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Journal articles on the topic 'Epidural Thoracic Analgesia'

Author: Grafiati

Published: 3 June 2025

Last updated: 31 July 2025

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1

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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6

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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7

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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Varman, Mithun A., Subramanian VV, Sripriya R., and Kundrapu Asha. "Real-Time Ultrasonography for the Placement of Caudal Epidurals for Thoracic Surgery in Infants: A Description of the Technique and Case Series." A&A Practice 18, no. 10 (2024): e01861. http://dx.doi.org/10.1213/xaa.0000000000001861.

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Caudal epidural catheters threaded to the thoracic levels are increasingly utilized in infants undergoing thoracic and abdominal surgery, compared to lumbar or thoracic epidural techniques. Estimating catheter length traditionally relies on anatomical landmarks, but the lack of spine ossification in infants makes ultrasonography a valuable and noninvasive tool. We present 3 cases where real-time ultrasonography facilitated caudal to thoracic epidural catheter placement in infants undergoing thoraco-abdominal surgeries. Incision-congruent placement of the catheter tip ensured effective perioper

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Hansdottir, Vigdis, Julia Philip, Monika Fagevik Olsen, Christina Eduard, Erik Houltz, and Sven-Erik Ricksten. "Thoracic Epidural versus Intravenous Patient-controlled Analgesia after Cardiac Surgery." Anesthesiology 104, no. 1 (2006): 142–51. http://dx.doi.org/10.1097/00000542-200601000-00020.

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Background Perioperative thoracic epidural analgesia reduces stress response and pain scores and may improve outcome after cardiac surgery. This prospective, randomized trial was designed to compare the effectiveness of patient-controlled thoracic epidural analgesia with patient-controlled analgesia with intravenous morphine on postoperative hospital length of stay and patients' perception of their quality of recovery after cardiac surgery. Methods One hundred thirteen patients undergoing elective cardiac surgery were randomly assigned to receive either combined thoracic epidural analgesia and

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Gupta, Anil, Federica Fant, Kjell Axelsson, et al. "Postoperative Analgesia after Radical Retropubic Prostatectomy." Anesthesiology 105, no. 4 (2006): 784–93. http://dx.doi.org/10.1097/00000542-200610000-00025.

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Background Postoperative pain after radical retropubic prostatectomy can be severe unless adequately treated. Low thoracic epidural analgesia and patient-controlled intravenous analgesia were compared in this double-blind, randomized study. Methods Sixty patients were randomly assigned to receive either low thoracic epidural analgesia (group E) or patient-controlled intravenous analgesia (group P) for postoperative pain relief. All patients had general anesthesia combined with thoracic epidural analgesia during the operation. Postoperatively, patients in group E received an infusion of 1 mg/ml

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14

Cook, T. M., and R. H. Riley. "Analgesia following Thoracotomy: A Survey of Australian Practice." Anaesthesia and Intensive Care 24, no. 5 (1996): 520–24. http://dx.doi.org/10.1177/0310057x9602400501.

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This survey examines pain management after thoracotomy in Australian hospitals. Questionnaires were sent to senior thoracic anaesthetists at 27 hospitals (16 public and 11 private) with thoracic surgical units. Twenty-six anaesthetists replied and 24 responses were included in the analyses. Seventy-two percent of respondents were from hospitals with acute pain services (APS), and in 94% of these hospitals patients are reportedly visited by the APS. The most frequently used analgesic modalities are epidural analgesia, intravenous patient-controlled analgesia (IVPCA), and nurse-controlled intrav

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Gamal, Reham Mohamed, Sylvia Samy Bossily, Ashgan Raouf Ali, Samuel Fayez Samy, Nazmy Edward Seif, and Heba Ismail Ahmed. "Serratus anterior plane block versus thoracic epidural block in patients undergoing thoracotomy: a randomized double-blind trial." Anaesthesia, Pain & Intensive Care 27, no. 3 (2023): 389–95. http://dx.doi.org/10.35975/apic.v27i3.2243.

