Continuous paravertebral block using a thoracoscopic catheter-insertion technique for postoperative pain after thoracotomy: a retrospective case-control study

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Continuous paravertebral block using a thoracoscopic catheter-insertion technique for postoperative pain after thoracotomy: a retrospective case-control study

BACKGROUND Thoracic epidural analgesia (EDA) is the gold standard for pain control after thoracotomy. However, because of its severe side effects, it is contraindicated in patients taking anticoagulant or antiplatelet drugs. In addition, some patients' anatomy can make epidural catheter insertion challenging. We therefore investigated the safety and efficacy of paravertebral block (PVB) using a...

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Single-injection thoracic paravertebral block for postoperative pain treatment after thoracoscopic surgery.

BACKGROUND Thoracoscopic surgery can be associated with considerable postoperative pain. While the benefits of paravertebral block on pain after thoracotomy have been demonstrated, no investigations on the effects of paravertebral block on pain after thoracoscopy have been conducted. We tested the hypothesis that a single-injection thoracic paravertebral block, performed preoperatively, reduces...

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Repetitive paravertebral nerve block using a catheter technique for pain relief in post-herpetic neuralgia.

We described in this report a case of post-herpetic neuralgia refractory to medical therapy that was successfully treated with repetitive injections of local aesthetic mixture (bupivacaine 0.5% 19 ml and clonidine 150 microg ml(-1) 1 ml) every 48 h for 3 weeks using a paravertebral catheter inserted at T2-T3 level.

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Continuous L2 ParavertebraL bLoCk for PostoPerative anaLgesia after DireCt anterior totaL HiP artHroPLasty: a Case series

Objective: the purpose of this case series was to assess the potential use of a continuous paravertebral block (Pvb) at the L2 nerve root level as a part of a multimodal regimen in patients undergoing direct anterior total hip arthroplasty (Da-tHa). Design: 20-patient case series. Setting: tertiary care hospital. Subjects: patients undergoing Da-tHa. Methods: We retrospectively analyzed 20 pati...

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The importance of pleural integrity for effective and safe thoracic paravertebral block: a retrospective comparative study on postoperative pain control by paravertebral block.

OBJECTIVES Recently, paravertebral block (PVB) has been reported to be an effective analgesic modality for post-thoracotomy pain, but there is no consensus on how thoracic PVB can be more effective. Our hypothesis that intact pleura has a significant impact on the analgesic effectiveness of thoracic PVB was evaluated. METHODS Data of patients who underwent general thoracic surgery [thoracotom...

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ژورنال

عنوان ژورنال: Journal of Cardiothoracic Surgery

سال: 2017

ISSN: 1749-8090

DOI: 10.1186/s13019-017-0566-8