Skip to main content

Main menu

  • Home
  • Content
    • Latest
    • Archive
    • home
  • Info for
    • Authors
    • Reviewers
    • Subscribers
    • Institutions
    • Advertisers
    • Join SMJ
  • About Us
    • About Us
    • Editorial Office
    • Editorial Board
  • More
    • Advertising
    • Alerts
    • Feedback
    • Folders
    • Help
  • Other Publications
    • NeuroSciences Journal

User menu

  • My alerts
  • Log in

Search

  • Advanced search
Saudi Medical Journal
  • Other Publications
    • NeuroSciences Journal
  • My alerts
  • Log in
Saudi Medical Journal

Advanced Search

  • Home
  • Content
    • Latest
    • Archive
    • home
  • Info for
    • Authors
    • Reviewers
    • Subscribers
    • Institutions
    • Advertisers
    • Join SMJ
  • About Us
    • About Us
    • Editorial Office
    • Editorial Board
  • More
    • Advertising
    • Alerts
    • Feedback
    • Folders
    • Help
  • Follow psmmc on Twitter
  • Visit psmmc on Facebook
  • RSS
Research ArticleOriginal Article
Open Access

A prospective double-blinded randomized control trial comparing erector spinae plane block to thoracic epidural analgesia for postoperative pain in video-assisted thoracic surgery

Jeong-Min Hong, Eunsoo Kim, Soeun Jeon, Dowon Lee, Jiseok Baik, Ah-Reum Cho, Jeong Su Cho and Hyo Yeong Ahn
Saudi Medical Journal February 2023, 44 (2) 155-163; DOI: https://doi.org/10.15537/smj.2023.44.2.20220644
Jeong-Min Hong
From the Department of Anesthesia and Pain Medicine (Hong, Kim, Jeon, Lee, Baik, A. R. Cho), School of Medicine, Pusan National University; from the Department of Anesthesia and Pain Medicine (Hong, Kim), Biomedical Research Institute, Pusan National University Hospital; from the Department of Thoracic and Cardiovascular Surgery (J. S. Cho, Ahn), Pusan National University Hospital, Busan; from the Department of Anesthesia and Pain Medicine (Jeon), School of Dentistry, Kyungpook National University, Daegu, Korea.
MD, PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Eunsoo Kim
From the Department of Anesthesia and Pain Medicine (Hong, Kim, Jeon, Lee, Baik, A. R. Cho), School of Medicine, Pusan National University; from the Department of Anesthesia and Pain Medicine (Hong, Kim), Biomedical Research Institute, Pusan National University Hospital; from the Department of Thoracic and Cardiovascular Surgery (J. S. Cho, Ahn), Pusan National University Hospital, Busan; from the Department of Anesthesia and Pain Medicine (Jeon), School of Dentistry, Kyungpook National University, Daegu, Korea.
MD, PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: [email protected]
Soeun Jeon
From the Department of Anesthesia and Pain Medicine (Hong, Kim, Jeon, Lee, Baik, A. R. Cho), School of Medicine, Pusan National University; from the Department of Anesthesia and Pain Medicine (Hong, Kim), Biomedical Research Institute, Pusan National University Hospital; from the Department of Thoracic and Cardiovascular Surgery (J. S. Cho, Ahn), Pusan National University Hospital, Busan; from the Department of Anesthesia and Pain Medicine (Jeon), School of Dentistry, Kyungpook National University, Daegu, Korea.
MD, PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Dowon Lee
From the Department of Anesthesia and Pain Medicine (Hong, Kim, Jeon, Lee, Baik, A. R. Cho), School of Medicine, Pusan National University; from the Department of Anesthesia and Pain Medicine (Hong, Kim), Biomedical Research Institute, Pusan National University Hospital; from the Department of Thoracic and Cardiovascular Surgery (J. S. Cho, Ahn), Pusan National University Hospital, Busan; from the Department of Anesthesia and Pain Medicine (Jeon), School of Dentistry, Kyungpook National University, Daegu, Korea.
MD, PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jiseok Baik
From the Department of Anesthesia and Pain Medicine (Hong, Kim, Jeon, Lee, Baik, A. R. Cho), School of Medicine, Pusan National University; from the Department of Anesthesia and Pain Medicine (Hong, Kim), Biomedical Research Institute, Pusan National University Hospital; from the Department of Thoracic and Cardiovascular Surgery (J. S. Cho, Ahn), Pusan National University Hospital, Busan; from the Department of Anesthesia and Pain Medicine (Jeon), School of Dentistry, Kyungpook National University, Daegu, Korea.
MD, PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ah-Reum Cho
From the Department of Anesthesia and Pain Medicine (Hong, Kim, Jeon, Lee, Baik, A. R. Cho), School of Medicine, Pusan National University; from the Department of Anesthesia and Pain Medicine (Hong, Kim), Biomedical Research Institute, Pusan National University Hospital; from the Department of Thoracic and Cardiovascular Surgery (J. S. Cho, Ahn), Pusan National University Hospital, Busan; from the Department of Anesthesia and Pain Medicine (Jeon), School of Dentistry, Kyungpook National University, Daegu, Korea.
MD, PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jeong Su Cho
From the Department of Anesthesia and Pain Medicine (Hong, Kim, Jeon, Lee, Baik, A. R. Cho), School of Medicine, Pusan National University; from the Department of Anesthesia and Pain Medicine (Hong, Kim), Biomedical Research Institute, Pusan National University Hospital; from the Department of Thoracic and Cardiovascular Surgery (J. S. Cho, Ahn), Pusan National University Hospital, Busan; from the Department of Anesthesia and Pain Medicine (Jeon), School of Dentistry, Kyungpook National University, Daegu, Korea.
MD, PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Hyo Yeong Ahn
From the Department of Anesthesia and Pain Medicine (Hong, Kim, Jeon, Lee, Baik, A. R. Cho), School of Medicine, Pusan National University; from the Department of Anesthesia and Pain Medicine (Hong, Kim), Biomedical Research Institute, Pusan National University Hospital; from the Department of Thoracic and Cardiovascular Surgery (J. S. Cho, Ahn), Pusan National University Hospital, Busan; from the Department of Anesthesia and Pain Medicine (Jeon), School of Dentistry, Kyungpook National University, Daegu, Korea.
MD, PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • eLetters
  • Info & Metrics
  • References
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Figure 1
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 1

