Ultrasound-Guided Rhomboid Block versus Paravertebral Block in Postoperative Analgesia for Video-Assisted Thoracoscopic Surgery: A Prospective Randomized Controlled Clinical Trial
Introduction. The anesthetic efficacy of the ultrasound-guided rhomboid intercostal block (RIB) in alleviating postoperative pain has been well concerned. This study aims to compare the effectiveness between ultrasound-guided RIB and paravertebral block (PVB) in alleviating acute pain following vide...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Hindawi Limited
2023-01-01
|
| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2023/3924511 |
| _version_ | 1797871859463618560 |
|---|---|
| author | Yan Wang Xiaoping Gu Simin Huang Minke Shi Xiaofeng He Zhengliang Ma |
| author_facet | Yan Wang Xiaoping Gu Simin Huang Minke Shi Xiaofeng He Zhengliang Ma |
| author_sort | Yan Wang |
| collection | DOAJ |
| description | Introduction. The anesthetic efficacy of the ultrasound-guided rhomboid intercostal block (RIB) in alleviating postoperative pain has been well concerned. This study aims to compare the effectiveness between ultrasound-guided RIB and paravertebral block (PVB) in alleviating acute pain following video-assisted thoracic surgery. Methods. It was a prospective, randomized, double-blinded clinical trial involving 132 patients with video-assisted thoracic surgery divided into three groups: the general anesthesia (GA) group, RIB group, and PVB group on T5 vertebra, using 0.4% ropivacaine at 3 mg/kg, registered in the Chinese Clinical Trial Registry (ChiCTR2100054057, “https://www.chictr.org.cn”). The visual analogue scale (VAS) scores at rest and cough during 48 h postoperatively and the postoperative consumption of pain rescue were the primary outcomes, and the QoR15 score 48 h postoperatively, the usage of opioids during and after operation, and nerve block-related complications were the secondary outcomes. Demographic characteristics, surgery characteristics, and primary outcomes between the groups were compared. Results. A total of 120 eligible patients were recruited, including 40 in each group. Baseline and surgery characteristics between the groups were comparable (all p>0.05). The PVB and RIB groups were better than the GA group in the primary and secondary outcomes (p<0.05). The static VAS score, QoR15 score, and block-related complications within 48 hours after surgery were better in the RIB group than in the PVB group (p<0.001). Conclusion. Both PVB and RIB can provide adequate analgesia and accelerate the recovery of patients. Compared with PVB, RIB has a better analgesic effect, especially to avoid paravertebral pain caused by block, and the operation of RIB is more straightforward and the safety is higher. |
| first_indexed | 2024-04-10T00:49:42Z |
| format | Article |
| id | doaj.art-6749335a3759495393ff9cf259164105 |
| institution | Directory Open Access Journal |
| issn | 1918-1523 |
| language | English |
| last_indexed | 2024-04-10T00:49:42Z |
| publishDate | 2023-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Pain Research and Management |
| spelling | doaj.art-6749335a3759495393ff9cf2591641052023-03-13T11:25:45ZengHindawi LimitedPain Research and Management1918-15232023-01-01202310.1155/2023/3924511Ultrasound-Guided Rhomboid Block versus Paravertebral Block in Postoperative Analgesia for Video-Assisted Thoracoscopic Surgery: A Prospective Randomized Controlled Clinical TrialYan Wang0Xiaoping Gu1Simin Huang2Minke Shi3Xiaofeng He4Zhengliang Ma5Department of AnesthesiologyDepartment of AnesthesiologyNanjing Drum Tower Hospital Clinical College of Nanjing Medical UniversityDepartment of Thoracic SurgeryDepartment of Thoracic SurgeryDepartment of AnesthesiologyIntroduction. The anesthetic efficacy of the ultrasound-guided rhomboid intercostal block (RIB) in alleviating postoperative pain has been well concerned. This study aims to compare the effectiveness between ultrasound-guided RIB and paravertebral block (PVB) in alleviating acute pain following video-assisted thoracic surgery. Methods. It was a prospective, randomized, double-blinded