Comparison of Paravertebral Block and Serratus Posterior Superior Intercostal Plane Block for Postoperative Analgesia After Video-Assisted Thoracoscopic Surgery: A Prospective, Randomized Controlled Trial.
J Cardiothorac Vasc AnesthJun 29, 2026 (epub)
Mete Manici, Yasemin Sincer, Doruk Yaylak et al.
✦ AI-curated · Sources linked
In 30 seconds
This randomized controlled trial compared the analgesic efficacy of serratus posterior superior intercostal plane block (SPSIPB) and thoracic paravertebral block (TPVB) in 60 adults undergoing video-assisted thoracoscopic surgery. The study found no significant difference in 24-hour postoperative opioid consumption, with SPSIPB resulting in 66.8 mg versus 77.2 mg for TPVB (mean difference -10.4 mg; p = 0.439).
Key findings
- 24-hour opioid consumption was 66.8 ± 29.4 mg for SPSIPB and 77.2 ± 40.0 mg for TPVB.
- No significant differences in pain scores were observed at any time point post-surgery.
- The incidence of opioid-related adverse effects was similar between both groups.
- SPSIPB may offer a simpler application compared to TPVB.
Why it matters
Understanding the effectiveness of different regional analgesic techniques can help clinicians optimize postoperative pain management strategies, potentially improving patient outcomes and satisfaction following thoracic surgery.