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Background & Objective: Standard pain management technique after thoracic surgery is thoracic epidural analgesia, parentral analgesics and nerve blocks. Thoracic epidural analgesia (TEA) has many known complications, including respiratory depression and urinary retention. Serratus anterior plane block (SAPB) is a simple procedure, which provides postoperative pain relief by blocking the lateral cutaneous branches of T2–T9 spinal neurons. We compared the analgesic efficacy of both of these techniques in thoracotomy patients in this randomized trial. Methodology: The study involved 74

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Mitchell, John, Céline Couvreur, and Patrice Forget. "Recent Advances in Perioperative Analgesia in Thoracic Surgery: A Narrative Review." Journal of Clinical Medicine 14, no. 1 (2024): 38. https://doi.org/10.3390/jcm14010038.

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Thoracic surgery is associated with significant postoperative pain, which can hinder recovery and elevate morbidity risks. Traditionally, epidural anesthesia has been the cornerstone for pain management, but its drawbacks including technical challenges, side effects, and complications necessitate exploring alternative methods. This narrative review examined recent advances in perioperative analgesic strategies in thoracic surgery, focusing on regional anesthetic techniques like paravertebral blocks (PVBs), erector spinae plane blocks (ESPBs), intercostal blocks, and serratus anterior blocks. E

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Matouk, Mohamed, Tahar Ait mouheb, and Nacera Benmouhoub. "Place of the paravertebral block in post-operative analgesia in thoracic surgery." E3S Web of Conferences 319 (2021): 01041. http://dx.doi.org/10.1051/e3sconf/202131901041.

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The thoracic epidural analgesia (TEA) remains the standard gold for analgesic support in thoracic surgery, there is an interesting alternative to epidural analgesia, which is the paravertebral block (PVB). The aim in our study was to assess the value of performing a PVB in the management of postoperative pain in thoracic surgery compared to TEA. Methods: 80 patients were randomized to receive either epidural analgesia (n = 38, 10 cc bupivacaine 0.5% + 10 ϒ Sufentanyl then 10 cc Bupivacain 0.1% + 10 ϒ Sufentanyl via a PCA device) or PVB analgesia loss of resistance technique (n = 40, 10 cc bupi

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Poniatovska, G. B., and S. O. Dubrov. "Frequency of opioids prescribing in the postoperative period and ways to reduce their need." Ukrainian Interventional Neuroradiology and Surgery 44, no. 2 (2023): 34–42. http://dx.doi.org/10.26683/2786-4855-2023-2(44)-34-42.

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Objective ‒ to explore the need for additional analgesia during surgical interventions on the respiratory organs, by evaluating the consumption of opioids in the postoperative period.Materials and methods. The data of 157 patients, who underwent open surgery for lung cancer were analyzed. Patients were divided into four groups: Multimodal analgesia group (n=39): 1000 mg of paracetamol IV 1 hour before the incision, as well as IV administration of dexketoprofen 50 mg, in the postoperative period dexketoprofen and paracetamol were administered every 8 hours with epidural analgesia using ropivaca

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Kopeika, Uldis, Immanuels Taivans, Sanita Ūdre, Nataļja Jakušenko, Gunta Strazda, and Māris Mihelsons. "Effects of the prolonged thoracic epidural analgesia on ventilation function and complication rate after the lung cancer surgery." Medicina 43, no. 3 (2006): 199. http://dx.doi.org/10.3390/medicina43030024.

