Place of the paravertebral block in post-operative analgesia in thoracic surgery

The thoracic epidural analgesia (TEA) remains the standard gold for analgesic support in surgery, there is an interesting alternative to analgesia, which paravertebral block (PVB). aim our study was assess value of performing a PVB management postoperative pain surgery compared TEA. Methods: 80 patients were randomized receive either (n = 38, 10 cc bupivacaine 0.5% + ϒ Sufentanyl then Bupivacain 0.1% via PCA device) or loss resistance technique 40, device). All received general anesthesia. peri-operative parameters studied include measurement, EVA scale at rest and mobilization, use morphinics. Results: significant difference between two groups incidents puncture significantly more important APDT group. assessment by did not show TEA Conclusion: comparison TPDA find efficacy side effects. BPV could be proposed as first intention surgery.