2010
DOI: 10.1097/eja.0b013e32833d1259
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Analgesic techniques following thoracic surgery: a survey of United Kingdom practice

Abstract: The present survey demonstrates the increasing use of paravertebral block as an alternate regional anaesthetic technique to epidural analgesia after major thoracic surgery in the United Kingdom.

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Cited by 53 publications
(37 citation statements)
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“…By using INB, we found increased popularity for anesthetic methods without intubation among our patients undergoing thoracoscopic surgery. Thus, similar to the experience in the United Kingdom, 25 use of TEA rapidly declined and is no longer regarded as the gold standard for acute pain management after thoracic surgery. 26 , 27 …”
Section: Discussionmentioning
confidence: 96%
“…By using INB, we found increased popularity for anesthetic methods without intubation among our patients undergoing thoracoscopic surgery. Thus, similar to the experience in the United Kingdom, 25 use of TEA rapidly declined and is no longer regarded as the gold standard for acute pain management after thoracic surgery. 26 , 27 …”
Section: Discussionmentioning
confidence: 96%
“…For an adequate postoperative pain management, it needs to be associated with an opioid-based PCA, as commonly done in UK (52). Alternatively, a longer analgesic coverage can be obtained with the continuous TPVB, i.e., the infusion of local anesthetics via a catheter placed in the paravertebral space (53).…”
Section: Thoracic Paravertebral Block (Tpvb)mentioning
confidence: 99%
“…In 2010, anaesthetists working in thoracic surgery centres in the UK were surveyed to see what analgesic technique was their first choice for various types of thoracic surgery. Half of the anaesthetists preferred paravertebral blocks with patient‐controlled analgesia for video‐assisted thoracoscopic lobectomy, whereas one‐third preferred patient‐controlled analgesia alone and only one‐tenth preferred epidurals . Patients undergoing open lung resection were grouped with patients having pleural decortication, making it difficult to determine preferred practice for open lung resection alone.…”
Section: Gold‐standard Regional Techniquesmentioning
confidence: 99%