Relevant bibliographies by topics / Epidural Thoracic Analgesia

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers

Academic literature on the topic 'Epidural Thoracic Analgesia'

Author: Grafiati
Published: 3 June 2025
Last updated: 31 July 2025

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Journal articles on the topic "Epidural Thoracic Analgesia"

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Erturk, Engin, Ferdane Aydogdu Kaya, Dilek Kutanis, et al. "The Effectiveness of Preemptive Thoracic Epidural Analgesia in Thoracic Surgery." BioMed Research International 2014 (2014): 1–6. http://dx.doi.org/10.1155/2014/673682.

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Background. The aim of this study is to investigate the effectiveness of preemptive thoracic epidural analgesia (TEA) comparing conventional postoperative epidural analgesia on thoracotomy.Material and Methods. Forty-four patients were randomized in to two groups (preemptive: Group P, control: Group C). Epidural catheter was inserted in all patients preoperatively. In Group P, epidural analgesic solution was administered as a bolus before the surgical incision and was continued until the end of the surgery. Postoperative patient controlled epidural analgesia infusion pumps were prepared for al
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Matouk, M., N. Kachouane, and F. Chettibi. "Intrathecal Analgesia Versus Thoracic Epidural Analgesia for Thoracic Surgery." Scholars Journal of Applied Medical Sciences 12, no. 05 (2024): 509–11. http://dx.doi.org/10.36347/sjams.2024.v12i05.001.

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Introduction: Thoracic surgery is associated with severe postoperative pain involving parietal, visceral, and projected components. Potent analgesia at rest and during movement over an extended period is crucial. Thoracic epidural analgesia is considered the gold standard, but intrathecal analgesia may represent a promising alternative. This study aimed to evaluate the ability of intrathecal analgesia to provide comparable pain relief to thoracic epidural analgesia for thoracic surgery. Methods: This prospective, descriptive study was conducted over 12 months. Adult patients undergoing electiv
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Gulamani, Amber, Azhar Rehman, Mohsin Nazir, and Zainab Shabbir. "Intraoperative epidural analgesia practices and their outcomes in major abdominal surgeries at a tertiary care hospital." Journal of the Pakistan Medical Association 73, no. 8 (2023): 1587–91. http://dx.doi.org/10.47391/jpma.6434.

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Objective: To investigate the association involving site, concentrations and dosing of local anaesthetics used intraoperatively on postoperative pain scores, motor block and need for rescue analgesia. Method: The observational study was conducted June 1, 2020, to May 31, 2021, at the Aga Khan University Hospital, Karachi, and comprised patients planned for major abdominal surgeries with epidurals as primary analgesic modality. They were followed prospectively from placement of epidurals to 24h postoperatively. Data was collected from anaesthesia chart and pain management notes. Data was analys
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Soomro, Niaz Hussain Soomro, Hamid Mehmood, M. Aleemud Din, Aneeqa Ahsan Zafar, and Sadaf Siddiqui. "THORACIC EPIDURAL ANALGESIA." Professional Medical Journal 23, no. 08 (2016): 975–79. http://dx.doi.org/10.29309/tpmj/2016.23.08.1672.

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Objectives: The aim of this study is to determine whether thoracic epiduralanalgesia with bupivacaine is better than intravenous narcotic analgesia for pain relief inthoracotomy patients. Study design: Prospective randomized study. Setting: Department ofThoracic Surgery, Ojha Institute of Chest Diseases and Dow University of Health Sciences.Period: May 2014- Nov 2015. Methods: 144 patients were allocated randomly into 2 Groups.Group A received thoracic epidural analgesia with bupivacaine and Group B received intravenousnarcotic analgesia with tramadol. Pain was monitored in both groups using t
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Albrecht, Ronald F. "Thoracic Epidural Analgesia." Seminars in Cardiothoracic and Vascular Anesthesia 4, no. 1 (2000): 36–45. http://dx.doi.org/10.1177/108925320000400106.

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Salvi, L., E. Sisillo, and N. Rondello. "Thoracic epidural analgesia." European Journal of Anaesthesiology 22, no. 9 (2005): 723–24. http://dx.doi.org/10.1017/s0265021505211195.

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Nieb, Jacob M., Vicente Garcia Tomas, and Liting Chen. "Unintentional Mediastinal Placement of Thoracic Epidural Catheter Incidentally Discovered on Computed Tomography Imaging: A Case Report." A&A Practice 18, no. 11 (2024): e01864. http://dx.doi.org/10.1213/xaa.0000000000001864.

