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Erschienen in: Current Anesthesiology Reports 2/2014

01.06.2014 | Thoracic Anesthesia (T Schilling, Section Editor)

Recent Advances in Postoperative Pain Therapy for Thoracic Surgery

verfasst von: Torsten Loop, Stephen Harris, Alexander Grimm

Erschienen in: Current Anesthesiology Reports | Ausgabe 2/2014

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Abstract

The efficient and potent treatment of pain accompanied with thoracic surgery is fundamental and beneficial for patients, since severe postoperative pulmonary complications and the incidence of chronic pain will be reduced. In this systematic review evidence-based strategies in preventing and treating pain after thoracic surgery will be discussed.
Literatur
1.
Zurück zum Zitat Ochroch EA, Gottschalk A, Augostides J, Carson KA, Kent L, Malayaman N, et al. Long-term pain and activity during recovery from major thoracotomy using thoracic epidural analgesia. Anesthesiology. 2002;97(5):1234–44.PubMedCrossRef Ochroch EA, Gottschalk A, Augostides J, Carson KA, Kent L, Malayaman N, et al. Long-term pain and activity during recovery from major thoracotomy using thoracic epidural analgesia. Anesthesiology. 2002;97(5):1234–44.PubMedCrossRef
2.
Zurück zum Zitat Senturk M, Ozcan PE, Talu GK, Kiyan E, Camci E, Ozyalcin S, et al. The effects of three different analgesia techniques on long-term postthoracotomy pain. Anesth Analg. 2002;94(1):11–5.PubMedCrossRef Senturk M, Ozcan PE, Talu GK, Kiyan E, Camci E, Ozyalcin S, et al. The effects of three different analgesia techniques on long-term postthoracotomy pain. Anesth Analg. 2002;94(1):11–5.PubMedCrossRef
3.
Zurück zum Zitat Wildgaard K, Ravn J, Kehlet H. Chronic post-thoracotomy pain: a critical review of pathogenic mechanisms and strategies for prevention. Eur J Cardiothorac Surg. 2009;36(1):170–80.PubMedCrossRef Wildgaard K, Ravn J, Kehlet H. Chronic post-thoracotomy pain: a critical review of pathogenic mechanisms and strategies for prevention. Eur J Cardiothorac Surg. 2009;36(1):170–80.PubMedCrossRef
4.
Zurück zum Zitat Gottschalk A, Ochroch EA. Clinical and demographic characteristics of patients with chronic pain after major thoracotomy. Clin J Pain. 2008;24(8):708–16.PubMedCrossRef Gottschalk A, Ochroch EA. Clinical and demographic characteristics of patients with chronic pain after major thoracotomy. Clin J Pain. 2008;24(8):708–16.PubMedCrossRef
5.
Zurück zum Zitat Kehlet H, Dahl JB. Anaesthesia, surgery, and challenges in postoperative recovery. Lancet. 2003;362(9399):1921–8.PubMedCrossRef Kehlet H, Dahl JB. Anaesthesia, surgery, and challenges in postoperative recovery. Lancet. 2003;362(9399):1921–8.PubMedCrossRef
6.
Zurück zum Zitat Muehling BM, Halter GL, Schelzig H, Meierhenrich R, Steffen P, Sunder-Plassmann L, et al. Reduction of postoperative pulmonary complications after lung surgery using a fast track clinical pathway. Eur J Cardiothorac Surg. 2008;34(1):174–80.PubMedCrossRef Muehling BM, Halter GL, Schelzig H, Meierhenrich R, Steffen P, Sunder-Plassmann L, et al. Reduction of postoperative pulmonary complications after lung surgery using a fast track clinical pathway. Eur J Cardiothorac Surg. 2008;34(1):174–80.PubMedCrossRef
7.
Zurück zum Zitat •• Joshi GP, Bonnet F, Shah R, Wilkinson RC, Camu F, Fischer B et al. A systematic review of randomized trials evaluating regional techniques for postthoracotomy analgesia. Anesth Analg. 2008;107(3):1026–40. This systematic review, performed by the PROSPECT working group, was to evaluate the available literature comparing various regional analgesic techniques for the management of postthoracotomy pain. •• Joshi GP, Bonnet F, Shah R, Wilkinson RC, Camu F, Fischer B et al. A systematic review of randomized trials evaluating regional techniques for postthoracotomy analgesia. Anesth Analg. 2008;107(3):1026–40. This systematic review, performed by the PROSPECT working group, was to evaluate the available literature comparing various regional analgesic techniques for the management of postthoracotomy pain.
