Management of Post-Thoracoscopy Pain: Should Erector Spinae Plane Block Be the Optimal Choice?

J Cardiothorac Vasc Anesth

Department of Thoracic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. Electronic address:

Published: December 2023

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http://dx.doi.org/10.1053/j.jvca.2023.08.150DOI Listing

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Background: The serratus anterior muscle, located in the lateral aspect of the thorax, plays a crucial role in shoulder movement and stability. Thoracoscopic surgery, while minimally invasive, often results in significant postoperative pain, complicating patient recovery and potentially extending hospital stays. Traditional anesthesia methods may not adequately address this pain, leading to increased complications such as agitation due to inadequate pain management.

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Management of Post-Thoracoscopy Pain: Should Erector Spinae Plane Block Be the Optimal Choice?

J Cardiothorac Vasc Anesth

December 2023

Department of Thoracic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. Electronic address:

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Department of Anesthesiology and Critical Care, General Intensive Care Unit, Soroka Medical Center, Faculty of Health Science, Ben-Gurion University of the Negev, Beer Sheva, Israel.

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Patients And Methods: In this retrospective observational study, we analyzed data from a questionnaire survey.

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Video-thoracoscopy was used to evaluate and manage patients after thoracic trauma. It was used in 29 patients. Indications included retained hemothorax in 16 patients, empyema in 11, evaluation for the source of thoracic bleeding in 1, and an airleak in 1.

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