ReviewPerioperative medicine (London, England)2025
The impact of ultrasound-guided thoracic paravertebral nerve block on the quality of recovery after video-assisted thoracoscopic surgery: a meta-analysis of randomized controlled trials.
Review in Perioperative medicine (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
4 citing papers in PubMed.
- Thoracic paravertebral block with different doses of liposomal bupivacaine versus ropivacaine for postoperative analgesia in single-port thoracoscopic lung surgery: a randomized clinical trial.Annals of medicine · 2026Trial
- Trial
- Intraoperative management and postoperative outcomes of patients with high body mass index undergoing tubeless anesthesia for non-intubated uniportal video-assisted thoracoscopic surgery: a single-center retrospective propensity score matching study.Journal of thoracic disease · 2026Article
- Esketamine as an Adjuvant to Levobupivacaine in Thoracic Paravertebral Block for Thoracoscopic Lung Cancer Surgery: A Retrospective Propensity Score-Matched Cohort Study.Journal of pain research · 2026Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe ultrasound-guided thoracic paravertebral nerve block (TPVB) is widely used in video-assisted thoracoscopic surgery (VATS). However, the impact of ultrasound-guided TPVB on the postoperative quality of recovery (QoR) remains unclear in patients undergoing VATS. The objective of this systematic review and meta-analysis was to explore the impact of ultrasound-guided TPVB on postoperative QoR score after VATS in comparison to the control group without receiving either TPVB or other blocks.
methodsThe Cochrane Library, Embase, PubMed, Web of Science, CNKI, WanFang, and CBM databases were searched for randomized controlled trials (RCTs) that evaluated the impact of ultrasound-guided TPVB versus no TPVB or other blocks on postoperative QoR after VATS from inception to January 2025. Two independent researchers carried out the screening of records, the inclusion of full-text studies, and the extraction of data. The outcomes were evaluated using random-effects or fixed-effects meta-analyses.
resultsSeven articles involving 890 participants published from 2016 to 2022 were identified. Our results indicated that ultrasound-guided TPVB could enhance postoperative QoR score (MD = 10.48, 95% CI [5.33 to 15.64]), decrease VAS score (MD = - 1.57, 95% CI [- 2.30 to - 0.85]), diminish the incidence of PONV (OR = 0.20, 95% CI [0.08 to 0.51]), shorten the time to extubation (MD = - 8.71, 95% CI [- 15.47 to - 1.94]), and the duration of hospitalization (MD = - 0.92, 95% CI [- 1.72 to - 0.11]) after VATS.
conclusionsThis meta-analysis revealed that ultrasound-guided TPVB might improve the quality of recovery after VATS. Our results also showed that ultrasound-guided TPVB could reduce postoperative pain, incidence of PONV, extubation time, and the length of hospital stay.
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