1. Introduction
nerve block-related, postoperative pain, diaphragmatic diseases, lung tumors, pain, esophageal functional diseases, chronic obstructive emphysema, chest trauma, paravertebral pain
MEDIASTINUM DISEASE, ESOPHAGEAL TUMORS, THORACIC, LUNG TUMORS, TUBERCULOSIS, SECONDARY, CONGENITAL DISEASES, COMPLICATIONS
Thoracic surgery is specialized in the study of the chest organs and mainly refers to the lung, esophagus, and mediastinum diseases diagnosis and treatment, such as chest trauma, lung tumors, esophageal tumors, chronic obstructive emphysema, tuberculosis, esophageal functional diseases, diaphragmatic diseases, and congenital diseases of the chest. So many patients need to be treated with thoracic surgery in the world. Compared to thoracotomy, video-assisted thoracic surgery (VATS) has similar therapeutic effects with less invasion and relieves postoperative pain significantly, promoting rehabilitation [Hence, we conducted this double-blinded, randomized, controlled study to compare the analgesic efficacy of RIB with that of PVB in VATS as an analgesic supplement to general analgesia, taking the acute VAS score and postoperative consumption of pain rescue as the significant outcome, and the QoR15 score 48 h postoperatively, the usage of opioids during and after operation and nerve block-related, complications were the secondary outcomes. Demographic characteristics, surgery characteristics, and primary outcomes between the groups were compared. This study found that both PVB and RIB can provide adequate analgesia and accelerate the recovery of patients. Compared with PVB, RIB has a better analgesic effect and fewer complications, especially to avoid paravertebral pain caused by block.