Comparison between Continuous Thoracic Epidural and Paravertebral Blocks for Postoperative Analgesia in Patients Undergoing Thoracotomy: Systematic Review

Abstract

There were no statistically significant differences in pain relief after thoracotomy between EB and PVB. PVB showed a lower incidence of side effects with reduced frequency of urinary retention and hypotension.

Intravenous versus Ultrasound Guided Thoracic Paravertebral Morphine-Dexmedetomidine Combination in Patients with Multiple Rib Fractures

“…Because of that, regional anesthetic techniques are preferred for managing such patients as intercostal nerve block (ICNB), epidural analgesia, and thoracic paravertebral block (TPVB) and intrapleural analgesia [5]. Epidural analgesia is considered the best pain control modality for severe pain with MRF but it has some complications such as hypotension, bradycardia and bilateral block than TPVB that has a comparable analgesic effect to thoracic epidural analgesia [6][7][8]. Patient-controlled analgesia is recently considered in some trials.…”

Fentanyl-bupivacaína y bupivacaína en intervenciones quirúrgicas

“…Los opiáceos son efectivos para el tratamiento del dolor visceral y los anestésicos locales para el alivio del dolor somático. La bupivacaína al combinarla con fentanyl a bajas dosis brinda una analgesia de 60 a 90 minutos y a su vez disminuye el período de latencia de la bupivacaína con menor frecuencia de reacciones adversas (10,11) .…”

Timelog-Based Approach to Early Post-Thoracotomy Pain in Lung Cancer Surgery

“…1-3 Impaired chest wall integrity, rib fractures, intercostal neural damage and alteration of nociception are the main factors determining the intensity of pain. 1,2,4 Systemic analgesia and regional analgesia techniques can be utilized separately or as a combination treatment to provide adequate pain relief. Regional analgesia was frequently used at the last 20 years since its safety and efficacy was 39 Timelog-Based Approach to Early Post-Thoracotomy Pain in Lung Cancer Surgery A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Postoperative pain is a major concern about thoracotomy and acts a determinant of quality of life and complication occurrence.…”

“…demonstrated in several investigations with individual designs. 1,5,6 Thoracic epidural analgesia (TEA), paravertebral blockade, intercostal neural blockade, and subpleural analgesia can be listed as the main regional analgesia techniques. 3,[6][7][8][9][10] Thoracic epidural analgesia is accepted as the gold standard and has a proven advantage regarding influence on physiologic response and efficacy as compared to other techniques.…”

“…3,[6][7][8][9][10] Thoracic epidural analgesia is accepted as the gold standard and has a proven advantage regarding influence on physiologic response and efficacy as compared to other techniques. 1,6,9,11,12 The main purpose of our study was to determine the predictors of significant pain (including the method of analgesia) during surgical critical care follow-up of post-thoracotomy patients in a single tertiary center. We aimed to highlight the entity of time-log instead of technical issues and patient-related factors considering the fact that relevant variables which might provoke or alleviate the perception of pain were not persistent throughout the early postoperative period.…”