journalissuearticles values(p:0.037); use were found to be statistically significantly higher in the TPVB group compared to the ESPB group. As complications, only nausea and vomiting were observed with no significant difference between the groups insert ignore into journalissuearticles values(p>0.05);. There was no significant difference in terms of postoperative 30th and 90th day pain characteristics between the groups insert ignore into journalissuearticles values(p>0.05);. Conclusion: ESPB was superior to TPVB in terms of acute postoperative pain management, morphine consumption, and side effects, but the incidence of chronic pain in the first and third months after surgery was similar in both groups.
Keywords : Acute pain, chronic pain, erector spinae plane block, thoracic paravertebral block, video assisted thoracoscopic surgery