scholarly journals Safety and Efficacy of Oral Melatonin When Combined with Thoracic Epidural Analgesia in Patients with Bilateral Multiple Fracture Ribs

2020 ◽  
Vol Volume 13 ◽  
pp. 21-28
Author(s):  
Ahmed M Fetouh Abdelrahman ◽  
Amany Faheem Abdel Salam Omara ◽  
Alaa Ali M Elzohry
Keyword(s):  
Epidural Analgesia ◽  
Thoracic Epidural Analgesia ◽  
Multiple Fracture ◽  
Safety And Efficacy ◽  
Thoracic Epidural

1612: Perioperative Thoracic Epidural Analgesia Reduces the Incidence and Severity of Cardiopulmonary Complications in Radical Prostatectomy Patients

2006 ◽  
Vol 175 (4S) ◽  
pp. 519-520
Author(s):  
Diana Wiessner ◽  
Rainer J. Litz ◽  
Alexandra Zurawski ◽  
Michael Frohner ◽  
Thea Koch ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Epidural Analgesia ◽  
Thoracic Epidural Analgesia ◽  
Thoracic Epidural ◽  
Cardiopulmonary Complications

Paravertebral Block versus Thoracic Epidural Analgesia for Postthoracotomy Pain Relief: A Meta-Analysis of Randomized Trials

2021 ◽  
Author(s):  
Mu Xu ◽  
Jiajia Hu ◽  
Jianqin Yan ◽  
Hong Yan ◽  
Chengliang Zhang
Keyword(s):  
Side Effects ◽  
Pain Relief ◽  
Epidural Analgesia ◽  
Meta Analysis ◽  
Thoracic Epidural Analgesia ◽  
Paravertebral Block ◽  
Cochrane Library ◽  
Thoracic Epidural ◽  
Analgesic Consumption ◽  
Postthoracotomy Pain

Abstract Objective Paravertebral block (PVB) and thoracic epidural analgesia (TEA) are commonly used for postthoracotomy pain management. The purpose of this research is to evaluate the effects of TEA versus PVB for postthoracotomy pain relief. Methods A systematic literature search was conducted in PubMed, EMBASE, Web of Science, and the Cochrane Library (last performed on August 2020) to identify randomized controlled trials comparing PVB and TEA for thoracotomy. The rest and dynamic visual analog scale (VAS) scores, rescue analgesic consumption, the incidences of side effects were pooled. Results Sixteen trials involving 1,000 patients were included in this meta-analysis. The pooled results showed that the rest and dynamic VAS at 12, 24, and rest VAS at 48 hours were similar between PVB and TEA groups. The rescue analgesic consumption (weighted mean differences: 3.81; 95% confidence interval [CI]: 0.982–6.638, p < 0.01) and the incidence of rescue analgesia (relative risk [RR]: 1.963; 95% CI: 1.336–2.884, p < 0.01) were less in TEA group. However, the incidence of hypotension (RR: 0.228; 95% CI: 0.137–0.380, p < 0.001), urinary retention (RR: 0.392; 95% CI: 0.198–0.776, p < 0.01), and vomiting (RR: 0.665; 95% CI: 0.451–0.981, p < 0.05) was less in PVB group. Conclusion For thoracotomy, PVB may provide no superior analgesia compared with TEA but PVB can reduce side effects. Thus, individualized treatment is recommended. Further study is still necessary to determine which concentration of local anesthetics can be used for PVB and can provide equal analgesic efficiency to TEA.

scholarly journals Thoracic epidural analgesia improves lung function in CABG patients

2005 ◽  
Vol 52 (S1) ◽  
pp. A48-A48 ◽  
Author(s):  
Paul K. Tenenbein ◽  
Doug Maguire ◽  
Roland Debrouwere ◽  
Peter C. Duke ◽  
Stephen E. Kowalski
Keyword(s):  
Lung Function ◽  
Epidural Analgesia ◽  
Thoracic Epidural Analgesia ◽  
Thoracic Epidural ◽  
Cabg Patients

A comparison of parecoxib and thoracic epidural analgesia for postoperative analgesia following Nuss procedure

2015 ◽  
Vol 50 (12) ◽  
pp. 2032-2034 ◽  
Author(s):  
Wendy Yang ◽  
Yung-Ching Ming ◽  
Yi-Chuan Kau ◽  
Chia-Chih Liao ◽  
Shih-Chang Tsai ◽  
...  
Keyword(s):  
Epidural Analgesia ◽  
Postoperative Analgesia ◽  
Thoracic Epidural Analgesia ◽  
Nuss Procedure ◽  
Thoracic Epidural

scholarly journals Effect of obesity and thoracic epidural analgesia on perioperative spirometry

2005 ◽  
Vol 94 (1) ◽  
pp. 121-127 ◽  
Author(s):  
B.S. von Ungern-Sternberg ◽  
A. Regli ◽  
A. Reber ◽  
M.C. Schneider
Keyword(s):  
Epidural Analgesia ◽  
Thoracic Epidural Analgesia ◽  
Thoracic Epidural
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