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Thoracic epidural analgesia is commonly used for postoperative analgesia for abdominal and thoracic surgeries. One complication of thoracic epidural catheter placement is a malpositioned catheter, such as in the subarachnoid, subdural, or intrapleural space. We present a case of unintentional posterior mediastinal catheter placement. The catheter produced a sensory level and analgesic benefit and was only identified incidentally on computed tomography (CT) imaging. This case highlights another possible anatomic location for unintentional catheter placement, which may be more common than report
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Lavand’homme, Patricia, Marc De Kock, and Hilde Waterloos. "Intraoperative Epidural Analgesia Combined with Ketamine Provides Effective Preventive Analgesia in Patients Undergoing Major Digestive Surgery." Anesthesiology 103, no. 4 (2005): 813–20. http://dx.doi.org/10.1097/00000542-200510000-00020.

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Background As a broader definition of preemptive analgesia, preventive analgesia aims to prevent the sensitization of central nervous system, hence the development of pathologic pain after tissular injury. To demonstrate benefits from preventive treatment, objective measurement of postoperative pain such as wound hyperalgesia and persistent pain should be evaluated. The current study assessed the role and timing of epidural analgesia in this context. Methods In a randomized, double-blinded trial, 85 patients scheduled to undergo neoplastic colonic resection were included. All the patients rece
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Cox, Felicia, and Angela Cousins. "Thoracic Paravertebral Block (Pvb) Analgesia." Journal of Perioperative Practice 18, no. 11 (2008): 491–96. http://dx.doi.org/10.1177/175045890801801104.

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Paravertebral blockade is a safe and effective technique for intraoperative and postoperative management of acute surgical pain. The block may be performed as a single injection or a catheter may be inserted to allow for the continuous or bolus administration of a long acting local anaesthetic. This mode of analgesia is not considered to be a stand alone technique (in contrast to epidural analgesia) and most patients will require additional analgesia (usually parenteral patient controlled analgesia). Compared to epidural analgesia, the paravertebral administration of analgesia is considered to
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Ratnayake, Ashani, Lihxuan Goh, Lee Woolsey, Roshan Thawale, Benjamin L. Jackson, and G. Niraj. "Erector spinae plane and intra thecal opioid (ESPITO) analgesia in radical nephrectomy utilising a rooftop incision: novel alternative to thoracic epidural analgesia and systemic morphine: a case series." Scandinavian Journal of Pain 20, no. 4 (2020): 847–51. http://dx.doi.org/10.1515/sjpain-2020-0034.

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AbstractBackgroundOpen radical nephrectomy and inferior vena cava exploration through a roof top incision involves significant peri-operative morbidity including severe postoperative pain. Although thoracic epidural analgesia provides excellent pain relief, recent trends suggest search for effective alternatives. Systemic morphine is often used as an alternative analgesic technique. However, it does not provide dynamic analgesia and can often impede recovery in patients undergoing major surgery on the abdomen. The authors present the first report of a novel analgesic regimen in this cohort wit
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Dissertations / Theses on the topic "Epidural Thoracic Analgesia"

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Sellers, Austin. "Benefits of thoracic epidural analgesia in patients undergoing an open posterior component separation for abdominal herniorrhaphy." Thesis, 2017. https://hdl.handle.net/2144/23993.

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INTRODUCTION: The implementation of open posterior component separation (PCS) surgery has led to improved outcomes for complex hernias. While the PCS technique has been shown to decrease recurrence rates, and provide a feasible option to repair hernias in nontraditional locations, there is still significant postoperative pain associated with the laparotomy and extensive abdominal wall manipulation. Systemic opioids and thoracic epidural analgesia (TEA) are both commonly utilized, either together or independently, as postoperative analgesic regimens. The benefits of TEA have been studied follow
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Books on the topic "Epidural Thoracic Analgesia"

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Farquhar-Smith, Paul. The additive analgesia of adrenaline in epidural blockade. Edited by Paul Farquhar-Smith, Pierre Beaulieu, and Sian Jagger. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198834359.003.0058.

