The efficacy of thoracic epidural and paravertebral blocks for post-thoracotomy pain management

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dc.authoridBaysal, AyG/0000-0002-1487-7407
dc.authoridkaramustafaoglu, yekta altemur/0000-0002-5491-1219
dc.authoridsagiroglu, gonul/0000-0002-1189-4973
dc.authoridYuksel, Volkan/0000-0001-9518-2588
dc.authorwosidBaysal, AyG/AAR-8763-2021
dc.authorwosidBaysal, Ayse/AAF-8294-2019
dc.authorwosidsagiroglu, gönül/AAB-4472-2021
dc.authorwosidBaysal, Ayse/AAR-8769-2021
dc.authorwosidSagiroglu, Gonul/ABH-1345-2021
dc.authorwosidkaramustafaoglu, yekta altemur/S-9512-2019
dc.contributor.authorSagiroglu, Gonul
dc.contributor.authorBaysal, Ayse
dc.contributor.authorCopuroglu, Elif
dc.contributor.authorKaramustafaoglu, Yekta Altemur
dc.contributor.authorSagiroglu, Tamer
dc.contributor.authorYuksel, Volkan
dc.contributor.authorHuseyin, Serhat
dc.date.accessioned2024-06-12T11:16:17Z
dc.date.available2024-06-12T11:16:17Z
dc.date.issued2013
dc.departmentTrakya Üniversitesien_US
dc.description.abstractIntroduction: The definition of pain focuses mainly on tissue damage and provides information regarding pathophysiological changes in the human being [1]. Patients experience pain as a response to this tissue damage after surgery and the pain intensity after thoracotomies is known to be severe [2]. Aim of the study: Our goal was to investigate the efficacy and adverse effects of thoracic epidural and paravertebral blocks for post-thoracotomy pain management. Material and methods: In a prospective, randomized double blinded study, patients were divided into thoracic epidural (EPI group, n = 30) and paravertebral (PVB group, n = 30) groups. A bolus dose of 10 ml of 0.25% bupivacaine was followed by a continuous infusion of 0.1 ml kg(-1) h(-1) for a total of 24 hours. A visual analog scale (VAS) was used to evaluate pain at rest (VAS-R) and after coughing (VAS-C) at baseline (after extubation), 2, 4, 12 and 24 hours after surgery. The duration of catheter insertion, morphine consumption, complications and side effects were collected. Results: In comparison of EPI and PVB groups, VAS-R and VAS-C scores were similar at baseline and at 2, 4, 12 and 24 hours after surgery (p > 0.05). The incidence of hypotension was higher and the duration of catheter insertion was longer in the EPI group in comparison to the PVB group (p = 0.038, p < 0.0001, respectively). Conclusions: For post-thoracotomy pain, both thoracic epidural analgesia and paravertebral block techniques provide sufficient pain relief. As paravertebral block is an easier and quicker technique with lower incidence of hypotension, it should be considered as a good alternative to thoracic epidural technique to establish postoperative analgesia.en_US
dc.identifier.doi10.5114/kitp.2013.36135
dc.identifier.endpage147en_US
dc.identifier.issn1731-5530
dc.identifier.issn1897-4252
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-84880339557en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage139en_US
dc.identifier.urihttps://doi.org/10.5114/kitp.2013.36135
dc.identifier.urihttps://hdl.handle.net/20.500.14551/24266
dc.identifier.volume10en_US
dc.identifier.wosWOS:000323090000008en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherTermedia Publishing House Ltden_US
dc.relation.ispartofKardiochirurgia I Torakochirurgia Polskaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectThoracotomyen_US
dc.subjectPostoperative Analgesiaen_US
dc.subjectThoracic Paravertebral Blocken_US
dc.subjectThoracic Epidural Analgesiaen_US
dc.subjectComplicationen_US
dc.subjectRandomized-Trialsen_US
dc.subjectLung Resectionen_US
dc.subjectAnalgesiaen_US
dc.subjectThoracotomyen_US
dc.subjectSurgeryen_US
dc.subjectBupivacaineen_US
dc.subject0.2-Percenten_US
dc.subjectRopivacaineen_US
dc.subjectInfusionen_US
dc.subjectReliefen_US
dc.titleThe efficacy of thoracic epidural and paravertebral blocks for post-thoracotomy pain managementen_US
dc.typeArticleen_US

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