POSTOPERATIVE PARAVERTEBRAL BLOCKS FOR THORACIC SURGERY

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Postoperative paravertebral blocks for thoracic surgery.

Sir,—We were particularly interested in the findings of Drs Conacher and Kokin's radiological study of paravertebral block [1], but feel that this is potentially misleading. Our observations from a continuing series of 45 cases of paravertebral block contrast significantly with the findings in their small study. Using a modification of Moore's technique we have injected 0.75 % bupivacaine 5 ml,...

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Update on thoracic paravertebral blocks.

Thoracic paravertebral block was widely practised at the beginning of the 20th century. It has enjoyed a renaissance in the past decade. This form of afferent blockade is the technique of injecting local anaesthetic into the thoracic paravertebral space. Thoracic paravertebral analgesia is mostly indicated for unilateral surgical procedures of the thorax and abdomen. Compared to the other avail...

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Update on the role of paravertebral blocks for thoracic surgery: are they worth it?

PURPOSE OF REVIEW To consider optimal analgesic strategies for thoracic surgical patients. RECENT FINDINGS Recent studies have consistently suggested analgesic equivalence between paravertebral and thoracic epidural analgesia. Complications appear to be significantly less common with paravertebral analgesia. SUMMARY There is good evidence that paravertebral block can provide acceptable pain...

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Single-injection thoracic paravertebral block for postoperative pain treatment after thoracoscopic surgery.

BACKGROUND Thoracoscopic surgery can be associated with considerable postoperative pain. While the benefits of paravertebral block on pain after thoracotomy have been demonstrated, no investigations on the effects of paravertebral block on pain after thoracoscopy have been conducted. We tested the hypothesis that a single-injection thoracic paravertebral block, performed preoperatively, reduces...

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Underutilization of paravertebral block in thoracic surgery.

a t i AIN AFTER thoracotomy and thoracoscopic surgery can cause patient distress, impair respiratory function, and deay recovery.1,2 Epidural analgesia is generally regarded as a tandard of care for patients undergoing thoracotomy,1,3 but pidural block is probably not warranted for less invasive horacic surgery. Sometimes, however, the extent of surgery is nclear until histopathology results ar...

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 1988

ISSN: 0007-0912

DOI: 10.1093/bja/61.3.369