8.
Zurück zum Zitat •• Powell ES, Cook D, Pearce AC, Davies P, Bowler GM, Naidu B et al. A prospective, multicentre, observational cohort study of analgesia and outcome after pneumonectomy. Br J Anaesth. 2011;106(3):364–70. This prospective observational study examined associations between analgesic technique and major outcomes in pneumonectomy patients. Epidural analgesia was associated with an increased incidence of major complications compared with paravertebral blockade. •• Powell ES, Cook D, Pearce AC, Davies P, Bowler GM, Naidu B et al. A prospective, multicentre, observational cohort study of analgesia and outcome after pneumonectomy. Br J Anaesth. 2011;106(3):364–70. This prospective observational study examined associations between analgesic technique and major outcomes in pneumonectomy patients. Epidural analgesia was associated with an increased incidence of major complications compared with paravertebral blockade.
9.
Zurück zum Zitat Brull R, McCartney CJ, Chan VW, El-Beheiry H. Neurological complications after regional anesthesia: contemporary estimates of risk. Anesth Analg. 2007;104(4):965–74.PubMedCrossRef Brull R, McCartney CJ, Chan VW, El-Beheiry H. Neurological complications after regional anesthesia: contemporary estimates of risk. Anesth Analg. 2007;104(4):965–74.PubMedCrossRef
10.
Zurück zum Zitat • Thavaneswaran P, Rudkin GE, Cooter RD, Moyes DG, Perera CL, Maddern GJ. Brief reports: paravertebral block for anesthesia: a systematic review. Anesth Analg. 2010;110(6):1740–4. Assessment of the safety and efficacy of thoracic and lumbar PVBs for surgical anesthesia through a systematic review of the peer-reviewed literature. • Thavaneswaran P, Rudkin GE, Cooter RD, Moyes DG, Perera CL, Maddern GJ. Brief reports: paravertebral block for anesthesia: a systematic review. Anesth Analg. 2010;110(6):1740–4. Assessment of the safety and efficacy of thoracic and lumbar PVBs for surgical anesthesia through a systematic review of the peer-reviewed literature.
11.
Zurück zum Zitat Marret E, Bazelly B, Taylor G, Lembert N, Deleuze A, Mazoit JX, et al. Paravertebral block with ropivacaine 0.5 % versus systemic analgesia for pain relief after thoracotomy. Ann Thorac Surg. 2005;79(6):2109–13.PubMedCrossRef Marret E, Bazelly B, Taylor G, Lembert N, Deleuze A, Mazoit JX, et al. Paravertebral block with ropivacaine 0.5 % versus systemic analgesia for pain relief after thoracotomy. Ann Thorac Surg. 2005;79(6):2109–13.PubMedCrossRef
13.
Zurück zum Zitat 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(4):418–26.PubMedCrossRef 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(4):418–26.PubMedCrossRef
14.
Zurück zum Zitat Moiniche S, Kehlet H, Dahl JB. A qualitative and quantitative systematic review of preemptive analgesia for postoperative pain relief: the role of timing of analgesia. Anesthesiology. 2002;96(3):725–41.PubMedCrossRef Moiniche S, Kehlet H, Dahl JB. A qualitative and quantitative systematic review of preemptive analgesia for postoperative pain relief: the role of timing of analgesia. Anesthesiology. 2002;96(3):725–41.PubMedCrossRef
15.
Zurück zum Zitat Gottschalk A, Ochroch EA. Preemptive analgesia: what do we do now? Anesthesiology. 2003;98(1):280–1.PubMedCrossRef Gottschalk A, Ochroch EA. Preemptive analgesia: what do we do now? Anesthesiology. 2003;98(1):280–1.PubMedCrossRef
16.
Zurück zum Zitat Ochroch EA, Gottschalk A. Impact of acute pain and its management for thoracic surgical patients. Thorac Surg Clin. 2005;15(1):105–21.PubMedCrossRef Ochroch EA, Gottschalk A. Impact of acute pain and its management for thoracic surgical patients. Thorac Surg Clin. 2005;15(1):105–21.PubMedCrossRef
17.