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Thoracic epidural analgesia has been considered to have a good anesthetic efficacy and to decrease the postoperative complication rate, while its effect upon the ventilation function is still the topic of many clinical studies. The aim of this study was to evaluate the course of early postoperative period using thoracic epidural analgesia. Material and methods. A total of 453 patients undergoing the operation due to the non–small cell carcinoma were selected and examined. Their postoperative complications and mortality rate were evaluated. In 79 patients, arterial oxygen saturation (SaO2), for

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Habib, SM Ahsanul, Lutful Aziz, Arifa Sultana, Taneem Mohammad, and Kaisar Haroon. "Effect of Thoracic Epidural Analgesia in Patients of Traumatic Multiple Rib Fractures withNeurotrauma: A Study Done in a SpecializedNeuro-ICU in Bangladesh." Journal of National Institute of Neurosciences Bangladesh 6, no. 1 (2020): 24–28. http://dx.doi.org/10.3329/jninb.v6i1.48025.

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analgesic administration as well as between early and delayed epidural analgesia. Monitoring was done to identify if any complications occur either due to the procedure or anaesthetic or analgesic drug itself. Results: A total number of 100 patients were recruited for this study. Following thoracic epidural analgesia (TEA), pain rating improved in 76.0% cases; coughing was diminished in 78.0% cases, while suctioning was improved in 68.0% cases. Besides, physiotherapy and positioning improvement were found in 68.0% cases and 72.0% cases respectively, while chest expansion was improved in

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Royse, C. F., P. F. Soeding, and A. G. Royse. "High Thoracic Epidural Analgesia for Cardiac Surgery: An Audit of 874 Cases." Anaesthesia and Intensive Care 35, no. 3 (2007): 374–77. http://dx.doi.org/10.1177/0310057x0703500309.

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Despite clinical use for over 10 years, high thoracic epidural analgesia for cardiac surgery remains controversial, due to a perceived increased risk of epidural haematoma resulting from anticoagulation for cardiac pulmonary bypass. There are no sufficiently large randomised studies to address this question and few large case series reported. For this reason, we conducted an audit of neurological complications related to high thoracic epidural analgesia during cardiac surgery in our institution between 1998 and end 2005. During this period 874 patients received epidural analgesia. There were n

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Poniatovska, H., and S. Dubrov. "Multimodal approach to pain management in thoracic surgery." General Surgery, no. 1 (April 13, 2023): 21–27. http://dx.doi.org/10.30978/gs-2023-1-21.

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The American Cancer Society estimated that 68,820,000 men and 61,360,000 women in the United States of America would die from lung and bronchial cancer in 2022, which is equal to 21% of all cancer deaths. Patients who undergo thoracotomy have a higher risk of postoperative complications due to the severe pain syndrome that typically develops after surgery. Even though there has been extensive research on the advantages and disadvantages of various perioperative analgesia techniques, the search for the best and safest still continues. Objective — to improve the results of perioperative an

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Abdelrahman, Ayman Sharawy, Mohamed Mosaad Al Wasseef, Mohamed Elsayed Hassan, and Ekramy M. Abdelghafar. "Evaluating the effect of ultrasound–guided superficial serratus plane block, deep serratus plane block and thoracic epidural analgesia in cancer patients undergoing thoracotomy: A randomized controlled trial." Anaesthesia, Pain & Intensive Care 25, no. 6 (2021): 713–21. http://dx.doi.org/10.35975/apic.v25i6.1690.

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Background & objective: The serratus anterior plane block (SAPB) is a recent technique providing effective perioperative analgesia in thoracic surgeries. This study compared the intra–operative hemodynamics and the perioperative analgesic efficacy of superficial SAPB, to deep SAPB, and to thoracic epidural analgesia in thoracotomies. Methodology: one hundred and eighty lung cancer patients scheduled for thoracotomy were randomly allocated to three groups; TEA group, which received thoracic epidural analgesia, SSPB group receiving ultrasound–guided superficial serratus plane block and

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Yilmaz, Mehmet Akif, Nuray Uzun, Elif Oral Ahiskalioglu, and Ali Bilal Ulas. "Retrospective evaluation of analgesia approaches in patients undergoing thoracic surgery over the last one year: A single-center study." Challenge Journal of Perioperative Medicine 3, no. 1 (2025): 1. https://doi.org/10.20528/cjpm.2025.01.001.

