Perioperative Pain Relief by Thoracic Paravertebral Block for Wide Excision of Chest Wall Mass

نویسندگان

  • M Ebrahimy Dehkordy
  • SR Mosavi
چکیده

Paravertebral block is an appropriate method for intraoperative and postoperative pain relief in hemithorax operations .Effectiveness of this type of pain management have already been shown in breast surgery .Its effect on controlling chest wall pain is clear and remarkable. In our case despite of wide extension of lesion and penetration of ulcer to the deep part of thorax after excision, the patient had a very comfortable and painless recovery.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

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...

متن کامل

Continuous thoracic paravertebral infusion of bupivacaine for pain management in patients with multiple fractured ribs.

STUDY OBJECTIVE To evaluate the efficacy of a continuous thoracic paravertebral infusion of bupivacaine for pain management in patients with unilateral multiple fractured ribs (MFR). DESIGN Prospective nonrandomized case series. SETTING Multidisciplinary tertiary hospital. PATIENTS Fifteen patients with unilateral MFR. INTERVENTIONS Insertion of a catheter into the thoracic paravertebra...

متن کامل

Thoracic 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 کامل

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,...

متن کامل

Ultrasound-guided Aspiration of the Iatrogenic Pneumothorax Caused by Paravertebral Block -A Case Report-

Thoracic paravertebral block is performed for the treatment of patients with chronic pain, such as complex regional pain syndrome (CRPS) and post-herpetic neuralgia. Thoracic paravertebral block can result in iatrogenic pneumothorax. Because pneumothorax can develop into medical emergencies and needle aspiration or chest tube placement may be needed, early diagnosis is very important. Recently,...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:

دوره 4  شماره 

صفحات  -

تاریخ انتشار 2011