Place of the paravertebral block in post-operative analgesia in thoracic surgery

The thoracic epidural analgesia (TEA) remains the standard gold for analgesic support in thoracic surgery, there is an interesting alternative to epidural analgesia, which is the paravertebral block (PVB). The aim in our study was to assess the value of performing a PVB in the management of postoper...

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Autores principales:	Matouk Mohamed, Ait mouheb Tahar, Benmouhoub Nacera
Formato:	article
Lenguaje:	EN FR
Publicado:	EDP Sciences 2021
Materias:	Environmental sciences GE1-350
Acceso en línea:	https://doaj.org/article/a8441ef844044475bfadb3ab95f6b60b
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spelling	oai:doaj.org-article:a8441ef844044475bfadb3ab95f6b60b2021-11-12T11:44:13ZPlace of the paravertebral block in post-operative analgesia in thoracic surgery2267-124210.1051/e3sconf/202131901041https://doaj.org/article/a8441ef844044475bfadb3ab95f6b60b2021-01-01T00:00:00Zhttps://www.e3s-conferences.org/articles/e3sconf/pdf/2021/95/e3sconf_vigisan_01041.pdfhttps://doaj.org/toc/2267-1242The thoracic epidural analgesia (TEA) remains the standard gold for analgesic support in thoracic surgery, there is an interesting alternative to epidural analgesia, which is the paravertebral block (PVB). The aim in our study was to assess the value of performing a PVB in the management of postoperative pain in thoracic surgery compared to TEA. Methods: 80 patients were randomized to receive either epidural analgesia (n = 38, 10 cc bupivacaine 0.5% + 10 ϒ Sufentanyl then 10 cc Bupivacain 0.1% + 10 ϒ Sufentanyl via a PCA device) or PVB analgesia loss of resistance technique (n = 40, 10 cc bupivacaine 0.5% + 10 ϒ Sufentanyl via a PCA device). All patients received standard general anesthesia. The peri-operative parameters studied include standard measurement, EVA scale at rest and mobilization, use of morphinics. Results: there is a significant difference between the two groups and the incidents of puncture were significantly more important for the APDT group. The postoperative pain assessment by EVA did not show a significant difference between TEA and PVB Conclusion: the comparison of PVB to TPDA did not find significant difference in the efficacy of analgesia and the side effects. The BPV could be proposed as a first intention for postoperative analgesia in thoracic surgery.Matouk MohamedAit mouheb TaharBenmouhoub NaceraEDP SciencesarticleEnvironmental sciencesGE1-350ENFRE3S Web of Conferences, Vol 319, p 01041 (2021)
institution	DOAJ
collection	DOAJ
language	EN FR
topic	Environmental sciences GE1-350
spellingShingle	Environmental sciences GE1-350 Matouk Mohamed Ait mouheb Tahar Benmouhoub Nacera Place of the paravertebral block in post-operative analgesia in thoracic surgery
description	The thoracic epidural analgesia (TEA) remains the standard gold for analgesic support in thoracic surgery, there is an interesting alternative to epidural analgesia, which is the paravertebral block (PVB). The aim in our study was to assess the value of performing a PVB in the management of postoperative pain in thoracic surgery compared to TEA. Methods: 80 patients were randomized to receive either epidural analgesia (n = 38, 10 cc bupivacaine 0.5% + 10 ϒ Sufentanyl then 10 cc Bupivacain 0.1% + 10 ϒ Sufentanyl via a PCA device) or PVB analgesia loss of resistance technique (n = 40, 10 cc bupivacaine 0.5% + 10 ϒ Sufentanyl via a PCA device). All patients received standard general anesthesia. The peri-operative parameters studied include standard measurement, EVA scale at rest and mobilization, use of morphinics. Results: there is a significant difference between the two groups and the incidents of puncture were significantly more important for the APDT group. The postoperative pain assessment by EVA did not show a significant difference between TEA and PVB Conclusion: the comparison of PVB to TPDA did not find significant difference in the efficacy of analgesia and the side effects. The BPV could be proposed as a first intention for postoperative analgesia in thoracic surgery.
format	article
author	Matouk Mohamed Ait mouheb Tahar Benmouhoub Nacera
author_facet	Matouk Mohamed Ait mouheb Tahar Benmouhoub Nacera
author_sort	Matouk Mohamed
title	Place of the paravertebral block in post-operative analgesia in thoracic surgery
title_short	Place of the paravertebral block in post-operative analgesia in thoracic surgery
title_full	Place of the paravertebral block in post-operative analgesia in thoracic surgery
title_fullStr	Place of the paravertebral block in post-operative analgesia in thoracic surgery
title_full_unstemmed	Place of the paravertebral block in post-operative analgesia in thoracic surgery
title_sort	place of the paravertebral block in post-operative analgesia in thoracic surgery
publisher	EDP Sciences
publishDate	2021
url	https://doaj.org/article/a8441ef844044475bfadb3ab95f6b60b
work_keys_str_mv	AT matoukmohamed placeoftheparavertebralblockinpostoperativeanalgesiainthoracicsurgery AT aitmouhebtahar placeoftheparavertebralblockinpostoperativeanalgesiainthoracicsurgery AT benmouhoubnacera placeoftheparavertebralblockinpostoperativeanalgesiainthoracicsurgery
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Place of the paravertebral block in post-operative analgesia in thoracic surgery

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