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8/4/2025 12:11:47 PM | Browse: 8 | Download: 60
Publication Name World Journal of Methodology
Manuscript ID 105386
Country India
Received
2025-01-22 08:54
Peer-Review Started
2025-01-22 08:54
To Make the First Decision
Return for Revision
2025-04-14 03:24
Revised
2025-04-18 05:34
Second Decision
2025-06-13 02:50
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief
2025-06-13 06:37
Articles in Press
2025-06-13 06:37
Publication Fee Transferred
Edit the Manuscript by Language Editor
2025-06-14 10:24
Typeset the Manuscript
2025-07-07 10:20
Publish the Manuscript Online
2025-08-04 12:11
ISSN 2222-0682 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Copyright © The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
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Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Anesthesiology
Manuscript Type Observational Study
Article Title Analgesic efficacy of continuous ultrasound-guided unilateral erector-spinae block and thoracic epidural in patients undergoing antero-lateral thoracotomy
Manuscript Source Invited Manuscript
All Author List Anuj Jain, Ashutosh Kaushal, Harish Kumar, Sunaina T Karna, Zainab Ahmad and Saurabh Trivedi
ORCID
Author(s) ORCID Number
Anuj Jain http://orcid.org/0000-0002-2105-5524
Sunaina T Karna http://orcid.org/0000-0002-4200-5948
Saurabh Trivedi http://orcid.org/0000-0003-1997-6591
Funding Agency and Grant Number
Corresponding Author Saurabh Trivedi, Assistant Professor, Department of Trauma and Emergency Medicine, All India Institute of Medical Sciences, Saket Nagar, Bhopal 462024, Madhya Pradesh, India. drst23@gmail.com
Key Words Epidural analgesia; Erector spinae plane block; Opioid; Pain management; Postoperative pain; Thoracotomy; Ultrasonography
Core Tip his prospective study compares the analgesic efficacy of unilateral continuous erector spinae block (ESB) vs thoracic epidural analgesia (TEA) in patients undergoing thoracotomy, evaluating pain scores and perioperative hemodynamics. While rescue opioid requirements within 24 hours post-extubation were comparable between groups, resting numerical rating scale scores at 0 hour, 6 hours, and 72 hours were significantly higher in the ESB cohort. Hemodynamically, the ESB group maintained higher mean arterial pressures, whereas TEA was associated with greater hypotensive episodes, necessitating significantly more vasopressor support to sustain mean arterial pressures ≥ 65 mmHg at 0 hour and 6 hours. Although TEA demonstrates superior analgesia, its use is limited by increased hemodynamic instability, suggesting ESB as a viable alternative when cardiovascular compromise is a concern.
Publish Date 2025-08-04 12:11
Citation <p>Jain A, Kaushal A, Kumar H, Karna ST, Ahmad Z, Trivedi S. Analgesic efficacy of continuous ultrasound-guided unilateral erector-spinae block and thoracic epidural in patients undergoing antero-lateral thoracotomy. <i>World J Methodol</i> 2025; 15(4): 105386</p>
URL https://www.wjgnet.com/2222-0682/full/v15/i4/105386.htm
DOI https://dx.doi.org/10.5662/wjm.v15.i4.105386
Full Article (PDF) WJM-15-105386-with-cover.pdf
STROBE Statement 105386-STROBE-statement.pdf
Manuscript File 105386_Auto_Edited_071258.docx
Answering Reviewers 105386-answering-reviewers.pdf
Audio Core Tip 105386-audio.mp3
Biostatistics Review Certificate 105386-biostatistics-statement.pdf
Conflict-of-Interest Disclosure Form 105386-conflict-of-interest-statement.pdf
Copyright License Agreement 105386-copyright-assignment.pdf
Signed Informed Consent Form(s) or Document(s) 105386-informed-consent-statement.pdf
Institutional Review Board Approval Form or Document 105386-institutional-review-board-statement.pdf
Non-Native Speakers of English Editing Certificate 105386-non-native-speakers.pdf
Peer-review Report 105386-peer-reviews.pdf
Scientific Misconduct Check 105386-scientific-misconduct-check.png
Scientific Editor Work List 105386-scientific-editor-work-list.pdf
CrossCheck Report 105386-crosscheck-report.pdf