Öz
Kaynakça
- Mesbah A, Yeung J, Gao F. Pain after thoracotomy. BJA Education 2016; 16: 1-7.
- Komatsu T, Sowa T, Takahashi K, Fujinaga T. Paravertebral block as a promising analgesic modality for managing post-thoracotomy pain. Ann Thorac Cardiovasc Surg 2014; 20: 113-6.
- Júnior Ade P, Erdmann TR, Santos TV, et al. Comparison between continuous thoracic epidural and paravertebral blocks for postoperative analgesia in patients undergoing thoracotomy: Systematic review. Braz J Anesthesiol 2013; 63: 433-42.
- Romero A, Garcia JE, Joshi GP. The state of the art in preventing postthoracotomy pain. Semin Thorac Cardiovasc Surg 2013; 25: 116-24.
- Thompson C, French DG, Costache I. Pain management within an enhanced recovery program after thoracic surgery. J Thorac Dis 2018; 10: 3773-80.
- Gerner P. Postthoracotomy pain management problems. Anesthesiol Clin 2008; 26: 355-67, vii.
- Yokoyama Y, Nakagomi T, Shikata D, Goto T. Combined analgesic treatment of epidural and paravertebral block after thoracic surgery. J Thorac Dis 2017; 9: 1651-7.
- Chin JWE, Valchanov K. Pharmacological management of post-thoracotomy pain. Open Med J 2016; 3: 255-64.
- Mathews TJ, Churchhouse AM, Housden T, Dunning J. Does adding ketamine to morphine patient-controlled analgesia safely improve post-thoracotomy pain? Interact Cardiovasc Thorac Surg 2012; 14: 194-9.
- Richardson J, Sabanathan S, Jones J, Shah RD, Cheema S, Mearns AJ. A prospective, randomized comparison of preoperative and continuous balanced epidural or paravertebral bupivacaine on post-thoracotomy pain, pulmonary function and stress responses. Br J Anaesth 1999; 83: 387-92.
- Chou R, Gordon DB, de Leon-Casasola OA, et al. Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists’ Committee on Regional Anesthesia, Executive Committee, and Administrative Council. J Pain 2016; 17: 131-57.
- Yeung JH, Gates S, Naidu BV, Wilson MJ, Gao Smith F. Paravertebral block versus thoracic epidural for patients undergoing thoracotomy. Cochrane Database Syst Rev 2016; 2: CD009121.
- Davies RG, Myles PS, Graham JM. A comparison of the analgesic efficacy and side-effects of paravertebral vs epidural blockade for thoracotomy--a systematic review and meta-analysis of randomized trials. Br J Anaesth 2006; 96: 418-26.
- Richardson J, Cheema S. Thoracic paravertebral nerve block. Br J Anaesth 2006; 96: 537.
- Alzahrani T. Pain relief following thoracic surgical procedures: A literature review of the uncommon techniques. Saudi J Anaesth 2017; 11: 327-31.
- Messina M, Boroli F, Landoni G, et al S. A comparison of epidural vs. paravertebral blockade in thoracic surgery. Minerva Anestesiol 2009; 75: 616-21.
- Gulbahar G, Kocer B, Muratli SN, et al. A comparison of epidural and paravertebral catheterisation techniques in post-thoracotomy pain management. Eur J Cardiothorac Surg 2010; 37: 467-72.
- Karmakar MK. Thoracic paravertebral block. Anesthesiology 2001; 95: 771-80.
- Lönnqvist PA, MacKenzie J, Soni AK, Conacher ID. Paravertebral blockade. Failure rate and complications. Anaesthesia 1995; 50: 813-5.
- Cuschieri RJ, Morran CG, Howie JC, McArdle CS. Postoperative pain and pulmonary complications: comparison of three analgesic regimens. Br J Surg 1985; 72: 495-8.
- Wu CL, Cohen SR, Richman JM, et al. Efficacy of postoperative patient-controlled and continuous infusion epidural analgesia versus intravenous patient-controlled analgesia with opioids: a meta-analysis. Anesthesiology 2005; 103: 1079-88; quiz 1109-10.
- Cousins MJ, Mather LE. Intrathecal and epidural administration of opioids. Anesthesiology 1984; 61: 276-310.
