Post-thoracotomy analgesia

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Effects of preemptive epidural analgesia on post-thoracotomy pain.

OBJECTIVE The purpose of this study was to determine whether preemptive thoracic epidural analgesia (TEA) initiated before surgical incision would reduce the severity of acute post-thoracotomy pain and the incidence of chronic post-thoracotomy pain. METHOD Meta-analysis of randomized controlled trials (RCTs). SEARCH STRATEGY MEDLINE, the Cochrane Central Register of Controlled Trials (CENTR...

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Post-thoracotomy analgesia--comparison epidural fentanyl to intravenous pethidine.

BACKGROUND AND METHODS To evaluate the efficacy of postthoracotomy analgesia with intermittent epidural fentanyl. 50 patients were allocated randomly into 2 groups. The first group received intermittent epidural fentanyl and the second group received intermittent intravenous analgesia using pethidine. The variables studied were: pain score; total amount of additional intravenous opioid analgesi...

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Post-thoracotomy pain relief with subpleural analgesia or thoracic epidural analgesia: randomized clinical trial.

CONTEXT AND OBJECTIVE Post-thoracotomy pain is a severe and intense pain caused by trauma to ribs, muscles and peripheral nerves. The current study aimed to compare subpleural analgesia (SPA) with thoracic epidural analgesia (TEA) in patients undergoing thoracotomy. DESIGN AND SETTING Randomized study at Ankara Numune Education and Research Hospital, in Turkey. METHODS Thirty patients prese...

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Post Thoracotomy Pain Syndrome

Post-thoracotomy pain is one of the most severe and long lasting complications after surgery (1-4) which acutely contributes to limit normal respiratory activity impairing the sputum clearance and reducing ventilatory function (5). Along with limb amputation, thoracotomy is the surgical procedure with the highest risk of severe and long lasting acute postoperative pain (6). Moreover, a chronic ...

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Post Thoracotomy Pain Management

Introduction The pathway of a pain impulse starts with the primary afferent nerve fibers (C and Aδ) whose axons end in the dorsal horn of the spinal cord. Nociceptive information is passed to the contralateral side of the spinal cord and, after synapsing, ascends in the anterolateral system as spinothalamic tracts. The primary areas of the brain that respond to pain stimuli are the somatosensor...

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ژورنال

عنوان ژورنال: Saudi Journal of Anaesthesia

سال: 2021

ISSN: 1658-354X

DOI: 10.4103/sja.sja_743_20