Persistent Postsurgical Pain Following Thoracotomy: A Comparison of Thoracic Epidural and Paravertebral Blockade as Preventive Analgesia
نویسندگان
چکیده
منابع مشابه
Thoracic Epidural and Paravertebral Analgesia
Thoracotomies are among the most painful of surgical incisions. Postoperatively, the movement of the chest with each breath increases the pain, and patients often “splint” to the point of hypercapnea or hypoxia. Substantial analgesia is required to avoid postoperative respiratory complications, but heavy opioid use blunts the respiratory drive and may itself be associated with postoperative com...
متن کاملCombined paravertebral and intrathecal vs thoracic epidural analgesia for post-thoracotomy pain relief.
BACKGROUND Although thoracic epidural analgesia (TEA) is considered the gold standard for post-thoracotomy pain relief, thoracic paravertebral block (PVB) and intrathecal opioid (ITO) administration have also been shown to be efficacious. We hypothesized that the combination of PVB and ITO provides analgesia comparable with that of TEA. METHODS After local ethics committee approval, 84 consec...
متن کاملIn patients undergoing thoracic surgery is paravertebral block as effective as epidural analgesia for pain management?
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was: in patients undergoing thoracic surgery is paravertebral block (PVB) as effective as epidural analgesia for pain management? Altogether >184 papers were found using the reported search, seven of which represented the best evidence to answer the clinical question. All studies agre...
متن کامل[Comparison between continuous thoracic epidural and paravertebral blocks for postoperative analgesia in patients undergoing thoracotomy: meta-analysis of clinical trials].
The article entitled ‘‘Comparison between continuous thoracic epidural and paravertebral blocks for postoperative analgesia in patients undergoing thoracotomy: systematic review’’, recently published in the Journal Revista Brasileira de Anestesiologia, brings out the authors’ concern to show the anesthetic therapy effectiveness for treating postoperative pain in chest surgery. Reading the scien...
متن کاملComparison of Postoperative Analgesia in Thoracotomy Patients by Thoracic Epidural versus Paravertebral Block with Ropivacaine and Clonidine
Methods: 34 adult patients 20 to 60 years of age, ASA status of I & II undergoing elective lateral and posterolateral thoracotomy were included in this study. Exclusion criteria were, patients with any systemic comorbidity and any contraindication to regional anesthesia. Patients were allocated into two groups by computer generated randomisation chart: Group 1 received thoracic epidural analges...
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ژورنال
عنوان ژورنال: Pain Medicine
سال: 2019
ISSN: 1526-2375,1526-4637
DOI: 10.1093/pm/pny293