☆ 4.5 Letter

PROSPECT guidelines no longer recommend thoracic epidural analgesia for video-assisted thoracoscopic surgery

ANAESTHESIA (2022)

Related references

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Review Anesthesiology

PROSPECT guidelines for video-assisted thoracoscopic surgery: a systematic review and procedure-specific postoperative pain management recommendations

S. Feray et al.

Summary: Video-assisted thoracoscopic surgery has become popular for its faster recovery and reduced postoperative pain. This systematic review analyzed 71 studies and recommended pre-intra-operative administration of basic analgesia, intra-operative dexmedetomidine infusion, and regional analgesic techniques for optimal pain management. Opioids should be used as rescue analgesics in the postoperative period.

ANAESTHESIA (2022)

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Article Anesthesiology

Randomized Prospective Study Evaluating Single-Injection Paravertebral Block, Paravertebral Catheter, and Thoracic Epidural Catheter for Postoperative Regional Analgesia After Video-Assisted Thoracoscopic Surgery

Yar Luan Yeap et al.

JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA (2020)

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Article Medicine, Research & Experimental

A Comparison of Analgesia After a Thoracoscopic Lung Cancer Operation with a Sustained Epidural Block and a Sustained Paravertebral Block: A Randomized Controlled Study

Qiao-Wen Huang et al.

ADVANCES IN THERAPY (2020)

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Article Anesthesiology

Ultrasound-guided continuous thoracic paravertebral block provides comparable analgesia and fewer episodes of hypotension than continuous epidural block after lung surgery

Hanae Okajima et al.

JOURNAL OF ANESTHESIA (2015)

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