{"id":"https://openalex.org/W7225791939","doi":"https://doi.org/10.1186/s12871-026-04398-3","title":"Evaluation of the efficacy of dexmedetomidine as an adjuvant to ropivacaine in single-injection erector spinae plane block on chronic postsurgical pain after video-assisted thoracoscopic surgery: a randomized, double-blind controlled trial","display_name":"Evaluation of the efficacy of dexmedetomidine as an adjuvant to ropivacaine in single-injection erector spinae plane block on chronic postsurgical pain after video-assisted thoracoscopic surgery: a randomized, double-blind controlled trial","publication_year":2026,"publication_date":"2026-11-11","ids":{"openalex":"https://openalex.org/W7225791939","doi":"https://doi.org/10.1186/s12871-026-04398-3"},"language":"en","primary_location":{"id":"doi:10.1186/s12871-026-04398-3","doi":"https://doi.org/10.1186/s12871-026-04398-3","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12871-026-04398-3","pdf_url":null,"source":{"id":"https://openalex.org/S197988427","display_name":"BMC Anesthesiology","issn_l":"1471-2253","issn":["1471-2253"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Anesthesiology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1186/s12871-026-04398-3","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5161448438","display_name":"Baochun Yang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I200296433","display_name":"Chinese Academy of Medical Sciences & Peking Union Medical College","ror":"https://ror.org/02drdmm93","country_code":"CN","type":"education","lineage":["https://openalex.org/I200296433"]},{"id":"https://openalex.org/I4210087153","display_name":"Fuwai Yunnan Cardiovascular Hospital","ror":"https://ror.org/000r80389","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210087153"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Baochun Yang","raw_affiliation_strings":["Department of Anesthesiology, 920th Hospital of Joint Logistics Support Force, Kunming, Yunnan, China","Department of Anesthesiology, Fuwai Yunnan Hospital Chinese Academy of Medical Science, Kunming, Yunnan, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, 920th Hospital of Joint Logistics Support Force, Kunming, Yunnan, China","institution_ids":[]},{"raw_affiliation_string":"Department of Anesthesiology, Fuwai Yunnan Hospital Chinese Academy of Medical Science, Kunming, Yunnan, China","institution_ids":["https://openalex.org/I200296433","https://openalex.org/I4210087153"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161493527","display_name":"Pan Hu","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Pan Hu","raw_affiliation_strings":["Department of Anesthesiology, 920th Hospital of Joint Logistics Support Force, Kunming, Yunnan, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, 920th Hospital of Joint Logistics Support Force, Kunming, Yunnan, China","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161457727","display_name":"Junjie Pu","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Junjie Pu","raw_affiliation_strings":["Department of Anesthesiology, 920th Hospital of Joint Logistics Support Force, Kunming, Yunnan, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, 920th Hospital of Joint Logistics Support Force, Kunming, Yunnan, China","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161421361","display_name":"Jiajia Xiang","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jiajia Xiang","raw_affiliation_strings":["Department of Anesthesiology, 920th Hospital of Joint Logistics Support Force, Kunming, Yunnan, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, 920th Hospital of Joint Logistics Support Force, Kunming, Yunnan, China","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161463704","display_name":"Mingyuan Liu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I26080491","display_name":"Kunming Medical