- Blichfeldt-Eckhardt MR, Andersen C, Ørding H, Licht PB, Toft P. Shoulder Pain After thoracic surgery: type and time course, a prospective cohort study. J Cardiothorac Vasc Anesth 2017; 31: 147-51.
- Burgess FW, Anderson DM, Colonna D, Sborov MJ, Cavanaugh DG. Ipsilateral shoulder pain following thoracic surgery. Anesthesiology 1993; 78: 365-8.
- MacDougall P. Postthoracotomy shoulder pain: diagnosis and management. Curr Opin Anaesthesiol 2008; 21: 12-5.
Comparison of continuous thoracic epidural block and continuous thoracic paravertebral block for management of post thoracotomy pain: a randomised trial
Öz
Aim: Pain after thoracotomy is one of the most severe in clinical practice and more effective analgesia can be achieved by combining systemic and regional techniques. Though thoracic epidural analgesia (TEA) is the gold standard in the treatment, its application can be restricted due to side effects and contraindications. We investigated the hypothesis that thoracic paravertebral block (TPVB) reduced morphine consumption, pain scores, and side effects as much as TEA after thoracotomy.
Material and Method: Fifty patients who underwent elective posterolateral thoracotomy were included in this study. Patients were randomly allocated into two groups as TEA (group I, n = 25) and TPVB (group II, n = 25). Postoperative consumption of patient-controlled morphine, visual analog scores (VAS), hemodynamic parameters, and side effects were collected in 72 hours. Additionally, pulmonary function tests (PFT) values were recorded.
Results: Postoperative VAS values during rest were comparable between the groups (p > 0.005) and they did not have significantly difference postoperative VAS values during coughing (p > 0.005). The cumulative morphine consumption was higher in Group 2 (p < 0.05). Side effects were comparable between the groups II (p > 0.05).
Conclusion: We conclude that TEA provided more effective analgesia than TPVB in thoracotomy patients in the early postoperative period with comparable side effects.
Anahtar Kelimeler
Paravertebral block post-thoracotomy pain thoracic epidural block visual analog scale
Kaynakça
- Mesbah A, Yeung J, Gao F. Pain after thoracotomy. BJA Education 2016; 16: 1-7.
- Komatsu T, Sowa T, Takahashi K, Fujinaga T. Paravertebral block as a promising analgesic modality for managing post-thoracotomy pain. Ann Thorac Cardiovasc Surg 2014; 20: 113-6.
- Júnior Ade P, Erdmann TR, Santos TV, et al. Comparison between continuous thoracic epidural and paravertebral blocks for postoperative analgesia in patients undergoing thoracotomy: Systematic review. Braz J Anesthesiol 2013; 63: 433-42.
- Romero A, Garcia JE, Joshi GP. The state of the art in preventing postthoracotomy pain. Semin Thorac Cardiovasc Surg 2013; 25: 116-24.
- Thompson C, French DG, Costache I. Pain management within an enhanced recovery program after thoracic surgery. J Thorac Dis 2018; 10: 3773-80.
- Gerner P. Postthoracotomy pain management problems. Anesthesiol Clin 2008; 26: 355-67, vii.
- Yokoyama Y, Nakagomi T, Shikata D, Goto T. Combined analgesic treatment of epidural and paravertebral block after thoracic surgery. J Thorac Dis 2017; 9: 1651-7.
- Chin JWE, Valchanov K. Pharmacological management of post-thoracotomy pain. Open Med J 2016; 3: 255-64.
- Mathews TJ, Churchhouse AM, Housden T, Dunning J. Does adding ketamine to morphine patient-controlled analgesia safely improve post-thoracotomy pain? Interact Cardiovasc Thorac Surg 2012; 14: 194-9.
- Richardson J, Sabanathan S, Jones J, Shah RD, Cheema S, Mearns AJ. A prospective, randomized comparison of preoperative and continuous balanced epidural or paravertebral bupivacaine on post-thoracotomy pain, pulmonary function and stress responses. Br J Anaesth 1999; 83: 387-92.