Zurück zum Zitat Amr YM, Yousef AA, Alzeftawy AE, Messbah WI, Saber AM. Effect of preincisional epidural fentanyl and bupivacaine on postthoracotomy pain and pulmonary function. Ann Thorac Surg. 2010;89(2):381–5.PubMedCrossRef Amr YM, Yousef AA, Alzeftawy AE, Messbah WI, Saber AM. Effect of preincisional epidural fentanyl and bupivacaine on postthoracotomy pain and pulmonary function. Ann Thorac Surg. 2010;89(2):381–5.PubMedCrossRef
18.
Zurück zum Zitat Popping DM, Elia N, Marret E, Remy C, Tramer MR. Protective effects of epidural analgesia on pulmonary complications after abdominal and thoracic surgery: a meta-analysis. Arch Surg. 2008;143(10):990–9.PubMedCrossRef Popping DM, Elia N, Marret E, Remy C, Tramer MR. Protective effects of epidural analgesia on pulmonary complications after abdominal and thoracic surgery: a meta-analysis. Arch Surg. 2008;143(10):990–9.PubMedCrossRef
19.
Zurück zum Zitat Senturk M. Acute and chronic pain after thoracotomies. Curr Opin Anaesthesiol. 2005;18(1):1–4.PubMedCrossRef Senturk M. Acute and chronic pain after thoracotomies. Curr Opin Anaesthesiol. 2005;18(1):1–4.PubMedCrossRef
20.
Zurück zum Zitat Liu SS, Wu CL. The effect of analgesic technique on postoperative patient-reported outcomes including analgesia: a systematic review. Anesth Analg. 2007;105(3):789–808.PubMedCrossRef Liu SS, Wu CL. The effect of analgesic technique on postoperative patient-reported outcomes including analgesia: a systematic review. Anesth Analg. 2007;105(3):789–808.PubMedCrossRef
21.
Zurück zum Zitat Pavy T, Medley C, Murphy DF. Effect of indomethacin on pain relief after thoracotomy. Br J Anaesth. 1990;65(5):624–7.PubMedCrossRef Pavy T, Medley C, Murphy DF. Effect of indomethacin on pain relief after thoracotomy. Br J Anaesth. 1990;65(5):624–7.PubMedCrossRef
22.
Zurück zum Zitat Rhodes M, Conacher I, Morritt G, Hilton C. Nonsteroidal antiinflammatory drugs for postthoracotomy pain. A prospective controlled trial after lateral thoracotomy. J Thorac Cardiovasc Surg. 1992;103(1):17–20.PubMed Rhodes M, Conacher I, Morritt G, Hilton C. Nonsteroidal antiinflammatory drugs for postthoracotomy pain. A prospective controlled trial after lateral thoracotomy. J Thorac Cardiovasc Surg. 1992;103(1):17–20.PubMed
23.
Zurück zum Zitat Buvanendran A, Kroin JS. Multimodal analgesia for controlling acute postoperative pain. Curr Opin Anaesthesiol. 2009;22(5):588–93.PubMedCrossRef Buvanendran A, Kroin JS. Multimodal analgesia for controlling acute postoperative pain. Curr Opin Anaesthesiol. 2009;22(5):588–93.PubMedCrossRef
24.
Zurück zum Zitat Remy C, Marret E, Bonnet F. Effects of acetaminophen on morphine side-effects and consumption after major surgery: meta-analysis of randomized controlled trials. Br J Anaesth. 2005;94(4):505–13.PubMedCrossRef Remy C, Marret E, Bonnet F. Effects of acetaminophen on morphine side-effects and consumption after major surgery: meta-analysis of randomized controlled trials. Br J Anaesth. 2005;94(4):505–13.PubMedCrossRef
25.
Zurück zum Zitat Toms L, McQuay HJ, Derry S, Moore RA. Single dose oral paracetamol (acetaminophen) for postoperative pain in adults. Cochrane Database Syst Rev. 2008;4:CD004602.PubMed Toms L, McQuay HJ, Derry S, Moore RA. Single dose oral paracetamol (acetaminophen) for postoperative pain in adults. Cochrane Database Syst Rev. 2008;4:CD004602.PubMed
26.
