Post-thoracotomy epidural vs paravertebral analgesia
نویسندگان
چکیده
منابع مشابه
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...
متن کاملThoracic Epidural and Paravertebral Analgesia
Thoracotomies are among the most painful of surgical incisions. Postoperatively, the movement of the chest with each breath increases the pain, and patients often “splint” to the point of hypercapnea or hypoxia. Substantial analgesia is required to avoid postoperative respiratory complications, but heavy opioid use blunts the respiratory drive and may itself be associated with postoperative com...
متن کاملPost-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...
متن کاملEffects 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...
متن کاملPost-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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ژورنال
عنوان ژورنال: British Journal of Anaesthesia
سال: 2000
ISSN: 0007-0912
DOI: 10.1093/oxfordjournals.bja.a013420