- Chou R, Gordon DB, de Leon-Casasola OA, et al. Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists’ Committee on Regional Anesthesia, Executive Committee, and Administrative Council. J Pain 2016; 17: 131-57.
- Yeung JH, Gates S, Naidu BV, Wilson MJ, Gao Smith F. Paravertebral block versus thoracic epidural for patients undergoing thoracotomy. Cochrane Database Syst Rev 2016; 2: CD009121.
- Davies RG, Myles PS, Graham JM. A comparison of the analgesic efficacy and side-effects of paravertebral vs epidural blockade for thoracotomy--a systematic review and meta-analysis of randomized trials. Br J Anaesth 2006; 96: 418-26.
- Richardson J, Cheema S. Thoracic paravertebral nerve block. Br J Anaesth 2006; 96: 537.
- Alzahrani T. Pain relief following thoracic surgical procedures: A literature review of the uncommon techniques. Saudi J Anaesth 2017; 11: 327-31.
- Messina M, Boroli F, Landoni G, et al S. A comparison of epidural vs. paravertebral blockade in thoracic surgery. Minerva Anestesiol 2009; 75: 616-21.
- Gulbahar G, Kocer B, Muratli SN, et al. A comparison of epidural and paravertebral catheterisation techniques in post-thoracotomy pain management. Eur J Cardiothorac Surg 2010; 37: 467-72.
- Karmakar MK. Thoracic paravertebral block. Anesthesiology 2001; 95: 771-80.
- Lönnqvist PA, MacKenzie J, Soni AK, Conacher ID. Paravertebral blockade. Failure rate and complications. Anaesthesia 1995; 50: 813-5.
- Cuschieri RJ, Morran CG, Howie JC, McArdle CS. Postoperative pain and pulmonary complications: comparison of three analgesic regimens. Br J Surg 1985; 72: 495-8.
- Wu CL, Cohen SR, Richman JM, et al. Efficacy of postoperative patient-controlled and continuous infusion epidural analgesia versus intravenous patient-controlled analgesia with opioids: a meta-analysis. Anesthesiology 2005; 103: 1079-88; quiz 1109-10.
- Cousins MJ, Mather LE. Intrathecal and epidural administration of opioids. Anesthesiology 1984; 61: 276-310.
- Blichfeldt-Eckhardt MR, Andersen C, Ørding H, Licht PB, Toft P. Shoulder Pain After thoracic surgery: type and time course, a prospective cohort study. J Cardiothorac Vasc Anesth 2017; 31: 147-51.
- Burgess FW, Anderson DM, Colonna D, Sborov MJ, Cavanaugh DG. Ipsilateral shoulder pain following thoracic surgery. Anesthesiology 1993; 78: 365-8.
- MacDougall P. Postthoracotomy shoulder pain: diagnosis and management. Curr Opin Anaesthesiol 2008; 21: 12-5.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Research Articles |
| Yazarlar | |
| Erken Görünüm Tarihi | 24 Mart 2022 |
| Yayımlanma Tarihi | 29 Mart 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 4 Sayı: 2 |
Kaynak Göster
Üniversitelerarası Kurul (ÜAK) Eşdeğerliği: Ulakbim TR Dizin'de olan dergilerde yayımlanan makale [10 PUAN] ve 1a, b, c hariç uluslararası indekslerde (1d) olan dergilerde yayımlanan makale [5 PUAN]
- Dahil olduğumuz İndeksler (Dizinler) ve Platformlar sayfanın en altındadır.
Not: Dergimiz WOS indeksli değildir ve bu nedenle Q olarak sınıflandırılmamaktadır.
Yüksek Öğretim Kurumu (YÖK) kriterlerine göre yağmacı/şüpheli dergiler hakkındaki kararları ile yazar aydınlatma metni ve dergi ücretlendirme politikasını tarayıcınızdan indirebilirsiniz. https://dergipark.org.tr/tr/journal/3449/page/10809/update
Dergi Dizin ve Platformları
TR Dizin ULAKBİM, Google Scholar, Crossref, Worldcat (OCLC), DRJI, EuroPub, OpenAIRE, Turkiye Citation Index, Turk Medline, ROAD, ICI World of Journal's, Index Copernicus, ASOS Index, General Impact Factor, Scilit.