Continuous paravertebral block using a thoracoscopic catheter-insertion technique for postoperative pain after thoracotomy: a retrospective case-control study
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- 作者：Yoshikane Yamauchi ; Mitsuhiro Isaka ; Kamon Ando…
- 关键词：Paravertebral block ; Thoracotomy ; Postoperative pain
- 刊名：Journal of Cardiothoracic Surgery
- 出版年：2017
- 出版时间：December 2017
- 年：2017
- 卷：12
- 期：1
- 全文大小：538KB
- 刊物主题：Cardiac Surgery; Thoracic Surgery;
- 出版者：BioMed Central
- ISSN：1749-8090
- 卷排序：12
文摘
BackgroundThoracic epidural analgesia (EDA) is the gold standard for pain control after thoracotomy. However, because of its severe side effects, it is contraindicated in patients taking anticoagulant or antiplatelet drugs. In addition, some patients’ anatomy can make epidural catheter insertion challenging. We therefore investigated the safety and efficacy of paravertebral block (PVB) using a thoracoscopic insertion technique, which avoids damage to the parietal pleura, for postoperative pain after thoracotomy.