Thoracic paravertebral block for video-assisted thoracoscopic surgery: Single injection versus multiple injections

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dc.contributor.buuauthorKaya, Fatma Nur
dc.contributor.buuauthorTürker, Gürkan
dc.contributor.buuauthorMoğol, Elif Başağan
dc.contributor.buuauthorBayraktar, Selcan
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Anesteziyoloji ve Reanimasyon Anabilim Dalı.tr_TR
dc.contributor.orcid0000-0002-3019-581Xtr_TR
dc.contributor.researcheridAAI-8213-2021tr_TR
dc.contributor.researcheridAAI-6642-2021tr_TR
dc.contributor.scopusid7003619647tr_TR
dc.contributor.scopusid7003400116tr_TR
dc.contributor.scopusid23982134100tr_TR
dc.contributor.scopusid34879358300tr_TR
dc.date.accessioned2022-03-25T12:38:53Z
dc.date.available2022-03-25T12:38:53Z
dc.date.issued2012-02
dc.description.abstractObjective: Thoracic paravertebral blocks (PVBs) have been shown to be effective for analgesia after video-assisted thoracoscopic surgery (VATS) with single- and multiple-injection techniques. The efficacy of single-injection PVB was compared with multiple-injection PVB on postoperative analgesia in VATS was studied. Design: Prospective, randomized study. Setting: Single university hospital. Participants: Fifty patients undergoing VATS. Interventions: A nerve stimulator-guided PVB was performed in the sitting position before surgery using a solution of 20 mL 0.5% bupivacaine with 1:200,000 epinephrine by a single injection at T6 (group S, n = 25) or by 5 injections of 4 mL each at T4 to T8 (group M, n = 25). Measurements and Main Results: A successful PVB was achieved in all patients. The times to perform the blocks were 6.8 +/- 1.9 minutes in the S group and 17.9 +/- 3.0 minutes in the M group (p < 0.001). The times to block onset were 8.3 +/- 1.8 minutes in the S group and 7.2 +/- 0.9 minutes in the M group (p = 0.014). The numbers of anesthetized dermatomes were 5.8 +/- 0.8 for the S group and 6.6 +/- 1.1 for the M group (p = 0.009). The postoperative pain scores and morphine consumption with patient-controlled analgesia were comparable in the two groups. There were no significant differences in times to the first mobilization and hospital discharge for two groups. Patient satisfaction with the analgesic procedure was greater in the S group (p < 0.05). No complications were attributed to the blocks. Conclusions: The two techniques provided comparable postoperative analgesia. However, single-injection PVB may represent an advantage over multiple-injection PVB in patients undergoing VATS, with greater patient satisfaction associated with a shorter procedure and the likelihood of decreased complications.en_US
dc.identifier.citationKaya, F. N. vd. (2012). "Thoracic paravertebral block for video-assisted thoracoscopic surgery: single injection versus multiple injections". Journal of Cardiothoracic and Vascular Anesthesia, 26(1), 90-94.en_US
dc.identifier.endpage94tr_TR
dc.identifier.issn1053-0770
dc.identifier.issn1532-8422
dc.identifier.issue1tr_TR
dc.identifier.pubmed22055006tr_TR
dc.identifier.scopus2-s2.0-84855317420tr_TR
dc.identifier.startpage90tr_TR
dc.identifier.urihttps://doi.org/10.1053/j.jvca.2011.09.008
dc.identifier.urihttps://www.sciencedirect.com/science/article/pii/S1053077011006549
dc.identifier.urihttp://hdl.handle.net/11452/25353
dc.identifier.volume26tr_TR
dc.identifier.wos000299135400015tr_TR
dc.indexed.pubmedPubMeden_US
dc.indexed.scopusScopusen_US
dc.indexed.wosSCIEen_US
dc.language.isoenen_US
dc.publisherW. B. Saunders - Elsevieren_US
dc.relation.journalJournal of Cardiothoracic and Vascular Anesthesiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergitr_TR
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAnesthesiologyen_US
dc.subjectCardiovascular system & cardiologyen_US
dc.subjectRespiratory systemen_US
dc.subjectParavertebral blocken_US
dc.subjectPostoperative painen_US
dc.subjectAnalgesiaen_US
dc.subjectVideo-assisted thoracoscopic surgeryen_US
dc.subjectNerve blockadeen_US
dc.subjectSpaceen_US
dc.subjectThoracotomyen_US
dc.subjectAnesthesiaen_US
dc.subjectSpreaden_US
dc.subject.emtreeAdrenalin plus bupivacaineen_US
dc.subject.emtreeMorphineen_US
dc.subject.emtreeAdulten_US
dc.subject.emtreeArticleen_US
dc.subject.emtreeClinical articleen_US
dc.subject.emtreeComparative studyen_US
dc.subject.emtreeControlled studyen_US
dc.subject.emtreeDermatomeen_US
dc.subject.emtreeFemaleen_US
dc.subject.emtreeHumanen_US
dc.subject.emtreeMaleen_US
dc.subject.emtreeMultiple injection thoracic paravertebral blocken_US
dc.subject.emtreeNerve blocken_US
dc.subject.emtreePatient controlled analgesiaen_US
dc.subject.emtreePatient satisfactionen_US
dc.subject.emtreePostoperative analgesiaen_US
dc.subject.emtreePostoperative painen_US
dc.subject.emtreePriority journalen_US
dc.subject.emtreeRandomized controlled trialen_US
dc.subject.emtreeSingle injection thoracic paravertebral blocken_US
dc.subject.emtreeSpinal anesthesiaen_US
dc.subject.emtreeVideo assisted thoracoscopic surgeryen_US
dc.subject.meshAnalgesicsen_US
dc.subject.meshBupivacaineen_US
dc.subject.meshEpinephrineen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshInjectionsen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle ageden_US
dc.subject.meshNerve blocken_US
dc.subject.meshPain, postoperativeen_US
dc.subject.meshProspective studiesen_US
dc.subject.meshSingle-blind methoden_US
dc.subject.meshThoracic surgery, video-assistedtr_TR
dc.subject.meshThoracic vertebraeen_US
dc.subject.scopusThoracic Nerves; Modified Radical Mastectomy; Thoracotomyen_US
dc.subject.wosAnesthesiologyen_US
dc.subject.wosCardiac & cardiovascular systemsen_US
dc.subject.wosRespiratory systemen_US
dc.subject.wosPeripheral vascular diseaseen_US
dc.titleThoracic paravertebral block for video-assisted thoracoscopic surgery: Single injection versus multiple injectionsen_US
dc.typeArticle
dc.wos.quartileQ3en_US
dc.wos.quartileQ4 (Respiratory system)en_US

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