Comparison between continuous thoracic epidural block and continuous thoracic paravertebral block in the management of thoracic trauma

Abstract

Paravertebral block for analgesia is comparable to thoracic epidural in thoracic trauma patients and is associated with fewer side effects.

Impact of thoracic paravertebral block combined with general anesthesia on postoperative cognitive function and serum adiponectin levels in elderly patients undergoing lobectomy

“…Thoracic paravertebral block (TPVB) can directly block nerve conduction on the operative side, which helps to improve the analgesic effect and, because, it only blocks the paravertebral nerve, it has little effect on physiological function in the rest of the body [10]. There have been many reports describing its impact on perioperative stress, inflammatory reactions, and postoperative analgesia.…”

Combined Programmed Intermittent Bolus Infusion With Continuous Infusion for the Thoracic Paravertebral Block in Patients Undergoing Thoracoscopic Surgery

“…Alternatively, ultrasound-guided TPVB now has been recognized as a safe and reliable approach to treat postthoracotomy pain. The benefit of this technique includes improved analgesia, sparing opioids consumptions and the following side effects including vomiting, respiratory depression, urine retention, etc 9,10. A growing number of researches have proved that TPVB, either a single shot or continuous catheterization, could significantly alleviate the acute pain severity and prevent the risk of developing chronic pain thereafter 26,27.…”

“…The benefit of this technique includes improved analgesia, sparing opioids consumptions and the following side effects including vomiting, respiratory depression, urine retention, etc. 9 , 10 A growing number of researches have proved that TPVB, either a single shot or continuous catheterization, could significantly alleviate the acute pain severity and prevent the risk of developing chronic pain thereafter. 26 , 27 Compared with a single shot of TPVB that provides satisfactory analgesia only in the early postoperative time period (about the following 6 to 12 h according to previous research 28 and our own experiences), continuous TPVB with catheterization provided prolonged, superior and patient-controllable analgesia.…”

“…The thoracic paravertebral block (TPVB) now has been recognized as an effective way to reduce postthoracotomy pain 5,6. Substantial evidence has demonstrated that continuous TPVB through ultrasound-guided catheterization into the paravertebral space provides equivalent pain relief to the epidural analgesia7–9 and with fewer side effects (eg, hypotension, pulmonary muscle weakness, and urinary retention) 10,11. To date, 2 approaches setting for the patient-controlled analgesia (PCA) pump connecting to the TPVB catheter, including the programmed intermittent bolus infusion (PIBI) and continuous infusion with constant speed (CI) have been widely investigated 12–17.…”

Comparison Between Paravertebral Block Versus Epidural in Pain Management of Thoracic Surgery.

“…(2016) found that Paravertebral block for analgesia is comparable to thoracic epidural in thoracic trauma patients. [4] Another study by Biswas and al. in 2016 found that epidural was far superior to paraveterbral block in the pain management of thoracic surgery patients.…”