Comparison of thoracic epidural analgesia and thoracic paravertebral block in pain management after thoracotomy
نویسندگان
چکیده
Aim: Thoracotomy is among the most painful surgical incisions and causes severe acute pain in postoperative period. Many analgesic methods have been suggested for thoracotomy treatment. Thoracic epidural analgesia (TEA) thoracic paravertebral block (TPVB) are common regional post-thoracotomy pain. In this study, we aimed to compare efficacy side effects of TEA TPVB applied analgesia.
 Material Method: After ethical committee approval, retrospectively analyzed records patients, who underwent thoracotomy, received or between 01.01.2019 01.01.2021. Visual analog scale (VAS) scores patients treatment 24 hours postoperatively after application were evaluated.
 Results: Data 474 found eligible analysis. Demographic data VAS scores, patient satisfaction, additional requirements not statistically significant groups (p>0.05). Nausea-vomiting, hypotension, headache, itching, sweating was significantly higher group when compared (p
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...
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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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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...
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ژورنال
عنوان ژورنال: Anatolian Current Medical Journal
سال: 2022
ISSN: ['2718-0115']
DOI: https://doi.org/10.38053/acmj.1034690