P-231EFFICACY OF PARAVERTEBRAL CONTINUOS INFUSION ANALGESIA IN PATIENTS UNDERGOING VIDEO-ASSISTED THORACOSCOPIC SURGERY: A PROSPECTIVE RANDOMIZED STUDY

Video-Assisted Thoracoscopic Surgery for Drainage of Dorsal Paravertebral Abscess

Tuberculosis of the spine is the second most common extrapulmonary presentation of the disease and is associated with significant morbidity. The drainage of the abscess may be needed in patients who fail to respond to medical treatment and present with a significant or deteriorating neurologic status. The dorsal spine gives a unique opportunity for decompression alone as it is supported by the ...

The efficacy of epidural analgesia after video-assisted thoracoscopic surgery: a randomized control study.

PURPOSE Video-assisted thoracoscopic surgery (VATS) is known to reduce the severity of pain after surgery. However, it has not yet been established whether epidural anesthesia/analgesia (EA) is necessary after VATS. We therefore conducted a randomized control study to examine whether or not EA is necessary for pain control after VATS. PATIENTS AND METHODS Forty-six patients undergoing VATS we...

Impact of continuous paravertebral blockade infusion type on pain management over time for video-assisted thoracoscopic surgery: a pilot study

Out-of-plane ultrasound-guided paravertebral blocks improve analgesic outcomes in patients undergoing video-assisted thoracoscopic surgery

PURPOSE Paravertebral blocks (PVBs) are a method of limiting postoperative pain for patients undergoing video-assisted thoracoscopic surgery (VATS). We began providing ultrasound-guided PVBs for patients undergoing VATS in the spring of 2011, using an out-of-plane approach. The aim of this study was to evaluate this practice change. METHODS Following institutional review board approval, we re...

Continuous Paravertebral Nerve Blockade for Postoperative Analgesia after Video-Assisted Thoracoscopic Surgery and Chemical Pleurodesis in Children-A Case Series

Video-assisted thoracoscopic surgery (VATS), apical blebectomy and chemical pleurodesis are often combined to prevent recurrence of spontaneous pneumothorax [1,2]. Postoperative pain arising from above procedures can be severe, leading to increased length of stay [2,3]. Effective analgesia in the immediate post-operative period is necessary for optimal recovery, and satisfactory postoperative p...