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Objective: Providing adequate analgesia after thoracic surgery plays an important role in preventing pulmonary complications while accelerating postoperative recovery. This study aimed to retrospectively evaluate the effectiveness of analgesia approaches applied to patients who underwent thoracic surgery at Atatürk University Research Hospital in the last year. This study aimed to retrospectively evaluate the effectiveness of analgesia approaches applied to patients who underwent thoracic surgery at Atatürk University Research Hospital in the last year by comparing different analgesia methods

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Bashar, Md Abul, Mohammad Ali, Kazi lsrat Jahan, Zahidur Rahman, and Mahbub Murshed. "Breast Surgery under Thoracic Epidural Analgesia." Journal of Surgical Sciences 21, no. 1 (2019): 29–32. http://dx.doi.org/10.3329/jss.v21i1.43836.

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Background: Operations on breast are routinely performed under general anesthesia. Avariety of local and regional techniques have been described for breast surgery with thegoal of reducing the complications associated with general anaesthesia. Objective: To assess the feasibility of thoracic epidural anaesthesia as sole anesthetictechnique for breast surgery. Methods: This study was conducted on 32 cooperative female patients of age group42-55 year. T5-T6 or T4-T5 space was used for insertion of epidural catheter. lnjLidocaine 2% 12 ml was injected through the catheter as anaesthet

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G, Enten, Puri S, Patel K, et al. "Thoracic epidural analgesia vs. intravenous analgesia after lung transplant." Case Studies in Surgery 5, no. 2 (2019): 4. http://dx.doi.org/10.5430/css.v5n2p4.

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Objective: Few reports have evaluated postoperative continuous thoracic epidural analgesia on patients who received a lung transplant. This analgesic modality may facilitate extubation, early ambulation, and achieve adequate pain control with minimization of opioid use. An opioid sparing technique could minimize the side effects of opioids such as ileus, constipation, and somnolence.Methods: A retrospective chart review following local IRB approval was performed. A total of 97 patients’ charts were collected, from April 2015 to March 2017. Forty-eight patients received T6-7 epidural, and forty

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Slack, Jeanne F., and Margaret Faut-Callahan. "Efficacy of Epidural Analgesia for Pain Management of Critically Ill Patients and the Implications for Nursing Care." AACN Advanced Critical Care 2, no. 4 (1991): 729–40. http://dx.doi.org/10.4037/15597768-1991-4013.

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Management of pain for critically ill patients has been shown to be inadequately controlled and can have serious deleterious effects on a patient’s recovery. Continuous epidural analgesia can be used to control pain in critical care patients. This mode of analgesia administration provides pain relief without the delays inherent in the as-needed administration of analgesics. Fifteen critical care unit patients were part of a multidisciplinary, prospective, randomized, double-blind study of various epidural analgesic agents in 43 thoracic and 66 abdominal surgery patients. The purpose of the stu

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Sarridou, Despoina G., Sophia Anastasia Mouratoglou, Jeremy B. Mitchell, et al. "Post-Operative Thoracic Epidural Analgesia and Incidence of Major Complications according to Specific Safety Standardized Documentation: A Large Retrospective Dual Center Experience." Journal of Personalized Medicine 13, no. 12 (2023): 1672. http://dx.doi.org/10.3390/jpm13121672.

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(1) Background: Thoracic epidural analgesia is considered the gold standard in post-operative pain management following thoracic surgery. This study was designed to explore the safety of thoracic epidural analgesia and to quantify the incidence of its post-operative complications and side effects in patients undergoing thoracotomy for major surgery, such as resection of lung malignancies and lung transplantation. (2) Methods: This is a retrospective, dual-center observational study including patients that underwent major thoracic surgery including lung transplantation and received concurrent p

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Hong, JiHee. "Fluoroscopically Guided Thoracic Interlaminar Epidural Injection: A Comparative Epidurography Study Using 2.5 mL and 5 mL of Contrast Dye." Pain Physician 7;19, no. 7;9 (2016): E1013—E1018. http://dx.doi.org/10.36076/ppj/2016.19.e1013.

