Erector spinae plane block versus intercostal nerve block for postoperative analgesia in lung cancer surgery
Article Category: Research Article
Publicado en línea: 04 sept 2023
Páginas: 364 - 370
Recibido: 11 dic 2022
Aceptado: 16 ene 2023
DOI: https://doi.org/10.2478/raon-2023-0035
Palabras clave
© 2023 Polona Gams et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.
Background
A recent trend in postoperative analgesia for lung cancer surgery relies on regional nerve blocks with decreased opioid administration. Our study aims to critically assess the continuous ultrasound-guided
Patients and methods
A prospective randomized-control study was performed to compare outcomes of patients, scheduled for video-assisted thoracoscopic (VATS) lung cancer resection, allocated to the ESPB or ICNB group. Primary outcomes were total opioid consumption and subjective pain scores at rest and cough each hour in 48 h after surgery. The secondary outcome was respiratory muscle strength, measured by maximal inspiratory and expiratory pressures (MIP/MEP) after 24 h and 48 h.
Results
60 patients met the inclusion criteria, half ESPB. Total opioid consumption in the first 48 h was 21. 64 ± 14.22 mg in the ESPB group and 38.34 ± 29.91 mg in the ICNB group (p = 0.035). The patients in the ESPB group had lower numerical rating scores at rest than in the ICNB group (1.19 ± 0.73
Conclusions
In the first 48 h after surgery, patients with continuous ESPB required fewer opioids and reported less pain than patients with ICNB. There were no differences regarding respiratory muscle strength, postoperative complications, and time to hospital discharge. In addition, continuous ESPB demanded more surveillance than ICNB.