University","ror":"https://ror.org/038c3w259","country_code":"CN","type":"education","lineage":["https://openalex.org/I26080491"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Mingyuan Liu","raw_affiliation_strings":["Department of Anesthesiology, 920th Hospital of Joint Logistics Support Force, Kunming, Yunnan, China","Kunming Medical University, Kunming, Yunnan, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, 920th Hospital of Joint Logistics Support Force, Kunming, Yunnan, China","institution_ids":[]},{"raw_affiliation_string":"Kunming Medical University, Kunming, Yunnan, China","institution_ids":["https://openalex.org/I26080491"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161449405","display_name":"Jiali Luo","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jiali Luo","raw_affiliation_strings":["Department of Anesthesiology, 920th Hospital of Joint Logistics Support Force, Kunming, Yunnan, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, 920th Hospital of Joint Logistics Support Force, Kunming, Yunnan, China","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161455117","display_name":"Ke Yang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I200296433","display_name":"Chinese Academy of Medical Sciences & Peking Union Medical College","ror":"https://ror.org/02drdmm93","country_code":"CN","type":"education","lineage":["https://openalex.org/I200296433"]},{"id":"https://openalex.org/I4210087153","display_name":"Fuwai Yunnan Cardiovascular Hospital","ror":"https://ror.org/000r80389","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210087153"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Ke Yang","raw_affiliation_strings":["Department of Anesthesiology, Fuwai Yunnan Hospital Chinese Academy of Medical Science, Kunming, Yunnan, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, Fuwai Yunnan Hospital Chinese Academy of Medical Science, Kunming, Yunnan, China","institution_ids":["https://openalex.org/I200296433","https://openalex.org/I4210087153"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5100368174","display_name":"Na Li","orcid":"https://orcid.org/0000-0002-9945-4189","observed_orcids":["https://orcid.org/0000-0002-9945-4189"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Na Li","raw_affiliation_strings":["Department of Anesthesiology, 920th Hospital of Joint Logistics Support Force, Kunming, Yunnan, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, 920th Hospital of Joint Logistics Support Force, Kunming, Yunnan, China","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5100368174","https://openalex.org/A5161455117"],"corresponding_institution_ids":["https://openalex.org/I200296433","https://openalex.org/I4210087153"],"apc_list":{"value":3190,"currency":"USD","value_usd":3190},"apc_paid":{"value":3190,"currency":"USD","value_usd":3190},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10189","display_name":"Anesthesia and Pain Management","score":0.9922000169754028,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10189","display_name":"Anesthesia and Pain Management","score":0.9922000169754028,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11840","display_name":"Pain Management and Treatment","score":0.0017000000225380063,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11199","display_name":"Pain Management and Opioid Use","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9645000100135803},{"id":"https://openalex.org/C2780269707","wikidata":"https://www.wikidata.org/wiki/Q279504","display_name":"Ropivacaine","level":2,"score":0.8970000147819519},{"id":"https://openalex.org/C2781302539","wikidata":"https://www.wikidata.org/wiki/Q412133","display_name":"Dexmedetomidine","level":3,"score":0.8518999814987183},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.7731999754905701},{"id":"https://openalex.org/C2780580376","wikidata":"https://www.wikidata.org/wiki/Q186889","display_name":"Nausea","level":2,"score":0.560699999332428},{"id":"https://openalex.org/C2777395641","wikidata":"https://www.wikidata.org/wiki/Q14517578","display_name":"Pacu","level":2,"score":0.5440000295639038},{"id":"https://openalex.org/C197934379","wikidata":"https://www.wikidata.org/wiki/Q2047938","display_name":"Adverse