A randomized, double-blind trial comparing continuous thoracic epidural bupivacaine with and without opioid in contrast to a continuous paravertebral infusion of bupivacaine for post-thoracotomy pain

Journal of Cardiothoracic and Vascular Anesthesia

Volumn 26, Issue 1, 2012, Pages 83-89

  Grider, Jay S ^a   Mullet, Timothy W ^b   Saha, Sibu P ^b   Harned, Michael E ^a   Sloan, Paul A ^a  

^a UNIVERSITY OF KENTUCKY   (United States)

^b UNIVERSITY OF KENTUCKY   (United States)

Author keywords

epidural analgesia; epidural hydromorphone; paravertebral analgesia; thoracotomy

Indexed keywords

BUPIVACAINE; HYDROMORPHONE;

ADULT; AGED; ARTICLE; COMPARATIVE STUDY; CONTINUOUS INFUSION; CONTROLLED STUDY; FEMALE; HUMAN; LUNG CANCER; MAJOR CLINICAL STUDY; MALE; MONOTHERAPY; POSTOPERATIVE PAIN; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; RECOVERY ROOM; SPIROMETRY; THORACOTOMY; VISUAL ANALOG SCALE;

AGED; ANALGESIA, EPIDURAL; ANALGESICS, OPIOID; BUPIVACAINE; DOUBLE-BLIND METHOD; DRUG THERAPY, COMBINATION; FEMALE; HUMANS; INFUSIONS, INTRAVENOUS; MALE; MIDDLE AGED; PAIN MEASUREMENT; PAIN, POSTOPERATIVE; PROSPECTIVE STUDIES; THORACIC VERTEBRAE; THORACOTOMY;

EID: 84855314536     PISSN: 10530770     EISSN: 15328422     Source Type: Journal    
DOI: 10.1053/j.jvca.2011.09.003     Document Type: Article

References (30)