    - The consolidated standard of reporting trial flow diagram of this study.

  • Figure 2
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 2

    - Postoperative pain score at rest and during coughing for 48 hours (h). Values are expressed as median with the first quartile (Q1) and third quartile (Q3). Two-way repeated-measures analysis of variance (RMANOVA) after aligned rank transformation was performed to analyze the interaction between time and group. The Mann–Whitney U (MWU) test with false discovery rate (FDR) correction was used to compare the 2 groups at each measuring point. Group E; continuous thoracic epidural analgesia (TEA) group, Group ES; continuous erector spinae plane (ESP) block group, NRS; numerical rating scale. *p<0.05

  • Figure 3
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 3

    - Non-inferiority test of postoperative pain score at rest and during coughing for 48 hour. Values are expressed as mean difference (95% confidence interval [95% CI]). Non-inferiority was determined when the upper boundary of the 95% CI was <1. Group E; continuous thoracic epidural analgesia (TEA) group, Group ES; continuous erector spinae plane (ESP) block group, NRS; numerical rating scale.

Tables

  • Figures
    • View popup
    Table 1

    - Demographic data and surgical characteristics of patients.

    DemographicsGroup E (n= 27)Group ES (n=27)P-value
    Gender (M/F)13 / 1415 / 120.785b
    ASA (I/II)2 / 250 / 270.471b
    Age, years64.3 ± 10.366.5 ± 7.00.367
    Height, cm161.8 ± 9.9161.7 ± 7.80.988
    Weight, kg64.5 ± 10.661.7 ± 8.60.288
    BMI, kg/m224.6 ± 2.723.6 ± 2.60.177
    Surgical characteristics   
    Anesthesia time, min208.3 ± 54.8211.9 ± 63.90.829
    Operation time, min15261 ± 47.0162.2 ± 59.50.512
    Propofol infusion, mg1415.0 (1185.0, 1661.0)1394.0 (1294.0, 1651.0)0.716a
    Remifentanil, µg726.8 (585.0, 1134.0)901.0 (642.0, 1095.0)0.341a
    Rocuronium, mg70.0 (60.0, 90.0)75.0 (65.0, 90.0)0.690a
    Surgeon (A/B)17 / 1020 / 70.558b
    Type of operation  0.706b
    Lobectomy1918 
    Segmentectomy21 
    Wedge resection47 
    Lobectomy + part of other lobes21 

    Normally distributed data were presented as mean ± standard deviation and analyzed using an independent t-test. Nonparametric data were presented as the median and interquartile range (Q1, Q3) analyzed using the Mann–Whitney U test (a). Categorical data were reported as absolute numbers and analyzed using the chi-square test (with Yates’ continuity correction for the 2 × 2 contingency table) or Fisher’s exact test (b).

      • View popup
      Table 2

      - Procedural time and dermatome spread of sensory block between groups.

      CharacteristicsGroup E (n=27)Group ES (n=27)P-value
      Procedural time (sec)145.0 (105.0, 170.0)130.0 (97.0, 140.0)0.139a
      Tip of catheter  1.000b
      T4109 
      T51314 
      T634 
      T710 
      Dermatome range of sensory 1 hr after loading dose5.0 (4.0, 6.0)4.0 (4.0, 5.0)0.016 a

      Continuous variables were presented as the median with interquartile range (Q1, Q3) and analyzed using the Mann–Whitney U test (a). Categorical data were reported as absolute numbers and analyzed using the Mantel–Haenszel trend‐test (b).

