Comparison of epidural and single-shot paravertebral block analgesia after thoracotomy
نویسندگان
چکیده
منابع مشابه
Thoracic paravertebral block after thoracotomy: comparison of three different approaches.
BACKGROUND Thoracic paravertebral block (TPVB) is a regional block technique increasingly used for the early management of post-thoracotomy pain. We compare three different postoperative analgesic approaches based on TPVB: anesthetist, anesthetist plus surgeon, and surgeon. MATERIALS AND METHODS We randomized 54 patients undergoing elective thoracotomy to three different postoperative analges...
متن کامل[Comparison of intravenous and epidural morphine analgesia after thoracotomy.].
BACKGROUND AND OBJECTIVES Patients undergoing thoracotomy experience severe postoperative pain. This study aimed at evaluating postoperative analgesia with the association of intravenous and epidural morphine as compared to a single route. METHODS Participated in this study 20 patients of both genders, physical status ASA I, II or III, scheduled for thoracotomy. Patients were premedicated wit...
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...
متن کاملParavertebral block versus thoracic epidural for patients undergoing thoracotomy.
BACKGROUND Operations on structures in the chest (usually the lungs) involve cutting between the ribs (thoracotomy). Severe post-thoracotomy pain can result from pleural (lung lining) and muscular damage, costovertebral joint (ribcage) disruption and intercostal nerve (nerves that run along the ribs) damage during surgery. Poor pain relief after surgery can impede recovery and increase the risk...
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...
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ژورنال
عنوان ژورنال: Journal of Cardio-Vascular-Thoracic Anaesthesia and Intensive Care Society
سال: 2017
ISSN: 1305-5550
DOI: 10.5222/gkdad.2017.043