Bubivacaine Induced Thoracic Paravertebral Catheter Block in Patients Undergoing Thoracotomy
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- Category: Vol. 85, December 2017
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Bubivacaine Induced Thoracic Paravertebral Catheter Block in Patients Undergoing Thoracotomy, MOHAMED A. ABDULLATIF, TAMER O. AZZAB, TAREK A. MAREEI, MOHAMED K. HAMZA and MOSTAFA A. EL-TANTAWY
Abstract
Background: Recently there has been renewed interest in this block to provide long lasting unilateral anesthesia and for the treatment of acute and chronic pain. Paravertebral block has been successfully used to provide analgesia for multiple thoracic and abdominal procedures in both adults and children [1].
Aim: To assess the efficacy of continuous Bupivacaine thoracic paravertebral block in controlling thoracotoiny induced pain.
Material and Methods: We studied 20 patients undergoing thoracotomy in the lateral decubitus, thoracic paravertebral catheter was inserted prior to induction of general anesthesia, and hemodynamic profile and consumption of anesthetics and analgesics were recorded at different intervals in addition to visual analogue score post-operatively.
Results: There was minor hemodynamic changes on incision compared to baseline values and accepted visual analogue score values post-operatively in these patients.
Conclusion: Continuous thoracic paravertebral block is an effective method of controlling thoracotomy induced pain.