A comparison of epidural and paravertebral catheterisation techniques in post-thoracotomy pain management.
| Title: | A comparison of epidural and paravertebral catheterisation techniques in post-thoracotomy pain management. |
|---|---|
| Authors: | Gulbahar G; Ankara Numune Teaching and Research Hospital, Division of Thoracic Surgery, Ankara, Turkey. mdgultekin@gmail.com; Kocer B; Muratli SN; Yildirim E; Gulbahar O; Dural K; Sakinci U |
| Source: | European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery [Eur J Cardiothorac Surg] 2010 Feb; Vol. 37 (2), pp. 467-72. Date of Electronic Publication: 2009 Aug 25. |
| Publication Type: | Comparative Study; Journal Article; Randomized Controlled Trial |
| Language: | English |
| Journal Info: | Publisher: Oxford University Press Country of Publication: Germany NLM ID: 8804069 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-734X (Electronic) Linking ISSN: 10107940 NLM ISO Abbreviation: Eur J Cardiothorac Surg Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2012-: Oxford, England : Oxford University Press; Original Publication: [Berlin] : Springer International ; [Secaucus, NJ, USA : Springer-Verlag New York Inc., distributor, c1987- |
| MeSH Terms: | Analgesia, Epidural/*methods ; Nerve Block/*methods ; Postoperative Pain/*prevention & control ; Thoracotomy/*adverse effects; Analgesia, Epidural/adverse effects ; Anesthetics, Local/administration & dosage ; Anti-Inflammatory Agents, Non-Steroidal/administration & dosage ; Blood Glucose/metabolism ; Bupivacaine/administration & dosage ; Diclofenac/administration & dosage ; Forced Expiratory Volume/drug effects ; Hydrocortisone/blood ; Nerve Block/adverse effects ; Pain Measurement/methods ; Postoperative Pain/etiology ; Peak Expiratory Flow Rate/drug effects ; Adolescent ; Adult ; Aged ; Female ; Humans ; Male ; Middle Aged ; Young Adult |
| Abstract: | Background: Thoracotomy is a surgical procedure associated with severe pain. Operative morbidity rates reduce by effective postoperative pain control. The aim of this study is to compare the effectiveness of the thoracic epidural blockade (TEB) and the paravertebral blockade (PVB) methods in relieving the pain caused by a thoracotomy incision.; Materials and Methods: We studied 44 consecutive patients who underwent elective posterolateral thoracotomy. The patients were classed into two groups: TEB (n=19) and PVB (n=25). Patients in both the groups could self-control the infusion of bupivacaine infusion and diclofenac sodium. The groups were compared according to the parameters such as analgesic efficacy (VAS), respiratory function tests (forced expiratory volume in 1s (FEV(1)), peak expiratory flow rate (PEFR) and arterial blood gases), stress response (serum cortisol and glucose levels), adverse effects, necessity for additional analgesia, duration of catheter application procedure, mean hospital stay and postoperative follow-up. Results are analysed statistically by Mann-Whitney U, Wilcoxon, chi-square and Fisher's exact tests, and a p-value of |
| Substance Nomenclature: | 0 (Anesthetics, Local); 0 (Anti-Inflammatory Agents, Non-Steroidal); 0 (Blood Glucose); 144O8QL0L1 (Diclofenac); WI4X0X7BPJ (Hydrocortisone); Y8335394RO (Bupivacaine) |
| Entry Date(s): | Date Created: 20090828 Date Completed: 20110119 Latest Revision: 20260128 |
| Update Code: | 20260130 |
| DOI: | 10.1016/j.ejcts.2009.05.057 |
| PMID: | 19709893 |
| Database: | MEDLINE |
Comparative Study; Journal Article; Randomized Controlled Trial