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Feasibility and efficacy of preoperative epidural catheter placement for anterior scoliosis surgery
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This study investigates a modified approach to the thoracic epidural space in scoliotic patients allowing for preoperative epidural catheter insertion and substantially improved postoperative pain management
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Wenk M, Ertmer C, Weber TP, et al. Feasibility and efficacy of preoperative epidural catheter placement for anterior scoliosis surgery. Anesthesiology 2010; 113:353-359. This study investigates a modified approach to the thoracic epidural space in scoliotic patients allowing for preoperative epidural catheter insertion and substantially improved postoperative pain management.
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Wenk, M.1
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Do directed cough maneuvers improve cough effectiveness in the early period after open heart surgery? Effect of thoracic support and maximal inspiration on cough peak expiratory flow, cough expiratory volume, and thoracic pain
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Fiore JF Jr, Chiavegato LD, Denehy L, et al. Do directed cough maneuvers improve cough effectiveness in the early period after open heart surgery? Effect of thoracic support and maximal inspiration on cough peak expiratory flow, cough expiratory volume, and thoracic pain. Respir Care 2008; 53: 1027-1034.
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8
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77249169820
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Prospective, randomized, controlled trial of thoracic epidural or patient-controlled opiate analgesia on perioperative quality of life
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This is a highly relevant and important clinical trial investigating (health-related) quality of life after thoracic surgery with either TEA or patient-controlled opiate analgesia demonstrating a significant beneficial effect of epidural anesthesia
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Ali M, Winter DC, Hanly AM, et al. Prospective, randomized, controlled trial of thoracic epidural or patient-controlled opiate analgesia on perioperative quality of life. Br J Anaesth 2010; 104:292-297. This is a highly relevant and important clinical trial investigating (health-related) quality of life after thoracic surgery with either TEA or patient-controlled opiate analgesia demonstrating a significant beneficial effect of epidural anesthesia.
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Br J Anaesth
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Ali, M.1
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9
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Searle, R.D.1
Simpson, M.P.2
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10
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Different anesthetic techniques associated with different incidences of chronic postthoracotomy pain: Low-dose remifentanil plus presurgical epidural analgesia is preferable to high-dose remifentanil with postsurgical epidural analgesia
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Salengros JC, Huybrechts I, Ducart A, et al. Different anesthetic techniques associated with different incidences of chronic postthoracotomy pain: low-dose remifentanil plus presurgical epidural analgesia is preferable to high-dose remifentanil with postsurgical epidural analgesia. J Cardiothorac Vasc Anesth 2010; 24:608-616.
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J Cardiothorac Vasc Anesth
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11
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Kroin, J.S.2
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12
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Morphine with adjuvant ketamine vs higher dose of morphine alone for immediate postthoracotomy analgesia
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An interesting clinical trial highlighting the beneficial role of subhypnotic doses of ketamine in postoperative pain therapy
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Nesher N, Ekstein MP, Paz Y, et al. Morphine with adjuvant ketamine vs higher dose of morphine alone for immediate postthoracotomy analgesia. Chest 2009; 136:245-252. An interesting clinical trial highlighting the beneficial role of subhypnotic doses of ketamine in postoperative pain therapy.
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Nesher, N.1
Ekstein, M.P.2
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Nesher N, Serovian I, Marouani N, et al. Ketamine spares morphine consumption after transthoracic lung and heart surgery without adverse hemodynamic effects. Pharmacol Res 2008; 58:38-44.
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14
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Perioperative ketamine does not prevent chronic pain after thoracotomy
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This is another interesting RCT looking at the effect of perioperative infusion of 1 mg/kg ketamine with respect to the development of chronic pain up to 4 months postoperatively
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Duale C, Sibaud F, Guastella V, et al. Perioperative ketamine does not prevent chronic pain after thoracotomy. Eur J Pain 2009; 13:497-505. This is another interesting RCT looking at the effect of perioperative infusion of 1 mg/kg ketamine with respect to the development of chronic pain up to 4 months postoperatively.
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Eur J Pain
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Duale, C.1
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15
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This is a highly relevant, well designed RCT highlighting the beneficial additional effects of a multimodal analgesic approach utilizing thoracic epidural catheters combined with a COX-2 inhibitor
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Senard M, Deflandre EP, Ledoux D, et al. Effect of celecoxib combined with thoracic epidural analgesia on pain after thoracotomy. Br J Anaesth 2010; 105:196-200. This is a highly relevant, well designed RCT highlighting the beneficial additional effects of a multimodal analgesic approach utilizing thoracic epidural catheters combined with a COX-2 inhibitor.
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Br J Anaesth
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Senard, M.1
Deflandre, E.P.2
Ledoux, D.3
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16
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Danelli G, Berti M, Casati A, et al. Ipsilateral shoulder pain after thoracotomy surgery: a prospective, randomized, double-blind, placebo-controlled evaluation of the efficacy of infiltrating the phrenic nerve with 0.2%wt/vol ropivacaine. Eur J Anaesthesiol 2007; 24:596-601. (Pubitemid 47289771)
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Danelli, G.1
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Ganesh, A.1
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23
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24
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Effect of preincisional epidural fentanyl and bupivacaine on postthoracotomy pain and pulmonary function
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Amr YM, Yousef AA, Alzeftawy AE, et al. Effect of preincisional epidural fentanyl and bupivacaine on postthoracotomy pain and pulmonary function. Ann Thorac Surg 2010; 89:381-385.