effect","level":2,"score":0.5110999941825867},{"id":"https://openalex.org/C31174226","wikidata":"https://www.wikidata.org/wiki/Q64855140","display_name":"Perioperative","level":2,"score":0.4884999990463257},{"id":"https://openalex.org/C2779526319","wikidata":"https://www.wikidata.org/wiki/Q615057","display_name":"Anesthesiology","level":2,"score":0.47839999198913574},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.46619999408721924},{"id":"https://openalex.org/C2777297131","wikidata":"https://www.wikidata.org/wiki/Q1658731","display_name":"Postoperative nausea and vomiting","level":3,"score":0.4375999867916107},{"id":"https://openalex.org/C2991975920","wikidata":"https://www.wikidata.org/wiki/Q621261","display_name":"Pain medicine","level":3,"score":0.43209999799728394},{"id":"https://openalex.org/C2777197265","wikidata":"https://www.wikidata.org/wiki/Q4379667","display_name":"Nerve block","level":2,"score":0.423799991607666},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.41670000553131104},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.3855000138282776},{"id":"https://openalex.org/C2780852908","wikidata":"https://www.wikidata.org/wiki/Q127076","display_name":"Vomiting","level":2,"score":0.3779999911785126},{"id":"https://openalex.org/C2776572635","wikidata":"https://www.wikidata.org/wiki/Q3272027","display_name":"Levobupivacaine","level":3,"score":0.2985999882221222},{"id":"https://openalex.org/C2777863537","wikidata":"https://www.wikidata.org/wiki/Q357896","display_name":"Adjuvant","level":2,"score":0.28679999709129333},{"id":"https://openalex.org/C2781063702","wikidata":"https://www.wikidata.org/wiki/Q427523","display_name":"Opioid","level":3,"score":0.28600001335144043},{"id":"https://openalex.org/C2781118164","wikidata":"https://www.wikidata.org/wiki/Q1088113","display_name":"Chronic pain","level":2,"score":0.28290000557899475},{"id":"https://openalex.org/C2781072394","wikidata":"https://www.wikidata.org/wiki/Q407541","display_name":"Fentanyl","level":2,"score":0.26420000195503235},{"id":"https://openalex.org/C2778211507","wikidata":"https://www.wikidata.org/wiki/Q4011425","display_name":"Video-assisted thoracoscopic surgery","level":2,"score":0.25780001282691956},{"id":"https://openalex.org/C2778866549","wikidata":"https://www.wikidata.org/wiki/Q1714245","display_name":"Postherpetic neuralgia","level":3,"score":0.25209999084472656}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1186/s12871-026-04398-3","doi":"https://doi.org/10.1186/s12871-026-04398-3","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12871-026-04398-3","pdf_url":null,"source":{"id":"https://openalex.org/S197988427","display_name":"BMC Anesthesiology","issn_l":"1471-2253","issn":["1471-2253"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Anesthesiology","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1186/s12871-026-04398-3","doi":"https://doi.org/10.1186/s12871-026-04398-3","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12871-026-04398-3","pdf_url":null,"source":{"id":"https://openalex.org/S197988427","display_name":"BMC