Zurück zum Zitat Moore RA, Derry S, McQuay HJ, Wiffen PJ. Single dose oral analgesics for acute postoperative pain in adults. Cochrane Database Syst Rev. 2011;9:CD008659.PubMed Moore RA, Derry S, McQuay HJ, Wiffen PJ. Single dose oral analgesics for acute postoperative pain in adults. Cochrane Database Syst Rev. 2011;9:CD008659.PubMed
27.
Zurück zum Zitat McNicol ED, Tzortzopoulou A, Cepeda MS, Francia MB, Farhat T, Schumann R. Single-dose intravenous paracetamol or propacetamol for prevention or treatment of postoperative pain: a systematic review and meta-analysis. Br J Anaesth. 2011;106(6):764–75.PubMedCrossRef McNicol ED, Tzortzopoulou A, Cepeda MS, Francia MB, Farhat T, Schumann R. Single-dose intravenous paracetamol or propacetamol for prevention or treatment of postoperative pain: a systematic review and meta-analysis. Br J Anaesth. 2011;106(6):764–75.PubMedCrossRef
28.
Zurück zum Zitat Macario A, Royal MA. A literature review of randomized clinical trials of intravenous acetaminophen (paracetamol) for acute postoperative pain. Pain Pract. 2011;11(3):290–6.PubMedCrossRef Macario A, Royal MA. A literature review of randomized clinical trials of intravenous acetaminophen (paracetamol) for acute postoperative pain. Pain Pract. 2011;11(3):290–6.PubMedCrossRef
29.
Zurück zum Zitat Pierce CA, Voss B. Efficacy and safety of ibuprofen and acetaminophen in children and adults: a meta-analysis and qualitative review. Ann Pharmacother. 2010;44(3):489–506.PubMedCrossRef Pierce CA, Voss B. Efficacy and safety of ibuprofen and acetaminophen in children and adults: a meta-analysis and qualitative review. Ann Pharmacother. 2010;44(3):489–506.PubMedCrossRef
30.
Zurück zum Zitat Ong CK, Seymour RA, Lirk P, Merry AF. Combining paracetamol (acetaminophen) with nonsteroidal antiinflammatory drugs: a qualitative systematic review of analgesic efficacy for acute postoperative pain. Anesth Analg. 2010;110(4):1170–9.PubMed Ong CK, Seymour RA, Lirk P, Merry AF. Combining paracetamol (acetaminophen) with nonsteroidal antiinflammatory drugs: a qualitative systematic review of analgesic efficacy for acute postoperative pain. Anesth Analg. 2010;110(4):1170–9.PubMed
31.
Zurück zum Zitat Gaskell H, Derry S, Moore RA, McQuay HJ. Single dose oral oxycodone and oxycodone plus paracetamol (acetaminophen) for acute postoperative pain in adults. Cochrane Database Syst Rev. 2009;3:CD002763.PubMed Gaskell H, Derry S, Moore RA, McQuay HJ. Single dose oral oxycodone and oxycodone plus paracetamol (acetaminophen) for acute postoperative pain in adults. Cochrane Database Syst Rev. 2009;3:CD002763.PubMed
32.
Zurück zum Zitat Graham DJ, Campen D, Hui R, Spence M, Cheetham C, Levy G, et al. Risk of acute myocardial infarction and sudden cardiac death in patients treated with cyclo-oxygenase 2 selective and non-selective non-steroidal anti-inflammatory drugs: nested case-control study. Lancet. 2005;365(9458):475–81.PubMedCrossRef Graham DJ, Campen D, Hui R, Spence M, Cheetham C, Levy G, et al. Risk of acute myocardial infarction and sudden cardiac death in patients treated with cyclo-oxygenase 2 selective and non-selective non-steroidal anti-inflammatory drugs: nested case-control study. Lancet. 2005;365(9458):475–81.PubMedCrossRef
33.
Zurück zum Zitat Senard M, Deflandre EP, Ledoux D, Roediger L, Hubert BM, Radermecker M, et al. Effect of celecoxib combined with thoracic epidural analgesia on pain after thoracotomy. Br J Anaesth. 2010;105(2):196–200.PubMedCrossRef Senard M, Deflandre EP, Ledoux D, Roediger L, Hubert BM, Radermecker M, et al. Effect of celecoxib combined with thoracic epidural analgesia on pain after thoracotomy. Br J Anaesth. 2010;105(2):196–200.PubMedCrossRef
34.