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Amr, Y.M.1
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In patients undergoing thoracic surgery is paravertebral block as effective as epidural analgesia for pain management?
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Scarci M, Joshi A, Attia R. In patients undergoing thoracic surgery is paravertebral block as effective as epidural analgesia for pain management? Interact Cardiovasc Thorac Surg 2010; 10:92-96.
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Interact Cardiovasc Thorac Surg
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Scarci, M.1
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Attia, R.3
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26
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Update on the role of paravertebral blocks for thoracic surgery: Are they worth it?
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This excellent review article investigates the overall role of PVBs for thoracic surgery
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Daly DJ, Myles PS. Update on the role of paravertebral blocks for thoracic surgery: are they worth it? Curr Opin Anaesthesiol 2009; 22:38-43. This excellent review article investigates the overall role of PVBs for thoracic surgery.
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Daly, D.J.1
Myles, P.S.2
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A comparison of epidural and paravertebral catheterisation techniques in postthoracotomy pain management
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28
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A comparison of the analgesic efficacy and side-effects of paravertebral vs epidural blockade for thoracotomy: A systematic review and meta-analysis of randomized trials
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Davies RG, Myles PS,Graham JM. A comparison of the analgesic efficacy and side-effects of paravertebral vs epidural blockade for thoracotomy: a systematic review and meta-analysis of randomized trials. Br J Anaesth 2006; 96:418-426.
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Davies, R.G.1
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Comparison of continuous thoracic epidural and paravertebral block for postoperative analgesia after robotic-assisted coronary artery bypass surgery
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Ann Card Anaesth
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Garutti I, Gonzalez-Aragoneses F, Biencinto MT, et al. Thoracic paravertebral block after thoracotomy: comparison of three different approaches. Eur J Cardiothorac Surg 2009; 35:829-832.
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Eur J Cardiothorac Surg
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A prospective study of analgesic quality after a thoracotomy: Paravertebral block with ropivacaine before and after rib spreading
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discussion 905
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Fibla JJ, Molins L, Mier JM, et al. A prospective study of analgesic quality after a thoracotomy: paravertebral block with ropivacaine before and after rib spreading. Eur J Cardiothorac Surg 2009; 36:901-905; discussion 905.
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Fibla, J.J.1
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Efficacy and safety of different techniques of paravertebral block for analgesia after thoracotomy: A systematic review and metaregression
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This is a very interesting review article systematically describing different techniques of PVB and, thus, demonstrating the lack of protocols that may explain the current cautious use of PVBs
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Kotze A, Scally A, Howell S. Efficacy and safety of different techniques of paravertebral block for analgesia after thoracotomy: a systematic review and metaregression. Br J Anaesth 2009; 103:626-636. This is a very interesting review article systematically describing different techniques of PVB and, thus, demonstrating the lack of protocols that may explain the current cautious use of PVBs.
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Br J Anaesth
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Kotze, A.1
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discussion 1906-7
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Cerfolio RJ, Bryant AS, Maniscalco LM. A nondivided intercostal muscle flap further reduces pain of thoracotomy: a prospective randomized trial. Ann Thorac Surg 2008; 85:1901-1906; discussion 1906-7.
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Allama AM. Intercostal muscle flap for decreasing pain after thoracotomy: a prospective randomized trial. Ann Thorac Surg 2010; 89:195-199.
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37
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A prospective, single-blind randomised study on the effect of intercostal nerve protection on early postthoracotomy pain relief
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A very interesting clinical trial evaluating and demonstrating the controversies and effects of different surgical approaches on postthoracotomy pain
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Wu N, Yan S, Wang X, et al. A prospective, single-blind randomised study on the effect of intercostal nerve protection on early postthoracotomy pain relief. Eur J Cardiothorac Surg 2010; 37:840-845. A very interesting clinical trial evaluating and demonstrating the controversies and effects of different surgical approaches on postthoracotomy pain.
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Eur J Cardiothorac Surg
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Wu, N.1
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Lee JI, Kim GW, Park KY. Intercostal bundle-splitting thoracotomy reduces chronic postthoracotomy pain. Thorac Cardiovasc Surg 2007; 55:401-402.
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Moore W, Kolnick D, Tan J, Yu HS. CT guided percutaneous cryoneurolysis for post thoracotomy pain syndrome: early experience and effectiveness. Acad Radiol 2010; 17:603-606.
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Valuable systematic review on the complexity of psychosocial factors and their correlation to development of persistent pain postoperatively
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Hinrichs-Rocker A, Schulz K, Jarvinen I, et al. Psychosocial predictors and correlates for chronic postsurgical pain (CPSP): a systematic review. Eur J Pain 2009; 13:719-730. Valuable systematic review on the complexity of psychosocial factors and their correlation to development of persistent pain postoperatively.
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Hinrichs-Rocker, A.1
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