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Journals / Anatolian Current Medical Journal / 2022 / Cilt: 4 - Sayı: 1

Comparison of thoracic epidural analgesia and thoracic paravertebral block in pain management after thoracotomy

Musa ZENGİN
Ramazan BALDEMİR
Gülay ÜLGER
Hilal SAZAK
Ali ALAGÖZ
Pages
70–75
Publication Date
2022-01-24
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Nausea-vomiting, hypotension, headache, itching, and sweating was statistically significantly higher in the TEA group when compared to patients who underwent TPVB (p

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: Thoracotomy is among the most painful surgical incisions and causes severe acute pain in the postoperative period.
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Key Findings & Data:Material and Method: After ethical committee approval, we retrospectively analyzed postoperative analgesia records of patients, who underwent thoracotomy, received TEA or TPVB for postoperative analgesia between 01.01.2019 and 01.01.2021.
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Conclusion & Impact:Nausea-vomiting, hypotension, headache, itching, and sweating was statistically significantly higher in the TEA group when compared to patients who underwent TPVB (p
🔬Design:Research Article
📍Scope:2019 Verileri
⚙️Variables:Postoperative acute pain · thoracic epidural analgesia · thoracic paravertebral block

Abstract

Aim: Thoracotomy is among the most painful surgical incisions and causes severe acute pain in the postoperative period. Many analgesic methods have been suggested for thoracotomy pain treatment. Thoracic epidural analgesia (TEA) and thoracic paravertebral block (TPVB) are common regional methods for post-thoracotomy pain. In this study, we aimed to compare the efficacy and the side effects of TEA and TPVB methods applied for post-thoracotomy analgesia. Material and Method: After ethical committee approval, we retrospectively analyzed postoperative analgesia records of patients, who underwent thoracotomy, received TEA or TPVB for postoperative analgesia between 01.01.2019 and 01.01.2021. Visual analog scale (VAS) scores of the patients who received analgesic treatment for 24 hours postoperatively after TEA or TPVB application were evaluated. Results: Data of 474 patients were found eligible for analysis. Demographic data of patients, VAS scores, patient satisfaction, and additional analgesic requirements were not statistically significant between the groups (p>0.05). Nausea-vomiting, hypotension, headache, itching, and sweating was statistically significantly higher in the TEA group when compared to patients who underwent TPVB (p

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Cite This Article

ZENGİN, M., BALDEMİR, R., ÜLGER, G., SAZAK, H., ALAGÖZ, A. (2022). Comparison of thoracic epidural analgesia and thoracic paravertebral block in pain management after thoracotomy. Anatolian Current Medical Journal, Cilt: 4 - Sayı: 1, 70–75. https://ajindex.com/articles/733791

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