Anaesthesiology and intensive care Comparison of continuous use of thoracic epidural analgesia and intercostal block for pain management after thoracotomy

Sagiroglu, Gonul; Baysal, Ayşe; Kiraz, Osman Gazi; Meydan, Burhan; Taşçı, Ahmet Erdal

doi:10.5114/kitp.2013.38100

Cited by 2 publications

(16 citation statements)

References 21 publications

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“…Among 66 studies 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , ...…”

Section: Resultsunclassified

“…Because analgesic techniques vary based on the type of surgery performed, we divided the populations accordingly. Thirty-nine studies 20 , 21 , 22 , 23 , 24 , 25 , 27 , 28 , 29 , 30 , 32 , 33 , 34 , 36 , 38 , 39 , 40 , 44 , 45 , 46 , 47 , 48 , 49 , 60 , 64 , 65 , 66 , 67 , 68 , 70 , 73 , 74 , 76 , 77 , 78 , 79 , 80 , 81 , 82 (1805 patients) examined thoracotomy, 20 studies 26 , 41 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 61 , 62 , 63 , 69 , 71 , 75 , 84 , 85 (2512 patient...…”

Section: Resultsmentioning

confidence: 99%

“…Among 66 studies included in the qualitative analysis, 55 studies [52][53][54][55][56][57][58][59]61,[64][65][66][67][68][69][70][71]73,74,[76][77][78][80][81][82] (3024 patients) were experimental, and 11 studies 50,51,60,62,63,72,75,79,[83][84][85] (2160 patients) were observational. Because analgesic techniques vary based on the type of surgery performed, we divided the populations accordingly.…”

Section: Qualitative Synthesismentioning

confidence: 99%

“…This study has several limitations. First, most studies [42][43][44][45][46][47][48][49]51,52,[54][55][56][57][58][59][60][61][62][64][65][66][67][68][69][70][71][73][74][75][77][78][79][80][81][82]84,85 included in the meta-analysis had at least 1 domain at a high risk of bias. In addition to small samples, differences in the protocol designs and types of analgesia produced high heterogeneity and imprecision.…”

Section: Limitationsmentioning

confidence: 99%

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Assessment of Intercostal Nerve Block Analgesia for Thoracic Surgery

et al. 2021

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IMPORTANCEThe use of intercostal nerve block (ICNB) analgesia with local anesthesia is common in thoracic surgery. However, the benefits and safety of ICNB among adult patients undergoing surgery is unknown. OBJECTIVE To evaluate the analgesic benefits and safety of ICNB among adults undergoing thoracic surgery.DATA SOURCES A systematic search was performed in Ovid MEDLINE, Ovid Embase, Scopus, and the Cochrane Library databases using terms for ICNB and thoracic surgery (including thoracic surgery, thoracoscopy, thoracotomy, nerve block, intercostal nerves). The search and results were not limited by date, with the last search conducted on July 24, 2020.STUDY SELECTION Selected studies were experimental or observational and included adult patients undergoing cardiothoracic surgery in which ICNB was administered with local anesthesia via single injection, continuous infusion, or a combination of both techniques in at least 1 group of patients. For comparison with ICNB, studies that examined systemic analgesia and different forms of regional analgesia (such as thoracic epidural analgesia [TEA], paravertebral block [PVB], and other techniques) were included. These criteria were applied independently by 2 authors, and discrepancies were resolved by consensus. A total of 694 records were selected for screening. DATA EXTRACTION AND SYNTHESIS This study followed the Preferred Reporting Items forSystematic Reviews and Meta-analyses (PRISMA) reporting guideline. Data including patient characteristics, type of surgery, intervention analgesia, comparison analgesia, and primary and secondary outcomes were extracted independently by 3 authors. Synthesis was performed using a fixed-effects model. MAIN OUTCOMES AND MEASURESThe coprimary outcomes were postoperative pain intensity (measured as the worst static or dynamic pain using a validated 10-point scale, with 0 indicating no pain and 10 indicating severe pain) and opioid consumption (measured in morphine milligram equivalents [MMEs]) at prespecified intervals (0-6 hours, 7-24 hours, 25-48 hours, 49-72 hours, and >72 hours). Clinically relevant analgesia was defined as a 1-point or greater difference in pain intensity score at any interval. Secondary outcomes included 30-day postoperative complications and pulmonary function. RESULTSOf 694 records screened, 608 were excluded based on prespecified exclusion criteria.The remaining 86 full-text articles were assessed for eligibility, and 20 of those articles were excluded. All of the 66 remaining studies (5184 patients; mean [SD] age, 53.9 [10.2] years; approximately 59% men and 41% women) were included in the qualitative analysis, and 59 studies (continued)

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Section: Resultsunclassified

Section: Resultsmentioning

confidence: 99%

Section: Qualitative Synthesismentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 99%

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Assessment of Intercostal Nerve Block Analgesia for Thoracic Surgery

et al. 2021

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“…Torakotomi sonrası hastaların %21-67 arasında değişen oranlarda şiddetli ağrı şikayetleri olmaktadır [8] . Torakotomi ağrısı sempatik sinirlerin afferent dalları tarafından inerve edilen organlardan, viseral plevradan, perikardın yaralanmasından oluşur ve frenik, vagal sinirler ile taşınır [10] . Çalışmamızda ki tüm hastalarımıza posterolateral torakotomi uygulandı.…”

Section: Introductionunclassified

The Effect of Pain Training Before Thoracotomy Operation on Postoperative Pain Levels

Gündüz¹,

Keskin²

2020

GKDA Derg

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INTRODUCTION: Postoperative pain is a condition that patients frequently complain about all over the world. The aim of this study was to investigate the effect of pain training before elective thoracotomy on postoperative pain levels in patients. METHODS: 100 patients who underwent thoracotomy for any reason were included in the study. Patients were given a 20-30-minute training on postoperative pain and how the pain is controlled, and what the patient can do to minimize the pain 24-48 hours before thoracotomy. The patients were divided into two groups; those that were trained and those that were not trained. Extubation time was accepted as baseline (0 hour). At the hours of 4, 8, 12, 16, 20 and 24, patients were asked about their pain on the visual pain scale (VAS). Respiratory rate, blood pressure, heart rate, and oxygen saturation levels were recorded at the hours. RESULTS: When VAS scores were compared between the two groups, no significant difference was found in the values measured at the 4th hour whereas there was a significant difference between the subsequent values. DISCUSSION AND CONCLUSION: The results of this study showed that pain training before thoracotomy operation gradually decreased postoperative VAS pain scores in patients.

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Anaesthesiology and intensive care Comparison of continuous use of thoracic epidural analgesia and intercostal block for pain management after thoracotomy

Cited by 2 publications

References 21 publications

Assessment of Intercostal Nerve Block Analgesia for Thoracic Surgery

Assessment of Intercostal Nerve Block Analgesia for Thoracic Surgery

The Effect of Pain Training Before Thoracotomy Operation on Postoperative Pain Levels

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