Our ultrasound guided paravertebral block experiences in thoracic surgery

Kuş, Alparslan; Gürkan, Yavuz; Arslan, Zehra İpek; Akgül, Aslı Gül; Aksu, Can; Toker, Kamil; Solak, Mustafa

doi:10.5505/agri.2015.59885

Cited by 3 publications

(1 citation statement)

References 10 publications

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“…In VATS surgeries performed with non-intubated TEA, it has been reported that satisfactory results have been obtained in terms of patients and surgery due to both early mobilisation and oral intake, and the low need for additional analgesic drugs. [ 8 13 ]…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided thoracal paravertebral block for awake thoracoscopic lobectomy in a high-risk patient

Özen

Derdiyok

Karacalar

2021

Journal of Minimal Access Surgery

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One-lung ventilation provided by double-lumen tube intubation under general anaesthesia has conventionally been considered necessary for thoracoscopic major pulmonary resections. Recently, regional anaesthesia techniques have been used to avoid complications of tracheal intubation and general anaesthesia. Although paravertebral block (PVB) comes to the fore as a safe and useful regional anaesthesia technique for intra-operative and post-operative analgesia for a wide variety of surgeries involving the thoracic and lumbar regions, it is sometimes used for anaesthesia. Here, we aimed to demonstrate that biportal video-assisted thoracoscopic surgery can be performed in a right upper lobectomy while maintaining spontaneous ventilation in a 55-year-old, awake patient who was not intubated under ultrasound-guided PVB.

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Section: Discussionmentioning

confidence: 99%

Ultrasound-guided thoracal paravertebral block for awake thoracoscopic lobectomy in a high-risk patient

Özen

Derdiyok

Karacalar

2021

Journal of Minimal Access Surgery

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Ultrasound-Guided Thoracic Paravertebral Nerve Block on Postoperative Pain, Quality of Life, and Recovery in Patients with Non-Small-Cell Lung Cancer

Zheng

Wang

Xie

2021

BioMed Research International

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Objectives. Our study will investigate the effect of ultrasound-guided thoracic paravertebral block (UG-TPVB) on postoperative pain, quality of life, and enhanced recovery in patients with non-small-cell lung cancer (NSCLC) undergoing lobectomy surgery. Methods. Our study included 100 patients aged 52 to 75 years who underwent lobectomy surgery with pathological diagnosis of NSCLC. Patients received ultrasound-guided thoracic paravertebral block or general anesthesia with tracheal intubation. Patients’ pain score was recorded on a numeric rating scale (NRS) 24 hours post operation. The total postoperative dosage of tramadol hydrochloride, length of hospitalization, quality of life (QoL), and inflammation levels were recorded. Results. Compared with patients who received general anesthesia with tracheal intubation, patients in the UG-TPVB group had lower postoperative NRS scores at 24 h (1.8 vs. 3.5, P = 0.035 ); the average 24 h postoperative NRS score of the UG-TPVB group is lower than that of the general anesthesia with tracheal intubation (4.6 vs. 5.3, P = 0.012 ), thus receiving less dosage of tramadol hydrochloride ( 221 ± 45 vs. 250 ± 38 mg, P < 0.01 ). Patients in the UG-TPVB group had better EORTC QLQ-C30 scores compared with patients in the general anesthesia with tracheal intubation group. The difference of length of hospitalization, hs-CRP, and IL-6 between two groups did not reach statistical difference (length of hospitalization 6.2 vs. 6.9 days, P = 0.055 ; hs-CRP: 7.1 ± 1.9 vs. 10.4 ± 6.6 , P = 0.095 ; and IL-6: 71.3 ± 7.2 vs. 68.9 ± 8.7 , P = 0.529 ). Discussion. NSCLC patients undergoing lobectomy surgery who received UG-TPVB had less postoperative pain, used less dosage of tramadol hydrochloride, and had better QoL.

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Effects of Ultrasound-Guided Thoracic Paravertebral Block on Postoperative Pain in Children Undergoing Percutaneous Nephrolithotomy

Akıncı

Hatipoğlu

Güleç

et al. 2019

Turk J Anaesthesiol Reanim

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Objective: To compare the effects of ultrasound-guided thoracic paravertebral block (PVB) and intravenous paracetamol on postoperative pain control in paediatric patients undergoing percutaneous nephrolithotomy (PNL).Methods: Forty patients aged 1-5 years, with an American Society of Anesthesiologists physical status I-II, scheduled for PNL were enrolled into this prospective randomised controlled trial. After arrival in the operating room, all patients were administered standardised general anaesthesia. Patients in Group PVB received ultrasound-guided PVB using bupivacaine 0.5% at a total volume of 0.5 mL kg -1 at the vertebral levels T11, T12 and L1. Patients in Group P were administered paracetamol intravenously (15 mg kg -1 ) before the beginning of surgery. Patients in both groups were given tramadol (1 mg kg -1 ) for supplemental analgesia. Patient demographics, haemodynamic parameters, peripheral oxygen saturation and sevoflurane concentration were recorded. The Face, Legs, Activity, Cry and Consolability pain scores; satisfaction of parents; the number of patients requiring supplemental analgesia; and complications were evaluated during the postoperative period.Results: Pain scores were significantly lower in Group PVB compared with Group P (p=0.001). There were no analgesic requirements in Group PVB; however, all patients needed a supplemental analgesic in Group P. Parental satisfaction was higher in Group PVB than in Group P. Conclusion:This study demonstrated that ultrasound-guided PVB provides more effective postoperative analgesia with no side effects compared to intravenous paracetamol in children undergoing PNL.

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Our ultrasound guided paravertebral block experiences in thoracic surgery

Cited by 3 publications

References 10 publications

Ultrasound-guided thoracal paravertebral block for awake thoracoscopic lobectomy in a high-risk patient

Ultrasound-guided thoracal paravertebral block for awake thoracoscopic lobectomy in a high-risk patient

Ultrasound-Guided Thoracic Paravertebral Nerve Block on Postoperative Pain, Quality of Life, and Recovery in Patients with Non-Small-Cell Lung Cancer

Effects of Ultrasound-Guided Thoracic Paravertebral Block on Postoperative Pain in Children Undergoing Percutaneous Nephrolithotomy

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