PMID- 36820964
OWN - NLM
STAT- MEDLINE
DCOM- 20230623
LR  - 20230623
IS  - 2038-3312 (Electronic)
IS  - 2038-131X (Linking)
VI  - 75
IP  - 4
DP  - 2023 Jun
TI  - Erector spine plane block as single loco-regional anesthesia in non-intubated 
      video-assisted thoracic surgery for unfit patients: a case-match study.
PG  - 1019-1026
LID - 10.1007/s13304-023-01464-0 [doi]
AB  - In the present study, we analyzed the safety and efficacy of non-intubated 
      video-assisted thoracoscopy (NI-VATS) for the diagnosis and palliation of 
      malignant pleural effusion in the elderly population using erector-spinae plane 
      block (ESPB) as single loco-regional anesthesia. From January 2016 to December 
      2020 a consecutive series of 158 patients who underwent surgery for malignant 
      pleural effusion was analyzed. Of these, 20 patients were operated using ESPB 
      NI-VATS, while 138 were operated under general anesthesia (GA). After propensity 
      score matching, the NI-VATS population was older (81 vs. 76 years p 0.006), and 
      had more severe pre-existing comorbidities, evaluated using Charlson Comorbidity 
      Index (p = 0.029) and ASA score (p < 0.001). GA and NI-VATS patients did not 
      differ in terms of postoperative opioid consumption, complication rate and 
      postoperative hospitalization. Both short- and long-term efficacy of talc 
      poudrage was equal in the two populations. The overall length of stay in the 
      operative room was significantly shorter for the NI-VATS than for the GA-VATS 
      group (67.5 vs. 105 min, p < 0.001), and operative time significantly differed in 
      the two groups (35 vs. 47.5 min, respectively, p < 0.001). ESPB NI-VATS can be a 
      safe and effective option for the diagnosis and palliation of malignant pleural 
      effusion for elderly and frail patients.
CI  - (c) 2023. Italian Society of Surgery (SIC).
FAU - Bellini, Roberto
AU  - Bellini R
AD  - General Surgery Unit, ASST-Brianza, Vimercate Hospital, Via Santi Cosma e 
      Damiano, 10, 20871, Vimercate, Italy.
FAU - Salandini, Maria Chiara
AU  - Salandini MC
AUID- ORCID: 0000-0001-9462-3871
AD  - General Surgery Unit, ASST-Brianza, Vimercate Hospital, Via Santi Cosma e 
      Damiano, 10, 20871, Vimercate, Italy. mariachiara.salandini@asst-brianza.it.
FAU - Granieri, Stefano
AU  - Granieri S
AUID- ORCID: 0000-0001-9167-3400
AD  - General Surgery Unit, ASST-Brianza, Vimercate Hospital, Via Santi Cosma e 
      Damiano, 10, 20871, Vimercate, Italy.
FAU - Chierici, Andrea
AU  - Chierici A
AUID- ORCID: 0000-0003-1475-4500
AD  - Service de Chirurgie Digestive, Centre Hospitalier d'Antibes Juan-Les-Pins, 107, 
      av. de Nice, 06600, Antibes, France.
FAU - Passaretta, Rita
AU  - Passaretta R
AD  - Anesthesia and Resuscitation Unit, ASST-Brianza, Vimercate Hospital, Via Santi 
      Cosma e Damiano, 10, 20871, Vimercate, Italy.
FAU - Cotsoglou, Christian
AU  - Cotsoglou C
AUID- ORCID: 0000-0002-6348-0027
AD  - General Surgery Unit, ASST-Brianza, Vimercate Hospital, Via Santi Cosma e 
      Damiano, 10, 20871, Vimercate, Italy.
LA  - eng
PT  - Journal Article
DEP - 20230223
PL  - Italy
TA  - Updates Surg
JT  - Updates in surgery
JID - 101539818
SB  - IM
MH  - Humans
MH  - Aged
MH  - Thoracic Surgery, Video-Assisted
MH  - *Pleural Effusion, Malignant/surgery
MH  - *Anesthesia, Conduction
MH  - Propensity Score
MH  - Hospitalization
MH  - Pain, Postoperative
OTO - NOTNLM
OT  - Elderly patients
OT  - Erector-spinae plane block
OT  - Loco-regional anesthesia
OT  - Non-intubated VATS
EDAT- 2023/02/24 06:00
MHDA- 2023/06/23 06:42
CRDT- 2023/02/23 11:27
PHST- 2022/11/10 00:00 [received]
PHST- 2023/02/10 00:00 [accepted]
PHST- 2023/06/23 06:42 [medline]
PHST- 2023/02/24 06:00 [pubmed]
PHST- 2023/02/23 11:27 [entrez]
AID - 10.1007/s13304-023-01464-0 [pii]
AID - 10.1007/s13304-023-01464-0 [doi]
PST - ppublish
SO  - Updates Surg. 2023 Jun;75(4):1019-1026. doi: 10.1007/s13304-023-01464-0. Epub 
      2023 Feb 23.