Pro's and con's of different blocks for postoperative analgesia after video-assisted thoracic surgery

M Ahmet Karakaya; Davud Yapici; Emre Sertac Bingül; Özlem Turhan; Mert Şentürk

doi:10.1097/ACO.0000000000001451

Pro's and con's of different blocks for postoperative analgesia after video-assisted thoracic surgery

Curr Opin Anaesthesiol. 2024 Dec 6. doi: 10.1097/ACO.0000000000001451. Online ahead of print.

Authors

M Ahmet Karakaya¹, Davud Yapici², Emre Sertac Bingül³, Özlem Turhan³, Mert Şentürk⁴

Affiliations

¹ Acibadem Ataşehir Hospital, Ataşehir, Istanbul.
² Mersin University, Department of Anesthesiology and Reanimation, Mersin.
³ Istanbul University Istanbul Faculty of Medicine, Istanbul Universitesi.
⁴ Acibadem University, School of Medicine, Department of Anesthesiology and Reanimation, Istanbul, Turkey.

PMID: 39641279
DOI: 10.1097/ACO.0000000000001451

Abstract

Purpose of review: Although there are a lot of studies examining the effects of different blocks for postoperative analgesia after video-assisted thoracic surgery (VATS), the results are controversial.

Recent findings: Paravertebral block, serratus anterior plane block and erector spinae plane block appear to be effective and beneficial for post-VATS analgesia, but probably in different manners.

Summary: All three blocks can be suggested for daily practice, the choice should be based on personal experience and preference of the anesthetist. Better studies are required for objective decision.