Analgesic efficacy and safety of epidural and paravertebral blocks in thoracotomy surgery

Authors : Tuğba ONUR, Asiye DEMİREL, Anıl ONUR, Seyda Efsun OZGUNAY, Ümran KARACA, Mesut ENGİN

Pages : 391-397

Doi:10.18621/eurj.1217756

View : 31 | Download : 7

Publication Date : 2023-03-04

Article Type : Research Paper

Abstract :Objectives: Epidural anesthesia, once considered a gold standard, has significant complications: hypotension, urinary retention, and catastrophic neurological damage in rare cases. While paravertebral analgesia can provide similar analgesic effectiveness to epidural analgesia, it is associated with fewer side effects. To compare the perioperative and postoperative effects of epidural insert ignore into journalissuearticles values(ED); and ultrasound-guided paravertebral block insert ignore into journalissuearticles values(PVB); applications in thoracotomy surgeries. Methods: Fifty-two patients underwent elective thoracotomy; Group 1 insert ignore into journalissuearticles values(ED, n = 23); and Group 2 insert ignore into journalissuearticles values(PVB, n = 29); were evaluated. A comparison of hemodynamic parameters and complications preoperatively and postoperatively, postoperative analgesia requirements, visual analog scale insert ignore into journalissuearticles values(VAS); pain scores within 24 hours at specified times, the amount of analgesic used, the time to mobilize, the time to discharge, and the VAS values measured at three months was made. Results: There was no difference between the study groups regarding demographic and ASA values, most comorbid chronic diseases, obesity, and smoking. The number of attempts, the postoperative 2nd hour VAS score, and the doses of paracetamol and tramadol used was significantly higher in Group 1 than in Group 2 insert ignore into journalissuearticles values( p = 0.002, p = 0.002, p = 0.012, and p = 0.022, respectively);. There was no statistical difference between the groups in terms of postoperative 6, 12, 24 hours, and 3 months VAS scores, first mobilization and discharge, time to remove the thorax tube, intensive care insert ignore into journalissuearticles values(PACU); need, and perioperative and postoperative complications insert ignore into journalissuearticles values( p > 0.05);. Conclusions: Ultrasound-guided PVB can be considered a safe and effective alternative to ED in thoracotomy surgery.
Keywords : Epidural block, paravertebral block, postoperative pain, chronic pain

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