        • View popup
        Table 3

        - Use of analgesic drugs, adverse events, and patient satisfaction during the postoperative period.

        ParametersGroup E (n = 27)Group ES (n = 27)P-value
        Use of rescue drug (Yes/No)19 / 822 / 50.524b
        Time to first rescue drug injection, min55.0 (0, 150.0)25.0 (5.0, 90.0)0.417a
        Total morphine consumption (mg)3.0 (0, 4.5)6.0 (3.0, 9.0)0.047a
        Incidence of adverse events
        Total1560.045a
        Nausea750.852b
        Dizziness730.293b
        Hypotension200.471b
        Arrhythmia00 
        Syncope00 
        Satisfaction (5-point scale)
        Procedural (1/2/3/4/5)0/0/2/11/140/0/7/14/60.054b
        Postoperative pain (1/2/3/4/5)0/0/2/14/110/1/7/16/30.023b
        Adverse effect (1/2/3/4/5)0/2/3/8/140/3/3/12/90.569b

        Continuous variables were presented as median with interquartile range (Q1, Q3) and analyzed using the Mann–Whitney U test (a). Categorical data were reported as absolute numbers and analyzed using the chi-square test or Fisher’s exact test (b). Min: minimum

        PreviousNext
        Back to top

        In this issue

        Saudi Medical Journal: 44 (2)
        Saudi Medical Journal
        Vol. 44, Issue 2
        1 Feb 2023
        • Table of Contents
        • Cover (PDF)
        • Index by author
        Print
        Download PDF
        Email Article

        Thank you for your interest in spreading the word on Saudi Medical Journal.

        NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

        Enter multiple addresses on separate lines or separate them with commas.
        A prospective double-blinded randomized control trial comparing erector spinae plane block to thoracic epidural analgesia for postoperative pain in video-assisted thoracic surgery
        (Your Name) has sent you a message from Saudi Medical Journal
        (Your Name) thought you would like to see the Saudi Medical Journal web site.
        Citation Tools
        A prospective double-blinded randomized control trial comparing erector spinae plane block to thoracic epidural analgesia for postoperative pain in video-assisted thoracic surgery
        Jeong-Min Hong, Eunsoo Kim, Soeun Jeon, Dowon Lee, Jiseok Baik, Ah-Reum Cho, Jeong Su Cho, Hyo Yeong Ahn
        Saudi Medical Journal Feb 2023, 44 (2) 155-163; DOI: 10.15537/smj.2023.44.2.20220644

        Citation Manager Formats

        • BibTeX
        • Bookends
        • EasyBib
        • EndNote (tagged)
        • EndNote 8 (xml)
        • Medlars
        • Mendeley
        • Papers
        • RefWorks Tagged
        • Ref Manager
        • RIS
        • Zotero
        Share
        A prospective double-blinded randomized control trial comparing erector spinae plane block to thoracic epidural analgesia for postoperative pain in video-assisted thoracic surgery
        Jeong-Min Hong, Eunsoo Kim, Soeun Jeon, Dowon Lee, Jiseok Baik, Ah-Reum Cho, Jeong Su Cho, Hyo Yeong Ahn
        Saudi Medical Journal Feb 2023, 44 (2) 155-163; DOI: 10.15537/smj.2023.44.2.20220644
        Twitter logo Facebook logo Mendeley logo
        • Tweet Widget
        • Facebook Like
        • Google Plus One
        Bookmark this article

        Jump to section

        • Article
          • Abstract
          • Methods
          • Results
          • Discussion
          • Acknowledgment
          • Footnotes
          • References
        • Figures & Data
        • eLetters
        • References
        • Info & Metrics
        • PDF

        Related Articles

        • No related articles found.
        • PubMed
        • Google Scholar

        Cited By...

        • Continuous erector spinae plane block versus thoracic epidural analgesia in video-assisted thoracoscopic surgery: a prospective randomized open-label non-inferiority trial
        • Google Scholar

        More in this TOC Section

        • Longitudinal analysis of foodborne disease outbreaks in Saudi Arabia
        • Psychological stress and its association with bronchial asthma in Saudi Arabia
        • The factors affecting comfort and the comfort levels of patients hospitalized in the coronary intensive care unit
        Show more Original Article

        Similar Articles

        Keywords

        • epidural analgesia
        • erector spinae plane block
        • patient-controlled analgesia
        • morphine
        • multimodal analgesia
        • pain
        • postoperative
        • programmed intermittent bolus infusion
        • thoracic surgery
        • video-assisted

        CONTENT

        • home

        JOURNAL

        • home

        AUTHORS

        • home
        Saudi Medical Journal

        © 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

        Powered by HighWire