RT Journal Article
T1 Thoracic paravertebral block after thoracotomy: comparison of three different approaches
A1 Garutti Martínez, Ignacio
A1 González Aragoneses, Federico
A1 Biencinto, MT
A1 Novoa, E
A1 Simón Adiego, Carlos María
A1 Moreno Mata, Nicolás
A1 Cruz, P
A1 Benito, C.
AB Background: Thoracic paravertebral block (TPVB) is a regional block technique increasingly used for the early management of post-thoracotomy pain. We compare three different postoperative analgesic approaches based on TPVB: anesthetist, anesthetist plus surgeon, and surgeon.Materials and methods: We randomized 54 patients undergoing elective thoracotomy to three different postoperative analgesia groups: paravertebral percutaneous catheter (PVA group), paravertebral percutaneous catheter plus incisional (subcutaneous) catheter (PVA+Inc), and paravertebral catheter under direct vision (PVS group). During early postoperative 48h, we measured pain intensity, intravenous morphine afforded by the patient-controlled analgesia pump, and the spirometric test.Results: There were no statistically significant differences among the collected preoperative data. No significant differences were observed on postoperative spirometric values. Analgesic quality was better in PVA+Inc group at 12 and 24 postoperative hours. In this group, intravenous morphine use to improve analgesia was significantly lower from 8h until 48h postoperative.Conclusions: Association of thoracic paravertebral block to continuous infusion of a local anesthetic in the surgical incision area affords a better pain relief than paravertebral block alone (introduced by the surgeon or the anesthetist).
PB Oxford Academic
SN 1010-7940
YR 2009
FD 2009-05-01
LK https://hdl.handle.net/20.500.14352/100652
UL https://hdl.handle.net/20.500.14352/100652
LA eng
NO Garutti I, González-Aragoneses F, Biencinto MT, Novoa E, Simón C, Moreno N, Cruz P, Benito C. Thoracic paravertebral block after thoracotomy: comparison of three different approaches. Eur J Cardiothorac Surg. 2009 May;35(5):829-32. doi: 10.1016/j.ejcts.2009.01.025. Epub 2009 Mar 21.
DS Docta Complutense
RD 17 abr 2025