Continuous thoracic epidural block for surgery: gold standard or debased currency?
نویسندگان
چکیده
منابع مشابه
Can thoracic paravertebral block replace thoracic epidural block in pediatric cardiac surgery? A randomized blinded study.
To compare the outcomes of thoracic epidural block with thoracic paravertebral block for thoracotomy in pediatric patients. A prospective double-blind study. 60 pediatric patients aged 1-24 months, ASA II, III scheduled for thoracotomy were randomly allocated into two groups. After induction of general anesthesia, thoracic epidural catheter was inserted in group E (epidural) patients and thorac...
متن کاملThoracic epidural anesthesia for cardiac surgery
cardiac surgery has its roots in the groundbreaking work by Blomberg et al.1–4 Following this examination of the effect of TEA on patients with coronary artery disease, others including this author were enthused to apply these findings to patients undergoing cardiac surgery. Throughout the 90’s, additional work was done to document the role of TEA in cardiac surgery. The major impediment to bro...
متن کاملMultilevel continuous intercostal nerve block catheter: a viable alternative to thoracic epidural for multiple rib fractures?
In Reply: Drs. Slater and Lerner have reemphasized a critical point in our published case scenario1: Standard coagulation tests are inadequate in assessing adequacy of platelet function for epidural catheterization. Therefore, we recommended in our algorithm presented in figure 4 of our original report1 to use whole blood multiple electrode impedance aggregometry (Multiplate®; Roche Diagnostics...
متن کاملIn patients undergoing thoracic surgery is paravertebral block as effective as epidural analgesia for pain management?
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was: in patients undergoing thoracic surgery is paravertebral block (PVB) as effective as epidural analgesia for pain management? Altogether >184 papers were found using the reported search, seven of which represented the best evidence to answer the clinical question. All studies agre...
متن کاملA comparison of thoracic or lumbar patient-controlled epidural analgesia methods after thoracic surgery
BACKGROUND We aimed to compare patient-controlled thoracic or lumbar epidural analgesia methods after thoracotomy operations. METHODS One hundred and twenty patients were prospectively randomized to receive either thoracic epidural analgesia (TEA group) or lumbar epidural analgesia (LEA group). In both groups, epidural catheters were administered. Hemodynamic measurements, visual analog scale...
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ژورنال
عنوان ژورنال: British Journal of Anaesthesia
سال: 2012
ISSN: 0007-0912
DOI: 10.1093/bja/aes177