Thoracic paravertebral block for nephrectomy: a randomized, controlled, observer-blinded study

Pain Medicine : the Official Journal of the American Academy of Pain Medicine
Ji Seok BaikJung Hee Ryu

Abstract

This study evaluated whether adding a preoperative single thoracic paravertebral block (TPVB) to intravenous patient-controlled analgesia (IV PCA) would improve postoperative analgesia compared with using IV PCA alone in patients undergoing nephrectomy. Prospective, randomized, controlled, observer-blinded trial. University hospital. Thirty-four adult patients undergoing elective open nephrectomy. The patients were randomized to receive a TPVB plus IV PCA (group T) or IV PCA alone (group C). A single 18-mL injection of 0.75% ropivacaine was administered preoperatively under ultrasound guidance; fentanyl was used for IV PCA. Each patient's postoperative pain score based on a verbal numerical rating scale, postoperative fentanyl consumption, inspiratory volume by incentive spirometry, and complications were evaluated at 1, 3, 6, 12, and 24 hours after surgery. Changes in heart rate (HR), systolic arterial pressure (SAP), and mean arterial pressure (MAP) were evaluated following skin incision. The postoperative pain score and fentanyl consumption were significantly lower in group T than in group C at all time points up to 24 hours after surgery. The postoperative inspiratory volumes were not significantly different. The changes in...Continue Reading

References

Dec 1, 1988·British Journal of Anaesthesia·K GieseckeC Klingstedt
Feb 1, 1995·Anaesthesia·S P CheemaS Sabanathan
Aug 26, 1998·Anesthesia and Analgesia·J RichardsonR Atkinson
Oct 6, 2000·Anesthesiology·F M Perkins, H Kehlet
Oct 6, 2000·Anesthesiology·I Kissin
Dec 20, 2005·International Urology and Nephrology·Muzaffer EroğluAbdurrahim Imamoğlu
Aug 26, 2006·Anesthesia and Analgesia·Pekka M KairaluomaPertti J Pere
Aug 20, 2009·Anesthesia and Analgesia·Yasuyuki Shibata, Kimitoshi Nishiwaki
Oct 22, 2009·Anesthesia and Analgesia·Alon Ben-AriPaul E Bigeleisen
Jan 15, 2011·British Journal of Anaesthesia·J RichardsonZ Naja

❮ Previous
Next ❯

Citations

Oct 27, 2021·European Journal of Pain : EJP·Chengluan XuanJingping Wang

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aphasia

Aphasia affects the ability to process language, including formulation and comprehension of language and speech, as well as the ability to read or write. Here is the latest research on aphasia.