Comparative efficacy of erector spinae plane block versus surgeon-performed intraoperative intercostal nerve block in video-assisted thoracoscopic surgery: a retrospective analysis

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dc.authorid0009-0008-0877-3442
dc.authorid0000-0003-3774-9632
dc.authorid0000-0001-5258-2856
dc.authorid0009-0000-4668-8988
dc.contributor.authorKina, Soner
dc.contributor.authorBatihan, Guntug
dc.contributor.authorTurkan, Huseyin
dc.contributor.authorBektas, Yekta
dc.date.accessioned2026-02-03T12:00:31Z
dc.date.available2026-02-03T12:00:31Z
dc.date.issued2025
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractBackgroundVideo-assisted thoracoscopic surgery (VATS) offers reduced postoperative pain and faster recovery, yet optimal analgesia remains essential. Regional anesthesia techniques, such as the erector spinae plane (ESP) block and intercostal nerve block (ICNB), are commonly employed. This study compares preoperative ESP block with surgeon-performed intraoperative ICNB in VATS patients.MethodsIn this retrospective study, 82 patients (>= 18 years; ASA I-III) underwent elective VATS between January 2020 and December 2022 were analyzed. Forty patients received a postoperative ESP block and 42 an intraoperative ICNB. Primary outcomes included postoperative pain scores using the Visual Analog Scale, postoperative peak expiratory flow (PEF), postoperative IV opioid analgesic use, drainage time, and hospital length of stay.ResultsBaseline demographics were similar. VAS scores were comparable at postoperative 1, 3, 6, 12 and 24 h. At postoperative 48 h, the ICNB group had significantly lower VAS scores (4.17 +/- 1.03 vs. 4.78 +/- 1.03; p = 0.00987). No significant differences were observed in postoperative iv opioid analgesic use, drainage time or hospital stay.ConclusionsBoth techniques provide effective early analgesia in VATS, with ICNB showing prolonged pain relief. Further prospective studies are warranted.
dc.identifier.doi10.1186/s12893-025-03178-z
dc.identifier.issn1471-2482
dc.identifier.issue1
dc.identifier.pmid41068642
dc.identifier.scopus2-s2.0-105018261255
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1186/s12893-025-03178-z
dc.identifier.urihttps://hdl.handle.net/20.500.12428/34633
dc.identifier.volume25
dc.identifier.wosWOS:001591583200012
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherBmc
dc.relation.ispartofBmc Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20260130
dc.subjectErector spinae plane block
dc.subjectIntercostal nerve block
dc.subjectPostoperative pain
dc.subjectVATS.
dc.titleComparative efficacy of erector spinae plane block versus surgeon-performed intraoperative intercostal nerve block in video-assisted thoracoscopic surgery: a retrospective analysis
dc.typeArticle

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