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Background: Thoracic epidural anesthesia (TEA) is frequently used to maintain intraoperative analgesia. After injecting the initial bolus dose of epidural local anesthetics (LA), intermittent injection of LA through an epidural catheter is required to maintain the intraoperative analgesia. For intermittent epidural administration, usually 2 – 5 mL of LA has been used. However, no studies have suggested an optimal volume of LA of TEA for intermittent epidural administration of TEA. Objective: We focused on identifying an optimal volume of LA of TEA using epidurography of the thoracic level with

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Hu, Chaojun, Shan Zhang, Qian Chen, and Rong Wang. "Effects of Different Anesthetic and Analgesic Methods on Cellular Immune Function and Stress Hormone Levels in Patients Undergoing Esophageal Cancer Surgery." Journal of Healthcare Engineering 2022 (March 12, 2022): 1–9. http://dx.doi.org/10.1155/2022/4752609.

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The change of perioperative immune function in patients with esophageal cancer is mainly caused by the joint action of surgical trauma and anesthesia. In our study, we aimed to investigate the effects of different anesthetic methods on the changes of T lymphocyte subsets and cytokines in peripheral blood of patients with esophageal cancer surgery. 50 patients with esophageal cancer were divided into the study group and the control group. Among them, the patients in the control group chose intravenous anesthesia and received self-controlled intravenous analgesia after surgery. Patients in the s

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Shah, Dr Sudha, Dr Bharat Shah, and Dr Chameli Deb. "Study of Breast Surgery under Thoracic Epidural Analgesia." Scholars Journal of Applied Medical Sciences 4, no. 6 (2016): 2244–47. http://dx.doi.org/10.21276/sjams.2016.4.6.77.

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Freise, Hendrik, Stefan Lauer, Soeren Anthonsen, et al. "Thoracic Epidural Analgesia Augments Ileal Mucosal Capillary Perfusion and Improves Survival in Severe Acute Pancreatitis in Rats." Anesthesiology 105, no. 2 (2006): 354–59. http://dx.doi.org/10.1097/00000542-200608000-00019.

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Background Acute pancreatitis has been linked to intestinal barrier dysfunction and systemic inflammatory response with high mortality. Thoracic epidural analgesia improves intestinal perfusion. The authors hypothesized that thoracic epidural analgesia influences microcirculation injury, inflammatory response, and outcome of acute pancreatitis in rats. Methods Control groups underwent a sham procedure or untreated pancreatitis induced by intraductal taurocholate injection. In the treatment groups, epidural analgesia was commenced immediately or after a 7-h delay. Fifteen hours after injury, th

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Norum, Hilde M., and Harald Breivik. "Thoracic Paravertebral Blockade and Thoracic Epidural Analgesia." Anesthesia & Analgesia 112, no. 4 (2011): 990. http://dx.doi.org/10.1213/ane.0b013e318209e130.

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CICALA, ROGER S., GUY R. VOELLER, TERRI FOX, TIMOTHY C. FABIAN, KENNETH KUDSK, and EUGENE C. MANGIANTE. "Epidural analgesia in thoracic trauma." Critical Care Medicine 18, no. 2 (1990): 229–31. http://dx.doi.org/10.1097/00003246-199002000-00020.

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Breivik, Harald, and Geir Niemi. "Optimal thoracic epidural analgesia–Again." Scandinavian Journal of Pain 3, no. 2 (2012): 106–7. http://dx.doi.org/10.1016/j.sjpain.2012.02.002.

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McLeod, GA, and C. Cumming. "Thoracic epidural anaesthesia and analgesia." Continuing Education in Anaesthesia Critical Care & Pain 4, no. 1 (2004): 16–19. http://dx.doi.org/10.1093/bjaceaccp/mkh006.

