Comparison of the Analgesic Effects of Continuous Extrapleural Block and Continuous Epidural Block After Video-Assisted Thoracoscopic Surgery

Hotta, Kyoko; Endo, Tetsuro; Taira, Koki; Sata, Naho; Inoue, Soichiro; Takeuchi, Mamoru; Seo, Norimasa; Endo, Shunsuke

doi:10.1053/j.jvca.2011.07.026

Cited by 34 publications

(19 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…1). Of these, 22 potentially eligible articles, only 9 were found to fulfill the inclusion criteria [10]–[18]. The remaining 13 article [21]–[33] were removed because the trials did not compare PVB and EPI, or the original data were not available from the authors, or the original data was not relevant to the aims of our study.…”

Section: Resultsmentioning

confidence: 99%

“…We just included 9 articles from Davies et al [9], because the results of Wedad et al included in Davies et al meta-analysis had no effect on the updated research. Therefore, 18 studies [10]–[18], [34]–[42] comprising 777 patients were included in the present meta-analysis (Table 1). A detailed explanation of the full electronic search strategy for Pubmed is shown in Figure 1.…”

Section: Resultsmentioning

confidence: 99%

“…This updated meta-analysis, which included 777 patients, in 18 randomized controlled trials [10]–[18], [34]–[42] that compared PVB with EPI for thoracotomy, showed that PVB provides comparable analgesia with epidural blockade and furthermore has a better side effect profile. PVB is associated with less urinary retention, postoperative nausea and vomiting, and hypotension.…”

Section: Discussionmentioning

confidence: 99%

“…They found that PVB and epidural analgesia provide comparable pain relief after thoracotomy, but PVB had a better side-effect profile and fewer pulmonary complications. However, recent various trials have achieved different results [10]–[18]. The current study is an updated meta-analysis comparing the efficacy and adverse effects of PVB and EPI in preventing pain associated with thoracotomy.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

A Comparison of the Analgesia Efficacy and Side Effects of Paravertebral Compared with Epidural Blockade for Thoracotomy: An Updated Meta-Analysis

et al. 2014

View full text Add to dashboard Cite

ObjectiveThe most recent systematic review and meta-analysis comparing the analgesic efficacy and side effects of paravertebral and epidural blockade for thoracotomy was published in 2006. Nine well-designed randomized trials with controversial results have been published since then. The present report constitutes an updated meta-analysis of this issue.Summary of BackgroundThoracotomy is a major surgical procedure and is associated with severe postoperative pain. Epidural analgesia is the gold standard for post-thoracotomy pain management, but has its limitations and contraindications, and paravertebral blockade is increasingly popular. However, it has not been decided whether the analgesic effect of the two methods is comparable, or whether paravertebral blockade leads to a lower incidence of adverse side effects after thoracotomy.MethodsTwo reviewers independently searched the databases PubMed, EMBASE, and the Cochrane Library (last performed on 1 February, 2013) for reports of studies comparing post-thoracotomy epidural analgesia and paravertebral blockade. The same individuals independently extracted data from the appropriate studies.ResultEighteen trials involving 777 patients were included in the current analysis. There was no significant difference in pain scores between paravertebral blockade and epidural analgesia at 4–8, 24, 48 hours, and the rates of pulmonary complications and morphine usage during the first 24 hours were also similar. However, paravertebral blockade was better than epidural analgesia in reducing the incidence of urinary retention (p<0.0001), nausea and vomiting (p = 0.01), hypotension (p<0.00001), and rates of failed block were lower in the paravertebral blockade group (p = 0.01).ConclusionsThis meta-analysis showed that PVB can provide comparable pain relief to traditional EPI, and may have a better side-effect profile for pain relief after thoracic surgery. Further high-powered randomized trials are to need to determine whether PVB truly offers any advantages over EPI.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A Comparison of the Analgesia Efficacy and Side Effects of Paravertebral Compared with Epidural Blockade for Thoracotomy: An Updated Meta-Analysis

et al. 2014

View full text Add to dashboard Cite

show abstract

“…S38 nicht ausreichend. Wird über einen PDK oder einen ICC Ropivacain kontinuierlich 60 Stunden postoperativ injiziert[28], zeigen die beiden Patientengruppen keinen Unterschied auf der VAS in Ruhe und Bewegung. Es besteht auch kein Unterschied bez.…”

unclassified

Schmerztherapie bei videoassistierten Eingriffen am Thorax (VATS)

Veit

2014

Zentralbl Chir

View full text Add to dashboard Cite

Video-assisted thoracic surgery (VATS) procedures might reduce operative stress by minimising operative trauma. However VATS, in particular VATS lobectomy, is still associated with moderate acute postoperative pain. A gold standard for regional analgesia for VATS procedures has not yet surfaced, the studies published so far are very heterogeneous. PVB and catheter techniques might have a positive effect on pain scores in the first few hours of the postoperative period. Although thoracic epidural analgesia (TEA) may not have been shown to be superior to other analgesic regimens, it is undoubtedly efficient as an analgesic treatment. With the increasing popularity of VATS procedures, there is growing demand from both surgeons and anaesthesiologists for an evidence-based approach to pain management for these procedures. Further studies on this topic are crucial to establish guidelines for pain management in VATS procedures.

show abstract

Bilateral Sequential Lung Transplantation: What the Anesthesiologist Needs to Know About the Surgical Approach

Hayanga

Chan

Shigemura

et al. 2016

Anesthesia and Perioperative Care for Organ Transplantation

View full text Add to dashboard Cite

Comparison of the Analgesic Effects of Continuous Extrapleural Block and Continuous Epidural Block After Video-Assisted Thoracoscopic Surgery

Cited by 34 publications

References 19 publications

A Comparison of the Analgesia Efficacy and Side Effects of Paravertebral Compared with Epidural Blockade for Thoracotomy: An Updated Meta-Analysis

A Comparison of the Analgesia Efficacy and Side Effects of Paravertebral Compared with Epidural Blockade for Thoracotomy: An Updated Meta-Analysis

Schmerztherapie bei videoassistierten Eingriffen am Thorax (VATS)

Bilateral Sequential Lung Transplantation: What the Anesthesiologist Needs to Know About the Surgical Approach

Contact Info

Product

Resources

About