Impact of continuous paravertebral blockade infusion type on pain management over time for video-assisted thoracoscopic surgery: a pilot study
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Continuous Paravertebral Nerve Blockade for Postoperative Analgesia after Video-Assisted Thoracoscopic Surgery and Chemical Pleurodesis in Children-A Case Series
Video-assisted thoracoscopic surgery (VATS), apical blebectomy and chemical pleurodesis are often combined to prevent recurrence of spontaneous pneumothorax [1,2]. Postoperative pain arising from above procedures can be severe, leading to increased length of stay [2,3]. Effective analgesia in the immediate post-operative period is necessary for optimal recovery, and satisfactory postoperative p...
متن کاملComparison of continuous epidural block and continuous paravertebral block in postoperative analgaesia after video-assisted thoracoscopic surgery lobectomy: a randomised, non-inferiority trial.
BACKGROUND Video-assisted (VATS) lung lobectomy can be associated with stronger postoperative pain than is commonly believed. It is generally accepted to introduce multimodal analgaesic strategies based on regional blockade, opioids and non-steroidal anti-inflammatory drugs. However, there is still no consensus regarding the optimal regional technique. The aim of this study was to compare the a...
متن کاملEfficacy of single-dose, multilevel paravertebral nerve blockade for analgesia after thoracoscopic procedures.
BACKGROUND Although video-assisted thoracoscopic surgery for pulmonary resection is increasingly chosen over thoracotomy, the optimal analgesia regimen for thoracoscopy is unknown. The purpose of this trial was to compare the efficacy of analgesia from preoperative bupivacaine paravertebral nerve blockade with that from placebo injections. METHODS Eighty adult patients undergoing unilateral t...
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Introduction: Chronic pancreatitis is defined as a persistent pancreatic inflammatory disease. In chronic pancreatitis, recurrent episodes of inflammation lead to the replacement of pancreatic parenchyma with fibrotic connective tissue. Chronic pancreatitis pain, which may initially mimic acute pancreatitis, is severe, frequent, and continual and has a major impact on the quality of life and so...
متن کاملOut-of-plane ultrasound-guided paravertebral blocks improve analgesic outcomes in patients undergoing video-assisted thoracoscopic surgery
PURPOSE Paravertebral blocks (PVBs) are a method of limiting postoperative pain for patients undergoing video-assisted thoracoscopic surgery (VATS). We began providing ultrasound-guided PVBs for patients undergoing VATS in the spring of 2011, using an out-of-plane approach. The aim of this study was to evaluate this practice change. METHODS Following institutional review board approval, we re...
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