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Gramling-Babb, PM, &NA; Zile, and ST Reeves. "HIGH THORACIC EPIDURAL ANALGESIA (HTEA)." Anesthesia & Analgesia 88, Supplement (1999): 81SCA. http://dx.doi.org/10.1097/00000539-199904001-00081.

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Pathak, Laxmi. "EFFECT OF POSTOPERATIVE EPIDURAL ANALGESIA AFTER MAJOR ORTHOPEDIC SURGERIES, A RETROSPECTIVE STUDY." Journal of Universal College of Medical Sciences 3, no. 2 (2016): 20–25. http://dx.doi.org/10.3126/jucms.v3i2.14286.

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INTRODUCTION: Epidural analgesia has been used in many major surgeries like upper abdominal surgery, cardio-thoracic surgery, orthopedic surgery etc. Epidural analgesia is one of the commonly used methods of postoperative pain control despite its associated complications. So, this study was conducted to find out its effectiveness in major orthopedic surgeries done in Universal College of Medical Sciences. MATERIAL AND METHODS: A retrospective study was done at Universal College of Medical Sciences & Teaching Hospital, Bhairahawa, Nepal from July 2012 to June 2014. Data of 57 patients, aged

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Angst, Martin S., Bhamini Ramaswamy, Ed T. Riley, and Donald R. Stanski. "Lumbar Epidural Morphine in Humans and Supraspinal Analgesia to Experimental Heat Pain." Anesthesiology 92, no. 2 (2000): 312. http://dx.doi.org/10.1097/00000542-200002000-00011.

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Background Epidural administration of morphine is a common analgesic technique to manage pain. Morphine spreads from the epidural space to the cerebrospinal fluid and then rostrally, causing side effects mediated by the brain stem. However, data on the rostral spread of morphine-mediated analgesia are sparse. This study examined the rostral spread of analgesic effects on heat and electrical pain after epidural administration of morphine. Methods In a randomized, double-blinded, placebo-controlled, crossover study, 5 mg morphine or saline placebo were injected into the lumbar epidural space in

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Neskovic, Vojislava, and Predrag Milojevic. "High thoracic epidural anesthesia for coronary artery bypass graft surgery." Medical review 56, no. 3-4 (2003): 152–56. http://dx.doi.org/10.2298/mpns0304152n.

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Introduction High thoracic epidural anesthesia and analgesia are being increasingly used for coronary artery bypass graft surgery. The reasons for this include excellent perioperative pain control with advantage of early tracheal extubation, improved postoperative pulmonary function, and cardiac protection due to sympathetic blockade. Effects of high thoracic epidural anesthesia Cardiac protection is the consequence of decreased heart rate, myocardial contractility and arterial blood pressure, without changes in coronary perfusion pressure. Therefore, high thoracic epidural analgesia beneficia

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Ho, Anthony M.-H., Emma Torbicki, Andrea L. Winthrop, et al. "Caudal catheter placement for repeated epidural morphine doses after neonatal upper abdominal surgery." Anaesthesia and Intensive Care 50, no. 1-2 (2022): 141–45. http://dx.doi.org/10.1177/0310057x211062240.

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Effective pain control after major surgery in neonates presents many challenges. Parenteral opioids (and co-analgesics) are often used but inadequate analgesia and oversedation are not uncommon. Although continuous thoracic epidural analgesia is highly effective and opioid-sparing, its associated risks and the need for staff with specialised skills and/or neonatal intensive care unit staff buy-in may preclude this option even in many academic centres. We present the case of a six-day-old infant who underwent upper abdominal surgery and received intermittent morphine doses via a tunnelled cauda

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El-Sherbiny, Sameh M., Ragab A. Kamal, Islam H. Elhadary, and Maha Y. Y. Abdallah. "Erector spinae plane block versus thoracic epidural block as analgesic techniques for chest trauma." Research and Opinion in Anesthesia & Intensive Care 9, no. 3 (2022): 220–27. http://dx.doi.org/10.4103/roaic.roaic_64_21.

