ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Comparison of thoracic paravertebral and epidural blocks for pain relief after thoracotomy
Oğuzhan Cücü1, Pelin Karaca1, Yavuz Enç2, Okan Yücel2, Tamer Aksoy1, Şahin Şenay2, Sevim Canik1
1Departments of Anesthesiology and Rehabilitation, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Center, İstanbul
2Departments of Cardiovascular Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Center, İstanbul
Background: The aim was to compare the effects of thoracic paravertebral and epidural blocks on pain relief and respiratory function after thoracotomy.

Methods: 50 patients (38 males, 12 females; mean age 49.8±17.7; range 15 to 78 years) were included in the study. Patients were randomly divided into two groups to be applied epidural (group I), paravertebral (group II) block. Patients had supplementary doses of morphine by a patient-controlled analgesia (PCA) device. Postoperative total morphine consumption was noted by the PCA device. During the first 24 hours using visual analoque scale (VAS) patients were asked to assess their pain at rest; 1 hour after being in the intensive care unit and every 2 hours

Results: There were no significant differences between the groups regarding morphine consumption and VAS scores. Additionally, on the first postoperative day FEV1 and FVC measurements were not significantly different.

Conclusion: Paravertebral block may be an effective and safe altenative for the pain relief after thoracotomy.

Keywords : Analgesia/methods; pain, postoperative/physiopathology/ prevention & control/therapy; thoracotomy/adverse effects
Viewed : 12888
Downloaded : 2556