Comparison of thoracic epidural and paravertebral analgesia for postoperative pain control after thoracotomy; [Torakotomi sonrasi postoperatif aǧri kontrolünde torakal epidural ve paravertebral bloǧun karşilaştirilmasi]

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dc.contributor.authorÖztürk T.
dc.contributor.authorTopcu I.
dc.contributor.authorYaldiz S.
dc.contributor.authorÖzbakkaloǧlu A.
dc.contributor.authorAşik K.
dc.contributor.authorYentür A.
dc.date.accessioned2024-07-22T08:12:18Z
dc.date.available2024-07-22T08:12:18Z
dc.date.issued2016
dc.description.abstractObjectives: In the present randomized, controlled, and blinded study, the effects of thoracic paravertebral analgesia were compared to those of epidural analgesia on postoperative pain, hemodynamics, and respiration rate following thoracotomy. Methods: Patients scheduled for elective open-lung surgery were included. One hour prior to surgery, thoracic epidural catheters were used in 18 patients (ED group), and ultrasound-guided paravertebral catheters were used in 17 patients (PV group). Standard general anesthesia was administered to all. Following anesthesia, postoperative analgesia of levobupivacaine 0.1% and morphine 0.1 mg mL-1 was administered via catheter. Patient-controlled analgesia (PCA) regime with tramadol was initiated, and amounts of local anesthetics and tramadol demanded and delivered within the first 24 hours were recorded. Visual analog scale (VAS) pain score, sedation score, side effects, and vital signs (blood pressure, heart rate, and respiratory rate) were assessed by an observer blinded to patient data at 1, 2, 3, 4, 6, 12, and 24 hours. Results: Differences in PCA bolus demands and deliveries were not statistically significant between the PV group (26.8±1.3 and 33.1±4.5) and the ED group (25.1±3.5 and 32.5±4.3). Neither were differences in VAS scores statistically significant (p=0.3). Rates of sedation among the PV group were lower than those of the ED group at 1 hour (p=0.001). Five patients in the ED (%28) group experienced hypotension (p=0.02). Conclusion: Paravertebral block with levobupivacaine 0.1% and morphine 0.1 mg mL-1 may be an alternative form of pain relief following thoracotomy. © 2016 Türk Algoloji Derneǧi.
dc.identifier.DOI-ID10.5505/agri.2015.22043
dc.identifier.issn13000012
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/15989
dc.language.isoTurkish
dc.publisherTurkish Society of Algology
dc.rightsAll Open Access; Hybrid Gold Open Access
dc.subjectAnalgesia, Epidural
dc.subjectAnalgesia, Patient-Controlled
dc.subjectAnalgesics, Opioid
dc.subjectDouble-Blind Method
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectNerve Block
dc.subjectPain Measurement
dc.subjectPain, Postoperative
dc.subjectPerioperative Care
dc.subjectThoracic Vertebrae
dc.subjectThoracotomy
dc.subjectTreatment Outcome
dc.subjectnarcotic analgesic agent
dc.subjectcontrolled study
dc.subjectdouble blind procedure
dc.subjectepidural analgesia
dc.subjectfemale
dc.subjecthuman
dc.subjectmale
dc.subjectmiddle aged
dc.subjectnerve block
dc.subjectpain measurement
dc.subjectPain, Postoperative
dc.subjectpatient controlled analgesia
dc.subjectperioperative period
dc.subjectrandomized controlled trial
dc.subjectthoracic vertebra
dc.subjectthoracotomy
dc.subjecttreatment outcome
dc.titleComparison of thoracic epidural and paravertebral analgesia for postoperative pain control after thoracotomy; [Torakotomi sonrasi postoperatif aǧri kontrolünde torakal epidural ve paravertebral bloǧun karşilaştirilmasi]
dc.typeArticle

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