Continuous Right Thoracic Paravertebral Block Following Bolus Initiation Reduced Postoperative Pain After Right-Lobe Hepatectomy

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Continuous Right Thoracic Paravertebral Block Following Bolus Initiation Reduced Postoperative Pain After Right-Lobe Hepatectomy

BACKGROUND AND OBJECTIVES We hypothesized that continuous right thoracic paravertebral block, following bolus initiation, decreases opioid consumption after right-lobe hepatectomy in patients receiving patient-controlled intravenous analgesia with sufentanil. METHODS Patients undergoing right-lobe hepatectomy with a right thoracic paravertebral catheter placed at T7 30 minutes before surgery ...

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Opioid saving strategy: bilateral single-site thoracic paravertebral block in right lobe donor hepatectomy.

BACKGROUND AND OBJECTIVES Postoperative analgesia after hepatectomy remains a challenge, mainly because of limited therapeutic index of the conventional opioids. The aim of this study is to evaluate the efficacy of bilateral single-site thoracic paravertebral block for the management of postoperative pain following right lobe donor hepatectomy (RLDH) using a prospective, randomized and controll...

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Total Spinal Block after Thoracic Paravertebral Block.

Thoracic paravertebral block (TPVB) can be performed with or without general anaesthesia for various surgical procedures. TPVB is a popular anaesthetic technique due to its low side effect profile and high analgesic potency. We used 20 mL of 0.5% levobupivacaine for a single injection of unilateral TPVB at the T7 level with neurostimulator in a 63 year old patient with co-morbid disease who und...

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Thoracic paravertebral block reduced the incidence of chronic postoperative pain for more than 1 year after breast cancer surgery

Background Thoracic paravertebral block (TPVB) is used to reduce pain after breast cancer surgery (BCS), but the pain-reduction effects more than 1 year after surgery are unclear. Findings Fifty-one patients underwent BCS at the Niigata City General Hospital from December 2009 through March 2010. To evaluate the long-term effects of TPVB in the reduction of chronic pain after BCS, we retrospe...

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The controversy over pre-emptive analgesia continues unabated, with studies both supporting and refuting its efficacy. Forty patients undergoing elective open cholecystectomy were randomized into two equal groups (20 patients each) to either pre-emptive thoracic bolus paravertebral block (PVB) with ropivacaine 0.5% (20 ml), before surgical incision (group I) or to receive the same block after t...

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ژورنال

عنوان ژورنال: Regional Anesthesia and Pain Medicine

سال: 2014

ISSN: 1098-7339

DOI: 10.1097/aap.0000000000000167