Comparing Continuous Erector Spinae Block and Thoracic Epidural Analgesia to Prevent Chronic Pain After Thoracic Surgery

What this Trial Is About

Post-thoracotomy pain syndrome PTPS is a common complication after thoracic surgery that can greatly affect patients quality of life, with an occurrence rate between 25% and 90%. This research aims to compare two pain relief methods, continuous erector spinae plane ESP block and thoracic epidural analgesia TEA, to see which is more effective in preventing PTPS. The study also evaluates postoperative pain levels, pain medication use, and potential complications from these anesthesia techniques. Participants undergo either the ESP block or the thoracic epidural analgesia before thoracic surgery as part of their pain management. The ESP block involves continuous administration of pain relief through a specific nerve block procedure, while TEA is the current standard involving epidural analgesia. This observational study compares outcomes between these two groups based on the anesthesia technique they receive. Throughout the study, patients are monitored for the development of PTPS three months after surgery. Researchers assess pain levels, how much pain medication participants use after surgery, and any complications related to the anesthesia methods. Participants are followed up to evaluate these outcomes, providing insights into which technique may better prevent chronic pain after thoracic surgery.

Continuous Erector Spinae Block Versus Thoracic Epidural Analgesia for the Prevention of Chronic Pain Following Thoracotomy: a Retrospective Study