A prospective, randomized comparison of interpleural and paravertebral analgesia in thoracic surgery
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چکیده
منابع مشابه
A prospective, randomized comparison of interpleural and paravertebral analgesia in thoracic surgery.
We have undertaken a prospective, randomized comparison of the superficially similar techniques of interpleural and paravertebral (extrapleural) analgesia in 53 patients undergoing posterolateral thoracotomy. Local anaesthetic placed anterior to the superior costotransverse ligament and posterior to the parietal pleura produces a paravertebral block and instilled between the parietal and viscer...
متن کاملThoracic 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 کاملAnalgesia for thoracic surgery: the role of paravertebral block
An appropriate post operative analgesia after thoracotomies is mandatory to improve the patient's outcome, reduce complications rate, morbidity, hospital cost and length of stay. In this paper we review the evidences regarding the use of paravertebral block for thoracic surgery. In particular we examine the effect of paravertebral block compared to the other technique in four major issues: anal...
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Background: The aim of this study was to evaluate the effeciveness of postoperative analgesia of thoracic paravertebral nerve block in comparison to intrapleural analgesia after cancer breast surgery. Methods: The study was carried out on thirty patients subjected to cancer breast surgery . General anesthesia was fixed for all patients as follow: peroxygenation by 100% oxygen for at least 3 min...
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To the Editor: Interpleural regional analgesia for postoperative pain relief is simple, safe and effective. 1-2 Pneumothorax is the most common complication.l-3 Following an elective cholecystectomy in a 29-yr-old healthy human but before extubation of the trachea, the patient was turned to the left side, and an interpleural catheter was placed using the saline infusion technique. 4 General ana...
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ژورنال
عنوان ژورنال: British Journal of Anaesthesia
سال: 1995
ISSN: 0007-0912
DOI: 10.1093/bja/75.4.405