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Background Effective analgesia, early mobilization, and respiratory support are the main goals for managing patients with rib fractures. The purpose of this study was to compare the differences between either continuous thoracic epidural and erector spinae plane (ESP) block in patients with chest trauma. Patients and methods This prospective study included 50 patients with American Society of Anesthesiologists status I and II, aged between 18 and 65 years old, admitted with chest trauma. The patients were randomly allocated into two equal groups: ESP block group and thoracic epidural analgesia

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Usman, Ali, Ahsun Waqar Khan, and Muhammad Khurram Ijaz. "Ultrasound guided erector spinae plane catheter for thoracotomy: a case report." Anaesthesia, Pain & Intensive Care 25, no. 6 (2021): 812–15. http://dx.doi.org/10.35975/apic.v25i6.1707.

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Major thoracic surgery results in severe postoperative pain. Epidural analgesia is considered the gold standard for pain management after thoracic surgery. However, epidural blocks are contraindicated in certain clinical conditions. Pain management in such patients poses a unique challenge to the anesthesiologists. Erector spinae plane block (ESPB) is a less invasive and relatively new technique, which has shown promising results. This case report describes the use of ESPB as an alternate analgesic technique. A 65-year-old man underwent thoracotomy and left upper lobe resection. Intraoperative

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Mostafa, Mamdouh M., Ahmed H. Bakeer, and Reham M. Gamal. "Ultrasound–guided serratus anterior plane block versus thoracic epidural analgesia for acute post–thoracotomy pain: a prospective randomized controlled study." Anaesthesia, Pain & Intensive Care 25, no. 6 (2021): 733–40. http://dx.doi.org/10.35975/apic.v25i6.1692.

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Background: Post–thoracotomy pain can result not only in discomfort to the patient but also in pulmonary complications, due to ineffective coughing, which leads to retention of secretions. It can result into chronic post–thoracotomy pain in the long term. Many analgesic techniques are in use to control it, including continuous serratus anterior plane block (SAPB) and thoracic epidural analgesia (TEA). We compared the efficacy and safety of SAPB with continuous TEA in patients undergoing open lung resection. Methodology: This randomized, open–labeled, parallel–controlled trial was done in

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Babu, Saravana, Muthu Kumar, Shrinivas V. Gadhinglajkar, Deepak Mathew Gregory, Neelam Aggarwal, and Subin Sukesan. "Thoracotomy Patients Under General Anesthesia: A Comparison on Intra-Operative Anesthetic and Analgesic Requirements, When Combined with Either Epidural Analgesia or Continuous Unilateral Paravertebral Analgesia." Annals of Cardiac Anaesthesia 27, no. 1 (2024): 10–16. http://dx.doi.org/10.4103/aca.aca_83_23.

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ABSTRACT Background and Objective: Regional analgesia is effective for post-thoracotomy pain. The primary objective of the study is to compare the intraoperative requirement of isoflurane and fentanyl between general anaesthesia (GA) with epidural analgesia and GA with paravertebral analgesia. Methods and Material: A prospective observational comparative study was conducted on 56 patients undergoing open thoracotomy procedures. The patients were divided into two groups of 28 by assigning the study participants alternatively to each group: Group GAE - received thoracic epidural catheterization

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Asmaa, Mohamed Hamza Sedky, Fouad Yahia Magda, Mohamed Helal Safaa, Mohamed Doha Nagwa, Mohamed Elhassan Ali Habib Rabab, and Said Donya Sally. "Comparative study between the effects of either dexmedetomidine or clonidine when combined with bupivacaine in thoracic epidural anaesthesia in patient undergoing thoracotomy." Biolife 3, no. 3 (2022): 739–55. https://doi.org/10.5281/zenodo.7297879.