1. Joshi GP, Bonnet F, Shah R, et al: A systematic review of randomized trials evaluating regional techniques for post-thoracotomy analgesia. Anesth Analg 107:1026-1040, 2008
2. Davis 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 trial. Br J Anaesth 96:418-426, 2006
3. Plumis WA, Steegers AH, Verhagen AFTM, et al: Chronic postthoracotomy pain: A retrospective study. Acta Anaesthesiol Scand 50:804-808, 2006 (Pubitemid 44034230)
4. Soto RG, Fu ES: Acute pain management for patients undergoing thoracotomy. Ann Thorc Surg 75:1349-1357, 2003 (Pubitemid 36399444)
5. Hansdottir V, Philip J, Olsen MF, et al: Thoracic epidural versus intravenous patient-controlled analgesia after cardiac surgery. Anesthesiology 104:142-151, 2006
6. Dhole S, Mehata Y, Saxena H, et al: Comparison of continuous thoracic epidural and paravertebral blocks for post-operative analgesia after minimally invasive direct coronary artery bypass surgery. J Cardiothorac Vasc Anesth 15:288-292, 2001 (Pubitemid 32553375)
7. Matthews PJ, Govenden V: Comparison of continuous paravertebral and extradural infusions of bupivacaine for pain relief after thoracotomy. Br J Anaesth 62:204-205, 1989 (Pubitemid 19058739)
8. Perttunen K, Nilsson E, Heinonen J, et al: Extradural, paravertebral and intercostals nerve block for post-thoracotomy pain. Br J Anaesth 75:541-547, 1995
9. Wedad M, Zaki MK, Haleem M: The effect of additional wound infiltration with local anaesthetics to interpleural block on post-thoracotomy pain, pulmonary function and stress response in comparison to thoracic epidural and paravertebral block. Egypt J Anaesth 20:67-72, 2004 (Pubitemid 38240320)
10. Richardson J, Sabanathan S, Jones J, et al: A prospective, randomized comparison of preoperative and continuous balanced epidural or paravertebral bupivacaine on post-thoracotomy pain, pulmonary function and stress response. Br J Anaesth 83:387-392, 1999 (Pubitemid 29412690)
11. DeCosmo G, Aceto P, Campanale E, et al: Comparison between epidural and paravertebral intercostals nerve block with ropivacaine after thoracotomy: Effects on pain relief, pulmonary function, and patient satisfaction. Acta Med Romana 40:340-347, 2002 (Pubitemid 37295506)
12. Kaiser AM, Zollinger A, De Lorenzi D, et al: Prospective, randomized comparison of extrapleural versus epidural analgesia for post-thoracotomy pain. Ann Thorac Surg 66:367-372, 1998 (Pubitemid 28410662)
13. Brimston DN, McGee JP, Liptay MJ, et al: Continuous paravertebral extrapleural infusion for post-thoracotomy pain management. Surgery 126:650-656, 1999
14. Horlocker TT, Wedel DJ, Rowlingson JC, et al: Regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy: American Society of Regional Anesthesia and Pain Medicine evidence-based guidelines (Third Edition). Reg Anesth Pain Med 35:64-101, 2010
15. Wheatly GH, Rosenbaum DH, Paul MC, et al: Improved pain management outcomes with continuous infusion of a local anesthetic after thoracotomy. J Thorac Cardiovasc Surg 130:464-468, 2005 (Pubitemid 41074179)
16. Sabanathan S, Bickford Smith PJ, et al: Continuous intercostals nerve block for pain relief after thoracotomy. Ann Thorac Surg 59:1261-1263, 1995
17. Guinard JP, Mavrocordatos P, Chiolero R, et al: A randomized comparison of intravenous versus lumbar and thoracic epidural fentanyl for analgesia after thoracotomy. Anesthesiology 77:1108-1115, 1992 (Pubitemid 23001121)
18. Loper KA, Ready LB, Sowney M, et al: Epidural and intravenous fentanyl infusion are clinically equivalent after knee surgery. Anesth Analg 70:72-75, 1990 (Pubitemid 20039982)
19. Ellis DJ, Millar WL, Reisner LS: A randomized double-blind comparison of epidural versus intravenous fentanyl infusion for analgesia after cesarean section. Anesthesiology 72:981-986, 1990 (Pubitemid 20204654)
20. Ginosar Y, Riley ET, Angst MS: The site of action of epidural fentanyl in humans: The difference between infusion and bolus administration. Anesth Analg 97:1428-1438, 2003 (Pubitemid 37310143)
21. Berti M, Casati A, Fanelli G, et al: 0.2% ropivacaine with or without fentanyl for patient controlled epidural analgesia after major abdominal surgery: A double blind study. J Clin Anesth 12:292-297, 2000 (Pubitemid 30645911)
22. Miguel R, Barlow I, Morrell M, et al: A prospective, randomized, double-blinded comparison of epidural and intravenous sufentanil infusions. Anesthesiology 81:346-352, 1994 (Pubitemid 24320625)
23. Bernards CM, Hill HF: Morphine and alfentanil permeability through the spinal dura, arachnoid, and pia mater of dogs and monkeys. Anesthesiology 73:1214-1219, 1990
24. Umenhoffer WC, Arends RH, Shen DD, et al: Comparative spinal distribution and clearance kinetics of intrathecally administered morphine, fenatanyl, alfentanil and sufentanil. Anesthesiology 92:739-753, 2000 (Pubitemid 30130177)
25. Liu SS, Bieltz M, Wukovits B, et al: Prospective survey of patient-controlled epidural analgesia with bupivacaine and hydromorphone in 3,736 postoperative orthopedic patients. Reg Anesth Pain Med 35:351-354, 2010
26. Liu S, Carpenter RL, Mulroy MF, et al: Intravenous versus epidural administration of hydromorphone. Effects on analgesia and recovery after radical prostatectomy. Anesthesiology 82:682-688, 1995
27. Parker RK, White PF: Epidural patient-controlled analgesia: An alternative to intravenous patient-controlled analgesia for pain relief after cesarean section. Anesth Analg 75:245-251, 1992
28. Mukerjee M, Goswami A, Gupta SD, et al: Analgesia in postthoracotomy patients: Comparison between thoracic epidural and thoracic paravertebral blocks. Anesth Essays Res 4:75-80, 2010
29. Sanchez B, Waxman K, Tatevossian R, et al: Local anesthetic infusion pumps improve postoperative pain after inguinal hernia repair: A randomized trial. Am Surg 70:1002-1006, 2004
30. Ashcraft EE, Baillie GM, Shafizadeh SF, et al: Further improvements in laparoscopic donor nephrectomy: Decreased pain and accelerated recovery. Clin Transplant 15:59-61, 2001 (suppl 6)