Anesthesiology","issn_l":"1471-2253","issn":["1471-2253"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Anesthesiology","raw_type":"journal-article"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Chronic":[0],"postsurgical":[1],"pain":[2,140,298,321],"(CPSP)":[3],"remains":[4],"common":[5],"after":[6],"video-assisted":[7],"thoracoscopic":[8],"surgery":[9],"(VATS).":[10],"This":[11],"study":[12],"aimed":[13],"to":[14,24,65,212,220,350],"evaluate":[15],"whether":[16],"the":[17,37,94,114,144,151,158,176,192,202,232,244,254,269,272,357],"addition":[18],"of":[19,39,71,81,96,109,187,197,239,249,329,341,360],"dexmedetomidine":[20,85,349],"as":[21,102],"an":[22],"adjuvant":[23],"ropivacaine":[25,34,73,83,352],"in":[26,41,61,135,175,185,191,201,237,243,253,317],"erector":[27],"spinae":[28],"plane":[29],"block":[30],"(ESPB),":[31],"compared":[32],"with":[33,68,78,268,365,374,378],"alone,":[35],"reduces":[36],"incidence":[38,95,359],"CPSP":[40,97,182],"patients":[42,53,136,189,199,241,251,345],"undergoing":[43,346],"VATS.":[44],"In":[45,344],"this":[46],"single-center,":[47],"randomized,":[48],"double-blind":[49],"controlled":[50],"trial,":[51],"140":[52,159],"scheduled":[54],"for":[55],"elective":[56],"VATS":[57],"were":[58,173,315],"randomly":[59],"assigned":[60],"a":[62,103,295],"1:1":[63],"ratio":[64,215],"ultrasound-guided":[66],"ESPB":[67,353],"20":[69,79],"mL":[70,80],"0.375%":[72,82],"alone":[74],"(R":[75,163],"group)":[76],"or":[77,111,338],"plus":[84],"1":[86,110,289],"\u00b5g/kg":[87],"(RD":[88],"group).":[89],"The":[90],"primary":[91,177],"outcome":[92],"was":[93,231,363],"at":[98,113,141,280,301,370,381],"3":[99,142,180,302,382],"months,":[100,143,181],"defined":[101],"numeric":[104],"rating":[105],"scale":[106],"(NRS)":[107],"score":[108,300],"more":[112],"surgical":[115],"site.":[116],"Secondary":[117],"outcomes":[118,133],"included":[119,174],"acute":[120],"postoperative":[121,339],"NRS":[122,278,368],"scores,":[123,128,319,323,325],"Richmond":[124],"Agitation-Sedation":[125],"Scale":[126],"(RASS)":[127],"perioperative":[129],"opioid":[130,326],"consumption,":[131,327],"recovery-related":[132],"and,":[134],"who":[137],"reported":[138],"persistent":[139],"Douleur":[145],"Neuropathique":[146],"4":[147,238],"(DN4)":[148],"questionnaire":[149],"and":[150,195,229,247,294,373],"Brief":[152],"Pain":[153],"Inventory-Short":[154],"Form":[155],"(BPI-SF).":[156],"Of":[157],"randomized":[160],"patients,":[161],"121":[162],"group,":[164,169,271],"n":[165,170],"=":[166,171,226,260,292,310],"60":[167,188,240],"RD":[168,203,255,273],"61)":[172],"analysis.":[178],"At":[179],"had":[183,275],"occurred":[184],"11":[186],"(18.3%)":[190],"R":[193,245,270],"group":[194,204,246,256,274],"17":[196],"61":[198,250],"(27.8%)":[200],"(risk":[205],"difference":[206],"9.5%":[207],"points,":[208],"95%":[209,217],"CI":[210,218],"-5.4":[211],"24.5,":[213],"risk":[214],"1.52,":[216],"0.78":[219],"2.97,":[221],"two-sided":[222],"Fisher":[223],"exact":[224,258],"P":[225,259,291,309],"0.28).":[227],"Nausea":[228],"vomiting":[230],"only":[233],"adverse":[234,264],"event":[235],"recorded,":[236],"(6.7%)":[242],"8":[248],"(13.1%)":[252],"(Fisher":[257],"0.36).":[261],"No":[262,312],"serious":[263],"events":[265],"occurred.":[266],"Compared":[267],"lower":[276,296,366],"resting":[277,367],"scores":[279,369],"72":[281,371],"h":[282,372],"(median":[283],"[interquartile":[284],"range]":[285],"0":[286],"[0\u20131]":[287],"versus":[288,306],"[1\u20131]":[290],"0.018)":[293],"BPI-SF":[297,320],"interference":[299,377],"months":[303],"(2":[304],"[1\u20132]":[305],"2":[307],"[2\u20133]":[308],"0.003).":[311],"significant":[313],"differences":[314],"observed":[316],"DN4":[318],"severity":[322],"RASS":[324],"duration":[328],"chest":[330],"tube":[331],"drainage,":[332],"post-anaesthesia":[333],"care":[334],"unit":[335],"(PACU)":[336],"stay":[337],"length":[340],"hospital":[342],"stay.":[343],"VATS,":[347],"adding":[348],"single-injection":[351],"did":[354],"not":[355],"reduce":[356],"3-month":[358],"CPSP.":[361],"It":[362],"associated":[364],"reduced":[375],"pain-related":[376],"daily":[379],"functioning":[380],"months.":[383],"These":[384],"secondary":[385],"findings":[386],"are":[387],"exploratory.":[388],"Chinese":[389],"clinical":[390],"trial":[391],"registry,":[392],"ChiCTR2400083431":[393],"(registered":[394],"retrospectively":[395],"on":[396],"24":[397],"April":[398],"2024).":[399]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-11-12T00:00:00"}
