Anestezjologia intensywna terapia
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Anestezjol Intens Ter · Jul 2008
Randomized Controlled Trial Comparative Study[Continuous epidural anaesthesia vs paravertebral block for lung surgery--a comparative study].
This prospective randomized study compared the effects of two techniques--thoracic epidural analgesia (TEA), and thoracic paravertebral analgesia (TPVA), on pain control and haemodynamics after thoracotomy. ⋯ (1) Thoracic paravertebral anaesthesia can be regarded as a satisfactory alternative to epidural anaesthesia for control of post-thoracotomy pain. (2) The effect of paravertebral anaesthesia on blood pressure and heart rate is minimal, therefore this technique may be recommended for patients with coexisting circulatory disease. (3) The frequency of use of the PCA system cannot be regarded as an objective method of pain assessment.