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<strong>ABSTRACT</strong> Pain following thoracic surgery has been reported to be among the most intense clinical experiences. Patients experience painful wound incisions that alter chest wall mechanics and ineffective chest expansion may predispose to atelectasis, ventilation/ perfusion mismatching, hypoxemia and infection. The aim of this study is to compare the preemptive use of either dexmedetomidine or clonidine when combined with bupivacaine  versus bupivacaine alone in thoracic epidural anaesthesia in patient undergoing thoracotomy. Result: Although dexmedetomidine decrease heart r

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Omar, Sherif Y. A., Mounir K. Afify, Mohamed A. E. H. Abd El-Hameed, and Mohamed M. Abd El-Hady. "Comparison between ultrasound-guided serratus anterior plane block and thoracic epidural for postoperative analgesia after modified radical mastectomy." Research and Opinion in Anesthesia & Intensive Care 10, no. 3 (2023): 191–96. http://dx.doi.org/10.4103/roaic.roaic_66_22.

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Background Patients undergoing breast surgery require a multimodal postoperative pain treatment regimen that provides high-quality analgesia with minimal side effects. The aim of this study was to compare between the efficiency of serratus anterior plane block and thoracic epidural analgesia in terms of postoperative pain relief in the first 24 h determined by the visual analog scale (VAS) score. The second aim was to compare between the two methods as regards duration of the procedure in minutes, incidence of adverse effects, total analgesic consumption in the first 24 h, and patient satisfac

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Dieu, Audrey, Philippe Huynen, Patricia Lavand'homme, et al. "Pain management after open liver resection: Procedure-Specific Postoperative Pain Management (PROSPECT) recommendations." Regional Anesthesia & Pain Medicine 46, no. 5 (2021): 433–45. http://dx.doi.org/10.1136/rapm-2020-101933.

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Background and objectivesEffective pain control improves postoperative rehabilitation and enhances recovery. The aim of this review was to evaluate the available evidence and to develop recommendations for optimal pain management after open liver resection using Procedure-Specific Postoperative Pain Management (PROSPECT) methodology.Strategy and selection criteriaRandomized controlled trials (RCTs) published in the English language from January 2010 to October 2019 assessing pain after liver resection using analgesic, anesthetic or surgical interventions were identified from MEDLINE, Embase an

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Etta OE, Anyanwu P, Edubio MN, and Ekpe EE. "role of thoracic epidural analgesia in the management of blunt chest injuries in a resource-poor setting: A case report." Ibom Medical Journal 9, no. 1 (2016): 25–29. http://dx.doi.org/10.61386/imj.v9i1.132.

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Background: Chest trauma is a significant cause of morbidity and mortality, accounting for about 25% of all trauma death. Motor vehicle accident is responsible for majority of thoracic trauma while isolated rib fractures is the commonest presentation. Over 90% of thoracic trauma can be successfully managed conservatively. Thoracic epidural analgesia is a significant method of pain relief in chest trauma. We report the role of thoracic epidural analgesia in the successful management of chest trauma in a 54yr old man in a poor resource setting, and suggest that given excellent pain relief, most

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Mandal, Naresh Chandra, SAMA Sabur, NAK Ahsan, and KK Karmakar. "Evaluation of Pulmonary Function after Off- Pump Coronary Artery Bypass Graft Surgery with Thoracic Epidural Analgesia." Cardiovascular Journal 6, no. 1 (2013): 31–36. http://dx.doi.org/10.3329/cardio.v6i1.16112.

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Background: A substantial reduction of lung volumes and pulmonary function follows cardiac surgery. Pain may prevent effective breathing and coughing, as thoracic epidural analgesia may reduce post operative pain and improve early post operative pulmonary function. We tested the effect of thoracic epidural analgesia (TEA) on pulmonary function after off- pump coronary artery bypass (OPCAB) graft surgery. Methods: 60 patients undergoing off- pump coronary artery bypass (OPCAB) graft surgery were nonrandomized in to two groups. Group-I (30 patients) receiving thoracic epidural analgesia along wi

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