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首页> 外文期刊>Current opinion in anaesthesiology >Update on the role of paravertebral blocks for thoracic surgery: are they worth it?
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Update on the role of paravertebral blocks for thoracic surgery: are they worth it?

机译：椎旁阻滞在胸外科中的作用的最新进展：它们值得吗？

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PURPOSE OF REVIEW: To consider optimal analgesic strategies for thoracic surgical patients. RECENT FINDINGS: Recent studies have consistently suggested analgesic equivalence between paravertebral and thoracic epidural analgesia. Complications appear to be significantly less common with paravertebral analgesia. SUMMARY: There is good evidence that paravertebral block can provide acceptable pain relief compared with thoracic epidural analgesia for thoracotomy. Important side-effects such as hypotension, urinary retention, nausea, and vomiting appear to be less frequent with paravertebral block than with thoracic epidural analgesia. Paravertebral block is associated with better pulmonary function and fewer pulmonary complications than thoracic epidural analgesia. Importantly, contraindications to thoracic epidural analgesia do not preclude paravertebral block, which can also be safely performed in anesthetized patients without an apparent increased risk of neurological injury. The place of paravertebral block in video-assisted thoracoscopic surgery is less clear.
机译：审查目的：为胸外科手术患者考虑最佳镇痛策略。最近的发现：最近的研究一致提示椎旁和胸膜硬膜外镇痛之间的镇痛等效性。并发症似乎很少发生椎旁镇痛。摘要：有充分的证据表明，与开胸手术的胸膜硬膜外镇痛相比，椎旁阻滞可以提供可接受的疼痛缓解。重要的副作用，如低血压，尿retention留，恶心和呕吐，与胸膜硬膜外镇痛相比，椎旁阻滞的发生率似乎较低。椎旁阻滞比胸膜硬膜外镇痛具有更好的肺功能和更少的肺部并发症。重要的是，胸膜硬膜外镇痛的禁忌症不能排除椎旁阻滞，这也可以在麻醉患者中安全地进行，而不会明显增加神经系统损伤的风险。在电视胸腔镜手术中椎旁阻滞的位置尚不清楚。

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