Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Video-assisted thoracoscopic surgery (VATS) is a minimally invasive technique that provides faster recovery after thoracic surgery. Techniques such as thoracic paravertebral block, Erector Spina Plane Expansion (ESP block) are accepted as loco-regional techniques for VATS. The quality of recovery after anesthesia (QoR) is an important information of the early health components of patients after surgery. QoR-15 offers a valid, reliable, sensitive and easy-to-use method for recovery after surgery. We aimed to investigate the relationship between QoR-15 score and postoperative pain temperature after Video-Assisted Thoracoscopic Surgery (VATS) ESP block and paravertebral spread.
Video-assisted thoracoscopic surgery (VATS) is a minimally invasive technique that provides faster recovery after thoracic surgery. Techniques such as thoracic paravertebral block, Erector Spina Plane Expansion (ESP block) are accepted as loco-regional techniques for VATS. Despite the improvement in invasiveness against thoracotomy treatment, postoperative pain after VATS was still moderate to severe. In order to accelerate the recovery of patients, a multimodal analgesic should be carefully planned and where it will be beneficial. The quality of recovery after anesthesia (QoR) is an important information of the early health components of patients after surgery. The performance of QoR-15 has been translated into Turkish and validation studies have been conducted on its products. QoR-15 offers a valid, reliable, sensitive and easy-to-use method for recovery after surgery. We aimed to investigate the relationship between QoR-15 score and postoperative pain temperature after Video-Assisted Thoracoscopic Surgery (VATS) ESP block and paravertebral spread.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ESPB Group | Active Comparator | Patients received ultrasound-guided erector spinae plane block at T4-T5 level |
|
| PVB Group | Active Comparator | Patients received ultrasound-guided paravertebral block at T5 level |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bupivacaine 0,25% | Drug | Erector spinae plane block: Administration of 30 mL of 0.25% bupivacaine at the T4-T5 level under ultrasound guidance |
|
| Measure | Description | Time Frame |
|---|---|---|
| Effect of ESP block and paravertebral block on QoR-15 Quality of Recovery in VATS surgery | To demonstrate the effect of ESP block and paravertebral block on patient recovery at 24 hours using the Quality of Recovery-15 (QoR-15) scale in patients undergoing Video-Assisted Thoracoscopic Surgery (VATS). The QoR-15 scale provides a score ranging from 0 to 150, with a high score indicating a good quality of recovery. | 24 hour |
| Measure | Description | Time Frame |
|---|---|---|
| Pain score with Numeric Rating Scale (NRS score), | The NRS is a one-dimensional scale using 11 numbers (0 to 10) to measure pain intensity. The patient is asked to choose the number that best reflects the pain intensity, with 0 = no pain and 10 = the worst (unbearable) pain. | 1 day |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Başakşehir Çam Ve Sakura Şehir Hastanesi | Şişli | Istanbul | 34480 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 42216128 | Derived | Adiyeke O, Berktas CK, Mendes E. Comparison of erector spinae plane block and paravertebral block on quality of recovery-15 after video-assisted thoracoscopic surgery: a prospective randomized study : Regional techniques and quality of recovery after thoracoscopic surgery. BMC Anesthesiol. 2026 May 29. doi: 10.1186/s12871-026-03939-0. Online ahead of print. |
Not provided
Not provided
Individual participant data (IPD) will not be shared.
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
Not provided
Not provided
Our patients who will be included in the study are volunteers who are over 18 years of age and have ASA 1-3 and undergo Video-Assisted Thoracoscopic Surgery (VATS) (excluding lobectomy and pneumonectomy) under elective conditions.
Demographic data will be in the form of ASA Score, body mass index (BMI), duration of anesthesia and operation, duration of hospital stay, complications, time until the first additional analgesic requirement, Numerical Rating Scale and Pain score (NRS score), preoperative and postoperative 24th hour QoR-15 survey score.
Not provided
Not provided
Patients were assigned to Group ESPB or Group PVB using a computer-generated randomization list to ensure unbiased allocation. Allocation concealment was maintained using sealed, opaque envelopes that were opened immediately before block performance by the anesthesiologist performing the procedure.
| Bupivacaine 0,375% | Drug | Paravertebral block: Administration of 20 mL of 0.375% bupivacaine at the T4-T5 level under ultrasound guidance |
|
|