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ISSN: 1642-5758
Anaesthesiology Intensive Therapy
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2/2023
vol. 55
 
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abstract:
Original article

Erector spinae plane block, neuropathic pain and quality of life after video-assisted thoracoscopy surgery. Pilot, observational study

Lorena Díaz-Bohada
1
,
Juan C. Segura-Salguero
1
,
Juan D. Aristizabal-Mayor
1
,
Nelcy Miranda-Pineda
2
,
Ana H. Perea-Bello
1
,
Marcin Wąsowicz
3

  1. Department of Anesthesiology, Hospital Universitario San Ignacio, Bogotá, Colombia
  2. Education Faculty, Fundación Universitaria Navarra – Uninavarra, Neiva, Colombia
  3. Department of Anesthesia and Pain Management, University Health Network, Toronto, ON, Canada
Anaesthesiol Intensive Ther 2023; 55, 2: 87–92
DOI: https://doi.org/10.5114/ait.2023.128643
Online publish date: 2023/06/21
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Background:
The erector spinae plane block (ESPB) is a valuable alternative for pain management after video-assisted thoracoscopy surgery (VATS). The incidence of postoperative chronic neuropathic pain (CNP) is high while the quality of life (QoL) after VATS remains unknown. We hypothesised that patients with ESPB would have a low incidence of acute and CNP and would report a good QoL up to three months after VATS.

Methods:
We conducted a single-centre prospective pilot cohort study from January to April 2020. ESPB after VATS was the standard practice. The primary outcome was the incidence of CNP three months postoperatively. Secondary outcomes included QoL assessed by the EuroQoL questionnaire three months after surgery and pain control at the Post-Anaesthesia Care Unit (PACU), 12 and 24 hours postoperatively.

Results:
We conducted a single-centre prospective pilot cohort study from January to April 2020. ESPB after VATS was the standard practice. The primary outcome was the incidence of CNP three months postoperatively. Secondary outcomes included QoL assessed by the EuroQoL questionnaire three months after surgery and pain control at the Post-Anaesthesia Care Unit (PACU), 12 and 24 hours postoperatively.

Conclusions:
We conducted a single-centre prospective pilot cohort study from January to April 2020. ESPB after VATS was the standard practice. The primary outcome was the incidence of CNP three months postoperatively. Secondary outcomes included QoL assessed by the EuroQoL questionnaire three months after surgery and pain control at the Post-Anaesthesia Care Unit (PACU), 12 and 24 hours postoperatively.

keywords:

quality of life, postoperative pain, neuropathic pain, video-assisted thoracoscopic surgery (VATS), erector spinae plane block, regional anaesthesia
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