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The landmark paper discussed in this chapter is ‘Adrenaline markedly improves thoracic epidural analgesia produced by a low-dose infusion of bupivacaine, fentanyl and adrenaline after major surgery’, published by Niemi and Breivik in 1998. The analgesic potential of neuraxial blockade has long been recognized. The extensive opioid receptor expression in areas germane to pain pathways gave credence to the effective clinical application of lower doses of neuraxial opioids compared with systemic administration. Preclinical data also proposed a potential spinal action of α‎2 agonists in achieving
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Ballard, Heather, Ravi Shah, and Santhanam Suresh. Neuraxial Anesthesia and Analgesia for Pediatric Surgery. Edited by Kirk Lalwani, Ira Todd Cohen, Ellen Y. Choi, and Vidya T. Raman. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190685157.003.0055.

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Neuraxial anesthesia has a long history of use in pediatric surgery. It can be used as a sole anesthetic or as an adjunct to sedation or general anesthesia. Neonatal spinals and single-shot caudal anesthesia are effective for lower abdominal, urological, and lower extremity orthopedic surgeries. When a thoracic, lumbar, or caudal epidural catheter is utilized, postoperative analgesia can also be provided to surgeries involving the chest and upper abdomen. There is renewed interest in neuraxial anesthesia due to concerns of the effect of volatile anesthetics on the developing brain. Though rese
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Dalal, Priti G., and Meghan Whitley. Pectus Excavatum. Edited by Kirk Lalwani, Ira Todd Cohen, Ellen Y. Choi, and Vidya T. Raman. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190685157.003.0018.

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Pectus excavatum is a funnel-shaped congenital deformity of the chest. Although the deformity can appear minimal at birth, it may be progressive. There may be cardiac or pulmonary compromise in addition to subjective complaints of pain and shortness of breath. Management ranges from breathing exercises to surgical repair with mobilization of the sternum and ribs. This can be performed using an open or thoracoscopic technique. Complications of surgical repair include atelectasis and pneumothorax. Significant pain is associated with the surgical procedures and multimodal analgesic therapy, inclu
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Emmanuel, Johan. Trauma pain and procedural pain: prevention of chronic pain following acute trauma. Edited by Brigitta Brandner. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780199234721.003.0008.

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Opioid analgesics should be used with extreme cautions in the self-ventilating head injured patient. Gastric emptying ceases after trauma. This will limit the efficacy of oral analgesics. Epidural analgesia has been shown to be an independent predictor of decreased morbidity and mortality in thoracic trauma. Femoral nerve block is as effective as intravenous morphine in femoral shaft fractures. Short-term non-steroidal anti-inflammatory drug use has no proven deleterious effects in humans, and should be part of multimodal management. Trauma is a risk factor for complex regional pain syndrome.
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Slack, Jeanne Frances Lawler. THE EFFICACY OF CONTINUOUS EPIDURAL INFUSIONS FOR ANALGESIA FOLLOWING MAJOR ABDOMINAL AND THORACIC SURGERY AND THE POTENTIAL NURSING CARE PROBLEMS AND THEIR MANAGEMENT. 1985.

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Aquino, Melinda. Postthoracotomy Pain Syndrome. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190271787.003.0016.

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Postthoracotomy pain syndrome (PTPS) affects approximately 50% of patients who undergo thoracic surgery for lung cancer. The pain can be very severe and may be associated with a high level of disability. The pain can be harsh and unrelenting, preventing patients from performing basic activity of daily living. Several modalities of pain management can be effective for PTPS. Appropriate pain management starts preoperatively with preemptive analgesia with oral medications. Regional anesthetic techniques, including thoracic epidural and thoracic paravertebral block/catheter, can be utilized intrao
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Book chapters on the topic "Epidural Thoracic Analgesia"

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Antrobus, Jonathan. "Thoracic Epidural Analgesia." In Analgesia in Major Abdominal Surgery. Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-94482-1_8.

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Ingram, Angela Renee, and Anuj Malhotra. "Your Thoracic Epidural is Not Working: How Do You Provide Analgesia Post-thoracotomy?" In You’re Wrong, I’m Right. Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-43169-7_30.

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"Thoracic Epidural Analgesia." In Encyclopedia of Pain. Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-28753-4_202285.

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Donnelly, Melanie, and Elizabeth Wilson. "Thoracic Surgery in the Elderly Patient." In Acute Pain Medicine, edited by Chester C. Buckenmaier, Michael Kent, Jason C. Brookman, Patrick J. Tighe, Edward R. Mariano, and David A. Edwards. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190856649.003.0013.