Zurück zum Zitat Nussmeier NA, Whelton AA, Brown MT, Joshi GP, Langford RM, Singla NK, et al. Safety and efficacy of the cyclooxygenase-2 inhibitors parecoxib and valdecoxib after noncardiac surgery. Anesthesiology. 2006;104(3):518–26.PubMedCrossRef Nussmeier NA, Whelton AA, Brown MT, Joshi GP, Langford RM, Singla NK, et al. Safety and efficacy of the cyclooxygenase-2 inhibitors parecoxib and valdecoxib after noncardiac surgery. Anesthesiology. 2006;104(3):518–26.PubMedCrossRef
35.
Zurück zum Zitat Schug SA. COX-2 inhibitors for the management of postoperative pain. AINS. 2010;45(1):56–63.PubMed Schug SA. COX-2 inhibitors for the management of postoperative pain. AINS. 2010;45(1):56–63.PubMed
36.
Zurück zum Zitat Andrade SE, Martinez C, Walker AM. Comparative safety evaluation of non-narcotic analgesics. J Clin Epidemiol. 1998;51(12):1357–65.PubMedCrossRef Andrade SE, Martinez C, Walker AM. Comparative safety evaluation of non-narcotic analgesics. J Clin Epidemiol. 1998;51(12):1357–65.PubMedCrossRef
37.
Zurück zum Zitat Hunt I, Teh E, Southon R, Treasure T. Using non-steroidal anti-inflammatory drugs (NSAIDs) following pleurodesis. Interact Cardiovasc Thorac Surg. 2007;6(1):102–4.PubMed Hunt I, Teh E, Southon R, Treasure T. Using non-steroidal anti-inflammatory drugs (NSAIDs) following pleurodesis. Interact Cardiovasc Thorac Surg. 2007;6(1):102–4.PubMed
38.
Zurück zum Zitat Barak M, Ziser A, Katz Y. Thoracic epidural local anesthetics are ineffective in alleviating post-thoracotomy ipsilateral shoulder pain. J Cardiothorac Vasc Anesth. 2004;18(4):458–60.PubMedCrossRef Barak M, Ziser A, Katz Y. Thoracic epidural local anesthetics are ineffective in alleviating post-thoracotomy ipsilateral shoulder pain. J Cardiothorac Vasc Anesth. 2004;18(4):458–60.PubMedCrossRef
39.
Zurück zum Zitat Mac TB, Girard F, Chouinard P, Boudreault D, Lafontaine ER, Ruel M, et al. Acetaminophen decreases early post-thoracotomy ipsilateral shoulder pain in patients with thoracic epidural analgesia: a double-blind placebo-controlled study. J Cardiothorac Vasc Anesth. 2005;19(4):475–8.PubMedCrossRef Mac TB, Girard F, Chouinard P, Boudreault D, Lafontaine ER, Ruel M, et al. Acetaminophen decreases early post-thoracotomy ipsilateral shoulder pain in patients with thoracic epidural analgesia: a double-blind placebo-controlled study. J Cardiothorac Vasc Anesth. 2005;19(4):475–8.PubMedCrossRef
40.
Zurück zum Zitat Suzuki M, Haraguti S, Sugimoto K, Kikutani T, Shimada Y, Sakamoto A. Low-dose intravenous ketamine potentiates epidural analgesia after thoracotomy. Anesthesiology. 2006;105(1):111–9.PubMedCrossRef Suzuki M, Haraguti S, Sugimoto K, Kikutani T, Shimada Y, Sakamoto A. Low-dose intravenous ketamine potentiates epidural analgesia after thoracotomy. Anesthesiology. 2006;105(1):111–9.PubMedCrossRef
41.
Zurück zum Zitat Laskowski K, Stirling A, McKay WP, Lim HJ. A systematic review of intravenous ketamine for postoperative analgesia. Can J Anaesth. 2011;58(10):911–23.PubMedCrossRef Laskowski K, Stirling A, McKay WP, Lim HJ. A systematic review of intravenous ketamine for postoperative analgesia. Can J Anaesth. 2011;58(10):911–23.PubMedCrossRef
42.
