Comparação entre Bloqueios Peridural e Paravertebral Torácicos Contínuos para Analgesia Pós-Operatória em Pacientes Submetidos a Toracotomias: Revisão Sistemática

Júnior, Alberto de Pontes Jardim; Erdmann, Thomas Rolf; Santos, Thiago Viçoso dos; Brunharo, Guilherme Muriano; Filho, Clóvis T. Bevilacqua; Losso, Márcio Joaquim; Filho, Getúlio Rodrigues de Oliveira

doi:10.1016/j.bjan.2012.09.007

Cited by 17 publications

(2 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Thoracic spinal nerve block has been clinically used since as early as 1905 and has become more popular in recent years due to a number of advantages: simple application, low failure rate, satisfactory analgesia, and less influence on respiration and circulation [26–28]. Previous studies reported unilateral thoracic nerve block combined with GA applied as analgesia in minimally invasive direct coronary artery bypass (MIDCAB) [29–31].…”

Section: Discussionmentioning

confidence: 99%

Bilateral thoracic paravertebral block combined with general anesthesia vs. general anesthesia for patients undergoing off-pump coronary artery bypass grafting: a feasibility study

Sun

Wang

et al. 2019

BMC Anesthesiol

View full text Add to dashboard Cite

Background Whether thoracic paravertebral block (PVB) is useful in patients undergoing off-pump coronary artery bypass grafting (OPCABG) remains unknown. This study aimed to investigate the feasibility of bilateral PVB combined with general anesthesia (GA) in patients undergoing OPCABG. Methods This feasibility study assessed 60 patients scheduled for OPCABG at the Qingdao Municipal Hospital in 2016–2017. Patients were randomly assigned to receive nerve stimulator-guided bilateral PVB combined with GA (PVB + GA) or GA alone ( n = 30/group). Patients were asked to rate rest and cough pain hourly after the surgery. The primary endpoint was the visual analogue scale (VAS) pain score within 48 h postoperatively. Secondary endpoints were rescue analgesia and morphine consumption, fentanyl dose within 48 h postoperatively, as well as operative time, time to extubation, intensive care unit (ICU) stay, hospital stay and other postoperative adverse events. Results Both rest and cough pains were lower in the PVB + GA group at 12, 24, 36, and 48 h after surgery compared with the GA group. There were fewer patients who needed rescue analgesia in the PVB + GA group at 12 and 24 h than in the GA group. Morphine consumptions at 24 and 48 h were lower in the PVB + GA group compared with the GA group. Time to extubation ( P = 0.035) and ICU stay ( P = 0.028) were shorter in the PVB + GA group compared with the GA group. AEs showed no differences between the two groups. Conclusions Nerve stimulator-guided bilateral thoracic PVB combined with GA in OPCABG is associated with a reduced rescue analgesia and morphine consumption, compared to GA.

show abstract

Section: Discussionmentioning

confidence: 99%

Bilateral thoracic paravertebral block combined with general anesthesia vs. general anesthesia for patients undergoing off-pump coronary artery bypass grafting: a feasibility study

Sun

Wang

et al. 2019

BMC Anesthesiol

View full text Add to dashboard Cite

show abstract

“…1 A leitura do artigo científico desperta grande interesse nos leitores, porém alguns pontos merecem ser considerados. São eles: o aplicativo de computador utilizado para os cálculos, a análise da sensibilidade pelo método de meta--análises sucessivas, a utilização de modelos de efeito nas análises e a busca pela identificação das heterogeneidades estatísticas.…”

Section: Comparison Between Continuous Thoracic Epidural and Paravertunclassified

Comparação entre bloqueios peridural e paravertebral torácicos contínuos para analgesia pós‐operatória em pacientes submetidos a toracotomias: meta‐análise de ensaios clínicos

Barbosa

Barbosa²,

Cunha³

2015

Brazilian Journal of Anesthesiology

View full text Add to dashboard Cite

show abstract

Combination of continuous paravertebral block and epidural anesthesia in postoperative pain control after esophagectomy

et al. 2015

View full text Add to dashboard Cite

Comparação entre Bloqueios Peridural e Paravertebral Torácicos Contínuos para Analgesia Pós-Operatória em Pacientes Submetidos a Toracotomias: Revisão Sistemática

Cited by 17 publications

References 16 publications

Bilateral thoracic paravertebral block combined with general anesthesia vs. general anesthesia for patients undergoing off-pump coronary artery bypass grafting: a feasibility study

Bilateral thoracic paravertebral block combined with general anesthesia vs. general anesthesia for patients undergoing off-pump coronary artery bypass grafting: a feasibility study

Comparação entre bloqueios peridural e paravertebral torácicos contínuos para analgesia pós‐operatória em pacientes submetidos a toracotomias: meta‐análise de ensaios clínicos

Combination of continuous paravertebral block and epidural anesthesia in postoperative pain control after esophagectomy

Contact Info

Product

Resources

About