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Pain management in elderly patients poses unique challenges due to altered physiology (such as chronic renal insufficiency) and altered pharmacodynamics that make them more sensitive. Elderly patients undergoing thoracic surgery generally benefit from analgesic techniques that reduce the use of opioids and rely more on regional and neuraxial analgesic techniques using local anesthetics. In this chapter we provide an overview of the challenges of managing acute pain in the aged, discuss the benefits of using multimodal non-opioid analgesics in preventing chronic post-thoracotomy pain, and revie
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Ahuja, Sanchit, and Sree Kolli. "Regional Anesthesia for Abdominoplasty." In Regional Anesthesia and Acute Pain Medicine, edited by Eman Nada. Oxford University PressNew York, 2023. http://dx.doi.org/10.1093/med/9780197518519.003.0019.

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Abstract Lipoabdominoplasty refers to extensive liposuction in conjunction with abdominoplasty— known to improve outcomes and simultaneously reduce the risk of associated complications. Control of postoperative pain following abdominoplasty remains challenging and may lead to significant morbidity if left untreated. A wide variety of regional techniques, including neuraxial and peripheral nerve blocks, exists. Thoracic epidural analgesia appears to have excellent analgesic effects with additive advantages of reduced postoperative pulmonary complications. However, obvious contraindications, ass
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Arora, Harendra, and Alan Smeltz. "Anesthesia for Pleural Space Procedures." In Thoracic Anesthesia Procedures. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780197506127.003.0013.

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A variety of conditions can involve the pleural space that may require surgical intervention. Diseases that involve the pleura include pleurisy, pneumothorax, pleural effusion, hemothorax, chylothorax, empyema, and pleural tumors, as well as alveolopleural or bronchopleural fistula. Surgical interventions for treatment of pleural diseases include catheter drainage, debridement, decortication, pleurodesis, and thoracic duct ligation or repair of bronchopleural or alveolopleural fistula. Aside from overall patient assessment and workup, the preanesthetic evaluation should focus on cardiopulmonar
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Chaney, Mark A. "Should Thoracic Epidural/Spinal Analgesia Be Used for CABG?" In Evidence-Based Practice of Anesthesiology. Elsevier, 2009. http://dx.doi.org/10.1016/b978-1-4160-5996-7.00063-8.

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Sidash, Stanislav, and Yatish Ranganath. "Postoperative Pain Management of Open Nephrectomy." In Regional Anesthesia and Acute Pain Medicine, edited by Eman Nada. Oxford University PressNew York, 2023. http://dx.doi.org/10.1093/med/9780197518519.003.0018.

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Abstract Regional analgesia techniques employable for major abdominal surgery are reviewed in this chapter. Thoracic epidural analgesia (TEA) is widely used in clinical practice and is discussed here in detail. It is often advocated as the gold standard for analgesia for these procedures. However, the role of TEA is increasingly being challenged in the settings of enhanced recovery after surgery (ERAS) protocols and perioperative anticoagulation. Techniques like fascial plane blocks are being suggested as suitable alternatives. They are briefly discussed in this chapter. The chapter starts wit
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Tomulić Brusich, Katarina, Lara Valenčić, and Željka Polonijo. "Physiology and Pharmacology of Epidurally Administered Drugs." In Epidural Administration - New Perspectives and Uses [Working Title]. IntechOpen, 2022. http://dx.doi.org/10.5772/intechopen.109116.

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In the last few decades, epidural administration of various drugs has gained popularity and widespread clinical acceptance. Epidural administration of local anesthetics and opioids has been considered “state of the art” in acute pain management (thoracic and major abdominal surgery, labor). Its advantage is that it yields profound, long-lasting, dose-dependent analgesia, leaving other sensory and motor functions intact. It facilitates early patient mobilization and ambulation and therefore reduces the risk of postoperative thromboembolism and respiratory complications. The increment in the eld
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Lazar, Alina. "Epidural Anesthesia." In Pediatric Anesthesia Procedures, edited by Anna Clebone and Barbara K. Burian. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780190685188.003.0011.