Zurück zum Zitat Mendola C, Cammarota G, Netto R, Cecci G, Pisterna A, Ferrante D, et al. S+-ketamine for control of perioperative pain and prevention of post thoracotomy pain syndrome: a randomized, double-blind study. Minerva Anestesiol. 2012;78(7):757–66.PubMed Mendola C, Cammarota G, Netto R, Cecci G, Pisterna A, Ferrante D, et al. S+-ketamine for control of perioperative pain and prevention of post thoracotomy pain syndrome: a randomized, double-blind study. Minerva Anestesiol. 2012;78(7):757–66.PubMed
43.
Zurück zum Zitat Romsing J, Moiniche S, Dahl JB. Rectal and parenteral paracetamol, and paracetamol in combination with NSAIDs, for postoperative analgesia. Br J Anaesth. 2002;88(2):215–26.PubMedCrossRef Romsing J, Moiniche S, Dahl JB. Rectal and parenteral paracetamol, and paracetamol in combination with NSAIDs, for postoperative analgesia. Br J Anaesth. 2002;88(2):215–26.PubMedCrossRef
44.
Zurück zum Zitat Kehlet H, Wilkinson RC, Fischer HB, Camu F. PROSPECT: evidence-based, procedure-specific postoperative pain management. Best Pract Res Clin Anaesthesiol. 2007;21(1):149–59.PubMedCrossRef Kehlet H, Wilkinson RC, Fischer HB, Camu F. PROSPECT: evidence-based, procedure-specific postoperative pain management. Best Pract Res Clin Anaesthesiol. 2007;21(1):149–59.PubMedCrossRef
45.
Zurück zum Zitat Neugebauer EA, Wilkinson RC, Kehlet H, Schug SA. PROSPECT: a practical method for formulating evidence-based expert recommendations for the management of postoperative pain. Surg Endosc. 2007;21(7):1047–53.PubMedCrossRef Neugebauer EA, Wilkinson RC, Kehlet H, Schug SA. PROSPECT: a practical method for formulating evidence-based expert recommendations for the management of postoperative pain. Surg Endosc. 2007;21(7):1047–53.PubMedCrossRef
46.
Zurück zum Zitat Wu CL, Cohen SR, Richman JM, Rowlingson AJ, Courpas GE, Cheung K, et al. Efficacy of postoperative patient-controlled and continuous infusion epidural analgesia versus intravenous patient-controlled analgesia with opioids: a meta-analysis. Anesthesiology. 2005;103(5):1079–88.PubMedCrossRef Wu CL, Cohen SR, Richman JM, Rowlingson AJ, Courpas GE, Cheung K, et al. Efficacy of postoperative patient-controlled and continuous infusion epidural analgesia versus intravenous patient-controlled analgesia with opioids: a meta-analysis. Anesthesiology. 2005;103(5):1079–88.PubMedCrossRef
47.
Zurück zum Zitat Gottschalk A, Cohen SP, Yang S, Ochroch EA. Preventing and treating pain after thoracic surgery. Anesthesiology. 2006;104(3):594–600.PubMedCrossRef Gottschalk A, Cohen SP, Yang S, Ochroch EA. Preventing and treating pain after thoracic surgery. Anesthesiology. 2006;104(3):594–600.PubMedCrossRef
48.
Zurück zum Zitat Soto RG, Fu ES. Acute pain management for patients undergoing thoracotomy. Ann Thorac Surg. 2003;75(4):1349–57.PubMedCrossRef Soto RG, Fu ES. Acute pain management for patients undergoing thoracotomy. Ann Thorac Surg. 2003;75(4):1349–57.PubMedCrossRef
49.
Zurück zum Zitat • Manion SC, Brennan TJ. Thoracic epidural analgesia and acute pain management. Anesthesiology. 2011;115(1):181–8. Impressive review concerning indications, placement techniques, solutions administered, potential complications, and evidence-based outcomes for TEA in acute pain management. • Manion SC, Brennan TJ. Thoracic epidural analgesia and acute pain management. Anesthesiology. 2011;115(1):181–8. Impressive review concerning indications, placement techniques, solutions administered, potential complications, and evidence-based outcomes for TEA in acute pain management.
