Comparison of erector spinae plane block with paravertebral block for thoracoscopic surgery: a meta-analysis of randomized controlled trials

Journal of Cardiothoracic Surgery

Research

Jinghua Pang¹  Chengjun Song¹  Yong Chen¹  Jiawen You¹ 

[1] Department of Cardiothoracic Surgery, Fenghua District People’s Hospital of Ningbo, Zhejiang, China;

关键词: Erector spinae plane block;    Paravertebral block;    Thoracoscopic surgery;    Pain scores;    Randomized controlled trials;    Meta-analysis;   

DOI  :  10.1186/s13019-023-02343-w

 received in 2023-02-07, accepted in 2023-08-07,  发布年份 2023

来源: Springer

【 摘 要 】

IntroductionThe efficacy of erector spinae plane block versus paravertebral block for thoracoscopic surgery remains controversial. We conduct a systematic review and meta-analysis to explore the impact of erector spinae plane block versus paravertebral block on thoracoscopic surgery.MethodsWe have searched PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases through March 2022 for randomized controlled trials (RCTs) assessing the effect of erector spinae plane block versus paravertebral block on thoracoscopic surgery. This meta-analysis is performed using the random-effect model.ResultsSeven RCTs are included in the meta-analysis. Overall, compared with erector spinae plane block for thoracoscopic surgery, paravertebral block results in significantly reduced pain scores at 12 h (SMD = 1.12; 95% CI 0.42 to 1.81; P = 0.002) and postoperative anesthesia consumption (SMD = 1.27; 95% CI 0.30 to 2.23; P = 0.01), but these two groups have similar pain scores at 1-2 h (SMD = 1.01; 95% CI − 0.13 to 2.15; P 0.08) and 4–6 h (SMD = 0.33; 95% CI − 0.16 to 0.81; P = 0.19), as well as incidence of nausea and vomiting (OR 0.93; 95% CI 0.38 to 2.29; P = 0.88).ConclusionsParavertebral block may be better for the pain relief after thoracoscopic surgery than erector spinae plane block.

【 授权许可】

CC BY   
© The Author(s) 2023

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