Efficacy of Epidural Morphine and Paravertebral Catheter in Post Thoracotomy Pain

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منابع مشابه

A comparison of epidural and paravertebral catheterisation techniques in post-thoracotomy pain management.

BACKGROUND Thoracotomy is a surgical procedure associated with severe pain. Operative morbidity rates reduce by effective postoperative pain control. The aim of this study is to compare the effectiveness of the thoracic epidural blockade (TEB) and the paravertebral blockade (PVB) methods in relieving the pain caused by a thoracotomy incision. MATERIALS AND METHODS We studied 44 consecutive pa...

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Combined 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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Comparative study of continuous extrapleural intercostal nerve block and lumbar epidural morphine in post-thoracotomy pain.

OBJECTIVES To compare the efficacy of continuous extrapleural intercostal nerve block with bupivacaine 0.5% in 1:200,000 epinephrine and continuous lumbar epidural block with morphine in controlling post-thoracotomy pain and to measure serum bupivacaine concentrations during extrapleural infusion. DESIGN A prospective, randomized, controlled trial. SETTING St. Joseph's Hospital, Hamilton, O...

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Epidural morphine and post-operative pain relief.

Epidural morphine was compared with placebo in two randomly selected but similar groups of patients undergoing upper abdominal operations. There was no quantitative or qualitative difference in the analgesia obtained in the two groups of patients but there were significantly diminished long term requirements of intramuscular morphine in those who had been previously given epidural morphine when...

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Intrathecal sufentanil and morphine for post-thoracotomy pain relief.

In this double-blind randomized study we compared a group of 15 patients undergoing thoracotomy who received a spinal injection of sufentanil 20 microg combined with morphine (200 microg) after induction of general anaesthesia with a control group of the same size. Post-operative pain was rated on a visual analogue scale (VAS) and a verbal rating scale at rest and with a VAS on coughing. In the...

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ژورنال

عنوان ژورنال: Journal of Cardio-Vascular-Thoracic Anaesthesia and Intensive Care Society

سال: 2020

ISSN: 1305-5550

DOI: 10.5222/gkdad.2020.46362