clinical trial involving 132 patients with video-assisted thoracic surgery divided into three groups: the general anesthesia (GA) group, RIB group, and PVB group on T5 vertebra, using 0.4% ropivacaine at 3 mg/kg, registered in the Chinese Clinical Trial Registry (ChiCTR2100054057, “https://www.chictr.org.cn”). The visual analogue scale (VAS) scores at rest and cough during 48 h postoperatively and the postoperative consumption of pain rescue were the primary outcomes, and the QoR15 score 48 h postoperatively, the usage of opioids during and after operation, and nerve block-related complications were the secondary outcomes. Demographic characteristics, surgery characteristics, and primary outcomes between the groups were compared. Results. A total of 120 eligible patients were recruited, including 40 in each group. Baseline and surgery characteristics between the groups were comparable (all p>0.05). The PVB and RIB groups were better than the GA group in the primary and secondary outcomes (p<0.05). The static VAS score, QoR15 score, and block-related complications within 48 hours after surgery were better in the RIB group than in the PVB group (p<0.001). Conclusion. Both PVB and RIB can provide adequate analgesia and accelerate the recovery of patients. Compared with PVB, RIB has a better analgesic effect, especially to avoid paravertebral pain caused by block, and the operation of RIB is more straightforward and the safety is higher.http://dx.doi.org/10.1155/2023/3924511 |
| spellingShingle | Yan Wang Xiaoping Gu Simin Huang Minke Shi Xiaofeng He Zhengliang Ma Ultrasound-Guided Rhomboid Block versus Paravertebral Block in Postoperative Analgesia for Video-Assisted Thoracoscopic Surgery: A Prospective Randomized Controlled Clinical Trial Pain Research and Management |
| title | Ultrasound-Guided Rhomboid Block versus Paravertebral Block in Postoperative Analgesia for Video-Assisted Thoracoscopic Surgery: A Prospective Randomized Controlled Clinical Trial |
| title_full | Ultrasound-Guided Rhomboid Block versus Paravertebral Block in Postoperative Analgesia for Video-Assisted Thoracoscopic Surgery: A Prospective Randomized Controlled Clinical Trial |
| title_fullStr | Ultrasound-Guided Rhomboid Block versus Paravertebral Block in Postoperative Analgesia for Video-Assisted Thoracoscopic Surgery: A Prospective Randomized Controlled Clinical Trial |
| title_full_unstemmed | Ultrasound-Guided Rhomboid Block versus Paravertebral Block in Postoperative Analgesia for Video-Assisted Thoracoscopic Surgery: A Prospective Randomized Controlled Clinical Trial |
| title_short | Ultrasound-Guided Rhomboid Block versus Paravertebral Block in Postoperative Analgesia for Video-Assisted Thoracoscopic Surgery: A Prospective Randomized Controlled Clinical Trial |
| title_sort | ultrasound guided rhomboid block versus paravertebral block in postoperative analgesia for video assisted thoracoscopic surgery a prospective randomized controlled clinical trial |
| url | http://dx.doi.org/10.1155/2023/3924511 |
| work_keys_str_mv | AT yanwang ultrasoundguidedrhomboidblockversusparavertebralblockinpostoperativeanalgesiaforvideoassistedthoracoscopicsurgeryaprospectiverandomizedcontrolledclinicaltrial AT xiaopinggu ultrasoundguidedrhomboidblockversusparavertebralblockinpostoperativeanalgesiaforvideoassistedthoracoscopicsurgeryaprospectiverandomizedcontrolledclinicaltrial AT siminhuang ultrasoundguidedrhomboidblockversusparavertebralblockinpostoperativeanalgesiaforvideoassistedthoracoscopicsurgeryaprospectiverandomizedcontrolledclinicaltrial AT minkeshi ultrasoundguidedrhomboidblockversusparavertebralblockinpostoperativeanalgesiaforvideoassistedthoracoscopicsurgeryaprospectiverandomizedcontrolledclinicaltrial AT xiaofenghe ultrasoundguidedrhomboidblockversusparavertebralblockinpostoperativeanalgesiaforvideoassistedthoracoscopicsurgeryaprospectiverandomizedcontrolledclinicaltrial AT zhengliangma ultrasoundguidedrhomboidblockversusparavertebralblockinpostoperativeanalgesiaforvideoassistedthoracoscopicsurgeryaprospectiverandomizedcontrolledclinicaltrial |