50.
Zurück zum Zitat Logas WG, El-Baz N, El-Ganzouri A, Cullen M, Staren E, Faber LP, et al. Continuous thoracic epidural analgesia for postoperative pain relief following thoracotomy: a randomized prospective study. Anesthesiology. 1987;67(5):787–91.PubMedCrossRef Logas WG, El-Baz N, El-Ganzouri A, Cullen M, Staren E, Faber LP, et al. Continuous thoracic epidural analgesia for postoperative pain relief following thoracotomy: a randomized prospective study. Anesthesiology. 1987;67(5):787–91.PubMedCrossRef
51.
Zurück zum Zitat Azad SC, Groh J, Beyer A, Schneck D, Dreher E, Peter K. Continuous peridural analgesia vs patient-controlled intravenous analgesia for pain therapy after thoracotomy. Der Anaesth. 2000;49(1):9–17.CrossRef Azad SC, Groh J, Beyer A, Schneck D, Dreher E, Peter K. Continuous peridural analgesia vs patient-controlled intravenous analgesia for pain therapy after thoracotomy. Der Anaesth. 2000;49(1):9–17.CrossRef
52.
Zurück zum Zitat Tan CN, Guha A, Scawn ND, Pennefather SH, Russell GN. Optimal concentration of epidural fentanyl in bupivacaine 0.1 % after thoracotomy. Br J Anaesth. 2004;92(5):670–4.PubMedCrossRef Tan CN, Guha A, Scawn ND, Pennefather SH, Russell GN. Optimal concentration of epidural fentanyl in bupivacaine 0.1 % after thoracotomy. Br J Anaesth. 2004;92(5):670–4.PubMedCrossRef
53.
Zurück zum Zitat Brodner G, Mertes N, Van Aken H, Mollhoff T, Zahl M, Wirtz S, et al. What concentration of sufentanil should be combined with ropivacaine 0.2 % wt/vol for postoperative patient-controlled epidural analgesia? Anesth Analg. 2000;90(3):649–57.PubMedCrossRef Brodner G, Mertes N, Van Aken H, Mollhoff T, Zahl M, Wirtz S, et al. What concentration of sufentanil should be combined with ropivacaine 0.2 % wt/vol for postoperative patient-controlled epidural analgesia? Anesth Analg. 2000;90(3):649–57.PubMedCrossRef
54.
Zurück zum Zitat Tuncel G, Ozalp G, Savli S, Canoler O, Kaya M, Kadiogullari N. Epidural ropivacaine or sufentanil-ropivacaine infusions for post-thoracotomy pain. Eur J Cardiothorac Surg. 2005;28(3):375–9.PubMedCrossRef Tuncel G, Ozalp G, Savli S, Canoler O, Kaya M, Kadiogullari N. Epidural ropivacaine or sufentanil-ropivacaine infusions for post-thoracotomy pain. Eur J Cardiothorac Surg. 2005;28(3):375–9.PubMedCrossRef
55.
Zurück zum Zitat De Cosmo G, Aceto P, Gualtieri E, Congedo E. Analgesia in thoracic surgery: review. Minerva Anestesiol. 2009;75(6):393–400.PubMed De Cosmo G, Aceto P, Gualtieri E, Congedo E. Analgesia in thoracic surgery: review. Minerva Anestesiol. 2009;75(6):393–400.PubMed
56.
Zurück zum Zitat De Cosmo G, Congedo E, Lai C, Sgreccia M, Amato A, Beccia G, et al. Ropivacaine vs. levobupivacaine combined with sufentanil for epidural analgesia after lung surgery. Eur J Anaesthesiol. 2008;25(12):1020–5.PubMedCrossRef De Cosmo G, Congedo E, Lai C, Sgreccia M, Amato A, Beccia G, et al. Ropivacaine vs. levobupivacaine combined with sufentanil for epidural analgesia after lung surgery. Eur J Anaesthesiol. 2008;25(12):1020–5.PubMedCrossRef
57.
