Paravertebral Catheter Placement, Under Direct Vision, for Postthoracotomy Analgesia

Brown, Tristam; D’Netto, Trevor J.; Falk, Gregory L.; Phillips, Stephanie

doi:10.1097/sle.0000000000000203

Cited by 4 publications

(2 citation statements)

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“…This procedure can be performed percutaneously using the classic landmark-based approach described by Eason and Wyatt, 13 ultrasound-guidance, 14 or stimulation technique, 15 or under direct visualization by the surgeon. 16 The PVB may involve single-dose injection (either in a large bolus at a single site, or multiple divided boluses at different sites) or continuous catheter infusion of a local anesthetic agent, both of which have previously been shown to provide postoperative pain control. 12,17,18 Single-dose PVB was shown to provide only short duration (<6 hours) postoperative analgesia 19,20 ; therefore, most recent studies have evaluated PVB by continuous infusion.…”

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confidence: 99%

Randomized Prospective Study Evaluating Single-Injection Paravertebral Block, Paravertebral Catheter, and Thoracic Epidural Catheter for Postoperative Regional Analgesia After Video-Assisted Thoracoscopic Surgery

Yeap

Wolfe

Backfish-White

et al. 2020

Journal of Cardiothoracic and Vascular Anesthesia

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Objective: Video-assisted thoracoscopic surgery (VATS) has improved patient outcomes; however, postoperative pain remains potentially severe. The objective of this study was to compare adjunct analgesic modalities for VATS, including paravertebral nerve blockade (PVB) and thoracic epidural anesthesia (TEA). Design: Prospective, randomized trial. Setting: Large academic hospital, single institution. Participants: Adult patients undergoing VATS. Interventions: Ultrasound-guided PVB catheter, ultrasound-guided single-injection PVB, or TEA. Measurements and Main Results: Postoperative visual analog scale pain scores (at rest and with knee flexion) and opioid usage were recorded. Pain scores (with movement) for the TEA group were lower than those for either PVB group at 24 hours (p 0.008) and for the PVB catheter group at 48 hours (p = 0.002). Opioid use in TEA group was lower than that for either PVB group at 24 and 48 hours (p < 0.001) and 72 hours (p < 0.05). Single-injection PVB was faster compared with PVB catheter placement (6 min v 12 min; p < 0.001) but similar to TEA (5 min). Patient satisfaction, nausea, sedation, and 6-month postsurgical pain did not differ between groups. Conclusions: TEA led to lower pain scores and opioid requirement for VATS procedures compared with PVB techniques. Single-injection PVB was faster and equally as effective as PVB catheter, and it led to similar patient satisfaction as TEA; therefore, it should be considered in patients who are not ideal candidates for TEA.

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mentioning

confidence: 99%

Randomized Prospective Study Evaluating Single-Injection Paravertebral Block, Paravertebral Catheter, and Thoracic Epidural Catheter for Postoperative Regional Analgesia After Video-Assisted Thoracoscopic Surgery

Yeap

Wolfe

Backfish-White

et al. 2020

Journal of Cardiothoracic and Vascular Anesthesia

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“…Além da técnica percutânea, também já foi descrita a técnica de BPV sob visão direta do cirurgião durante cirurgias torácicas. (42,43) A técnica do BPV consiste na deposição de anestésico local no espaço paravertebral a fim de bloquear a condução dos nervos espinhais imediatamente após sua saída do forame intervertebral. Apesar de o BPV ter sido inicialmente descrito através de técnica guiada por referenciais anatômicos de superfície, no ano de 2009 foram publicados diversos estudos sobre a realização do BPV guiado por ultrassonografia, tanto com abordagem parasagital quanto transversa e com agulhamento em plano ou fora de plano.…”

Section: Bloqueio Paravertebralunclassified

Comparação de analgesia do bloqueio do plano eretor da espinha em cirurgias pulmonares em relação ao bloqueio paravertebral: estudo multicêntrico randomizado

Filho¹

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Aos meus pais, Pedro e Edilma, meus gigantes que me colocaram nos ombros e me permitiram enxergar mais longe. À Carolina, pela fé inabalável e amor diário, que fazem tudo valer a pena.A Vitor e Vinícius, irmãos de sangue, e Rômulo e Talison, irmãos de vida, pelo exemplo e apoio constantes na busca pela excelência. AGRADECIMENTOSAo Prof. Dr. João Manoel, amigo singular, orientador e conselheiro de todos os momentos. Obrigado por todos os ensinamentos, generosidade e exemplo de dedicação ao trabalho.

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Paravertebral Block for Thoracic Surgery

D’Ercole

Arora

Kumar

2018

Journal of Cardiothoracic and Vascular Anesthesia

173

123

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Paravertebral Catheter Placement, Under Direct Vision, for Postthoracotomy Analgesia

Cited by 4 publications

References 6 publications

Randomized Prospective Study Evaluating Single-Injection Paravertebral Block, Paravertebral Catheter, and Thoracic Epidural Catheter for Postoperative Regional Analgesia After Video-Assisted Thoracoscopic Surgery

Randomized Prospective Study Evaluating Single-Injection Paravertebral Block, Paravertebral Catheter, and Thoracic Epidural Catheter for Postoperative Regional Analgesia After Video-Assisted Thoracoscopic Surgery

Comparação de analgesia do bloqueio do plano eretor da espinha em cirurgias pulmonares em relação ao bloqueio paravertebral: estudo multicêntrico randomizado

Paravertebral Block for Thoracic Surgery

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