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During epidural anesthesia, local anesthetics and adjuvants are administered into the epidural space by a single-shot, intermittent, or continuous technique. Epidural analgesia is used for open thoracic surgery, major intra-abdominal surgery with extensive surgical dissection, major lower extremity surgery, and long-term pain management. Epidural anesthesia is contraindicated in pediatric patients with uncorrected coagulopathy, hemophilia, liver disease causing coagulopathy, skin infection at the insertion site, bacteremia/sepsis, or lack of parental consent. Anesthesiologists should be famili
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Conference papers on the topic "Epidural Thoracic Analgesia"

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Jabaudon, M., A. Genevrier, S. Jaber, et al. "Thoracic Epidural Analgesia for Acute Pancreatitis: A Multicenter Randomized Trial." In American Thoracic Society 2022 International Conference, May 13-18, 2022 - San Francisco, CA. American Thoracic Society, 2022. http://dx.doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a2379.

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Pandraklakis, A., A. Prodromidou, T. Lappas, et al. "474 ERAS protocols in gynaecological oncology. Should we include thoracic epidural analgesia?" In ESGO 2021 Congress. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/ijgc-2021-esgo.305.

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Fujimura, N., K. Nobukuni, M. Hatta, T. Obuchi, and J. Yoshino. "Comparison of Ultrasound-Guided Retrolaminar Block with Epidural Analgesia on Postoperative Analgesia in Patients Undergoing Video-Assisted Thoracic Surgery." In American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a6678.

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Iaculli, Antonio, Sara Ribeiro, Steve Coppens, Van Loon Philippe, and Hoogma Danny. "OP023 Improving thoracic epidural analgesia success rates: pilot study on a comprehensive metric system." In ESRA Abstracts, 41st Annual ESRA Congress, 4–7th September 2024. BMJ Publishing Group Ltd, 2024. http://dx.doi.org/10.1136/rapm-2024-esra.22.

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Jabaudon, Matthieu, Sebastien Perbet, Russell Chabanne, et al. "Epidural Analgesia In The Critical Care Setting: A Multicenter Observational Study." In American Thoracic Society 2012 International Conference, May 18-23, 2012 • San Francisco, California. American Thoracic Society, 2012. http://dx.doi.org/10.1164/ajrccm-conference.2012.185.1_meetingabstracts.a3185.

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Jinaworn, Pongkwan, Rattanaporn Burimsittichai, Kirada Apisutimaitri, et al. "EP090 Comparison of efficacy between programmed intermittent epidural bolus and continuous epidural infusion for thoracic epidural analgesia after open upper abdominal surgery, a randomized controlled trial." In ESRA Abstracts, 41st Annual ESRA Congress, 4–7th September 2024. BMJ Publishing Group Ltd, 2024. http://dx.doi.org/10.1136/rapm-2024-esra.163.

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Sharapi, Mahfouz, Ammar Mektebi, Kerollos George Philip, Khaled Anwer Albakri, and Amany E. Mahfouz. "OP048 Conventional anatomical landmark versus preprocedural ultrasound for thoracic epidural analgesia: A systematic review and meta-analysis." In ESRA Abstracts, 40th Annual ESRA Congress, 6–9 September 2023. BMJ Publishing Group Ltd, 2023. http://dx.doi.org/10.1136/rapm-2023-esra.48.

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Doria, Stefano, Alexandra Colesnicenco, Senada Ymeraj, et al. "EP112 Effect of epidural analgesia on regional lung ventilation in parturient women as assessed by thoracic impedance." In ESRA Abstracts, 41st Annual ESRA Congress, 4–7th September 2024. BMJ Publishing Group Ltd, 2024. http://dx.doi.org/10.1136/rapm-2024-esra.185.

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Scarci, Marco, Kate Manley, Barbora Parizkova, et al. "Extrapleural Analgesia Compared To Epidural Analgesia In The Management Of Post-Operative Pain In Patients Undergoing Major Lung Resection: A Cost-Effectiveness Study." In American Thoracic Society 2012 International Conference, May 18-23, 2012 • San Francisco, California. American Thoracic Society, 2012. http://dx.doi.org/10.1164/ajrccm-conference.2012.185.1_meetingabstracts.a5836.

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Cornet, Marta Rodriguez, Gerard Mestres Gonzalez, Alba Benito Gomez, Mónica Pérez-Poquet, and Marc Bausili Ribera. "#36413 Paravertebral block versus thoracic epidural analgesia in video-assisted thoracoscopy surgery for lung cancer. Observational retrospective cohort study." In ESRA Abstracts, 40th Annual ESRA Congress, 6–9 September 2023. BMJ Publishing Group Ltd, 2023. http://dx.doi.org/10.1136/rapm-2023-esra.610.

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