Comparison of Postoperative Analgesia in Thoracotomy Patients by Thoracic Epidural versus Paravertebral Block with Ropivacaine and Clonidine
نویسندگان
چکیده
Methods: 34 adult patients 20 to 60 years of age, ASA status of I & II undergoing elective lateral and posterolateral thoracotomy were included in this study. Exclusion criteria were, patients with any systemic comorbidity and any contraindication to regional anesthesia. Patients were allocated into two groups by computer generated randomisation chart: Group 1 received thoracic epidural analgesia and group 2 received paravertebral analgesia. Parameters recorded were postoperative analgesia by visual analogue scale (VAS) at rest, during deep breathing and during coughing, total rescue analgesic requirement, pH and PaCO2, capillary blood glucose, intraoperative heart rate and blood pressure, extubation time, ICU stay, total hospital stay phenylephrine requirement and incidence of complications.
منابع مشابه
A prospective study of analgesic quality after a thoracotomy: paravertebral block with ropivacaine before and after rib spreading.
OBJECTIVE Paravertebral block (PVB) is an effective alternative to epidural analgesia in the management of post-thoracotomy pain. Rib spreading (RS) is an important noxious stimulus considered a major cause of post-thoracotomy pain. Our hypothesis was that a bolus of ropivacaine 0.2% through a paravertebral catheter (PVC) inserted before RS could decrease pain during the first 72 postoperative ...
متن کاملContinuous paravertebral block using a thoracoscopic catheter-insertion technique for postoperative pain after thoracotomy: a retrospective case-control study
BACKGROUND Thoracic epidural analgesia (EDA) is the gold standard for pain control after thoracotomy. However, because of its severe side effects, it is contraindicated in patients taking anticoagulant or antiplatelet drugs. In addition, some patients' anatomy can make epidural catheter insertion challenging. We therefore investigated the safety and efficacy of paravertebral block (PVB) using a...
متن کامل[Clinical evaluation of clonidine associated to ropivacaine for epidural anesthesia.].
BACKGROUND AND OBJECTIVES Clinical effects and the potential synergism between clonidine, an alpha2-adrenergic agonist, and ropivacaine have not been studied in patients undergoing epidural anesthesia. This research aimed at clinically evaluating clonidine associated to ropivacaine for epidural anesthesia. METHODS Participated in this double-blind study 60 patients of both genders who were di...
متن کاملComparison between Epidural Ropivacaine versus Ropivacaine with Clonidine in Patients Undergoing Abdominal Hysterectomy: A Randomized Study
CONTEXT Regional anesthesia has emerged as one of the preferred and convenient modes for intra- and post-operative management owing to its advantage of not interfering with the metabolic functions, better tolerability, and decrease in reflex activity. In recent years, ropivacaine has increasingly replaced bupivacaine as a preferred local anesthetic because of its similar analgesic properties, l...
متن کاملA systematic review of randomized trials evaluating regional techniques for postthoracotomy analgesia.
BACKGROUND Thoracotomy induces severe postoperative pain and impairment of pulmonary function, and therefore regional analgesia has been intensively studied in this procedure. Thoracic epidural analgesia is commonly considered the "gold standard" in this setting; however, evaluation of the evidence is needed to assess the comparative benefits of alternative techniques, guide clinical practice a...
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