Ultrasound guided Thoracic Paravertebral block for postoperative analgesia after thoracotomy, single level or multiple levels, does it matter?
نویسندگان
چکیده
Adequate postoperative pain control may help to minimize pulmonary complications by enabling earlier ambulation and improving the patient’s ability take deep breaths. Thoracic para...
منابع مشابه
Report of a case of ultrasound guided continuous thoracic paravertebral block for post thoracotomy analgesia in a child.
A six year old female child, weighing 13 kg was posted for patent ductus arteriosus ligation by a left lateral thoracotomy approach. The planned anesthetic was general anesthesia and placement of a continuous paravertebral block at the end of surgery for post operative analgesia. The patient was induced with propofol 30 mg i.v, fentanyl citrate 25 μg i.v and atracurium 7 mg i.v to facilitate en...
متن کاملSingle-injection thoracic paravertebral block and postoperative analgesia after mastectomy: a retrospective cohort study.
BACKGROUND The treatment of postoperative pain after mastectomy is an area of increasing interest, as this treatment option is now considered a standard of care for those affected by breast cancer. Thoracic paravertebral nerve block (tPVB) using local anesthetics administered before mastectomy can theoretically provide postoperative analgesia, thereby facilitating a more comfortable and shorter...
متن کاملThoracic paravertebral block after thoracotomy: comparison of three different approaches.
BACKGROUND Thoracic paravertebral block (TPVB) is a regional block technique increasingly used for the early management of post-thoracotomy pain. We compare three different postoperative analgesic approaches based on TPVB: anesthetist, anesthetist plus surgeon, and surgeon. MATERIALS AND METHODS We randomized 54 patients undergoing elective thoracotomy to three different postoperative analges...
متن کاملSingle Level Thoracic Paravertebral Block for Analgesia in Modified Radical Mastectomy in a Comorbid Female
We report a case of 50 years old female diagnosed with carci noma of breast posted for modified radical mastectomy (MRM). Her comorbidities included diabetes mellitus (DM), hypertension, ischemic heart disease (IHD) and chronic obstructive pulmonary disease (COPD). She was also anxious about postoperative analgesia. The surgery was successfully completed under general anesthesia (GA) with sing...
متن کاملParavertebral block versus thoracic epidural for patients undergoing thoracotomy.
BACKGROUND Operations on structures in the chest (usually the lungs) involve cutting between the ribs (thoracotomy). Severe post-thoracotomy pain can result from pleural (lung lining) and muscular damage, costovertebral joint (ribcage) disruption and intercostal nerve (nerves that run along the ribs) damage during surgery. Poor pain relief after surgery can impede recovery and increase the risk...
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ژورنال
عنوان ژورنال: Egyptian Journal of Anaesthesia
سال: 2021
ISSN: ['1110-1849', '1687-1804']
DOI: https://doi.org/10.1080/11101849.2021.1925033