Zurück zum Zitat Della Rocca G, Coccia C, Pompei L, Costa MG, Pierconti F, Di Marco P, et al. Post-thoracotomy analgesia: epidural vs intravenous morphine continuous infusion. Minerva Anestesiol. 2002;68(9):681–93.PubMed Della Rocca G, Coccia C, Pompei L, Costa MG, Pierconti F, Di Marco P, et al. Post-thoracotomy analgesia: epidural vs intravenous morphine continuous infusion. Minerva Anestesiol. 2002;68(9):681–93.PubMed
58.
Zurück zum Zitat Block BM, Liu SS, Rowlingson AJ, Cowan AR, Cowan JA Jr, Wu CL. Efficacy of postoperative epidural analgesia: a meta-analysis. JAMA. 2003;290(18):2455–63.PubMedCrossRef Block BM, Liu SS, Rowlingson AJ, Cowan AR, Cowan JA Jr, Wu CL. Efficacy of postoperative epidural analgesia: a meta-analysis. JAMA. 2003;290(18):2455–63.PubMedCrossRef
59.
Zurück zum Zitat Liu SS, Wu CL. Effect of postoperative analgesia on major postoperative complications: a systematic update of the evidence. Anesth Analg. 2007;104(3):689–702.PubMedCrossRef Liu SS, Wu CL. Effect of postoperative analgesia on major postoperative complications: a systematic update of the evidence. Anesth Analg. 2007;104(3):689–702.PubMedCrossRef
60.
Zurück zum Zitat • Wijeysundera DN, Beattie WS, Austin PC, Hux JE, Laupacis A. Epidural anaesthesia and survival after intermediate-to-high risk non-cardiac surgery: a population-based cohort study. Lancet. 2008;372(9638):562–9. The results of this large retrospective study support the safety of perioperative epidural anaesthesia when used for indications other than improving survival (e.g., improving postoperative pain relief, and preventing postoperative pulmonary complications). • Wijeysundera DN, Beattie WS, Austin PC, Hux JE, Laupacis A. Epidural anaesthesia and survival after intermediate-to-high risk non-cardiac surgery: a population-based cohort study. Lancet. 2008;372(9638):562–9. The results of this large retrospective study support the safety of perioperative epidural anaesthesia when used for indications other than improving survival (e.g., improving postoperative pain relief, and preventing postoperative pulmonary complications).
61.
Zurück zum Zitat Licker MJ, Widikker I, Robert J, Frey JG, Spiliopoulos A, Ellenberger C, et al. Operative mortality and respiratory complications after lung resection for cancer: impact of chronic obstructive pulmonary disease and time trends. Ann Thorac Surg. 2006;81(5):1830–7.PubMedCrossRef Licker MJ, Widikker I, Robert J, Frey JG, Spiliopoulos A, Ellenberger C, et al. Operative mortality and respiratory complications after lung resection for cancer: impact of chronic obstructive pulmonary disease and time trends. Ann Thorac Surg. 2006;81(5):1830–7.PubMedCrossRef
62.
Zurück zum Zitat Moen V, Dahlgren N, Irestedt L. Severe neurological complications after central neuraxial blockades in Sweden 1990–1999. Anesthesiology. 2004;101(4):950–9.PubMedCrossRef Moen V, Dahlgren N, Irestedt L. Severe neurological complications after central neuraxial blockades in Sweden 1990–1999. Anesthesiology. 2004;101(4):950–9.PubMedCrossRef
63.
Zurück zum Zitat Giebler RM, Scherer RU, Peters J. Incidence of neurologic complications related to thoracic epidural catheterization. Anesthesiology. 1997;86(1):55–63.PubMedCrossRef Giebler RM, Scherer RU, Peters J. Incidence of neurologic complications related to thoracic epidural catheterization. Anesthesiology. 1997;86(1):55–63.PubMedCrossRef
64.
Zurück zum Zitat Popping DM, Zahn PK, Van Aken HK, Dasch B, Boche R, Pogatzki-Zahn EM. Effectiveness and safety of postoperative pain management: a survey of 18 925 consecutive patients between 1998 and 2006 (2nd revision): a database analysis of prospectively raised data. Br J Anaesth. 2008;101(6):832–40.PubMedCrossRef Popping DM, Zahn PK, Van Aken HK, Dasch B, Boche R, Pogatzki-Zahn EM. Effectiveness and safety of postoperative pain management: a survey of 18 925 consecutive patients between 1998 and 2006 (2nd revision): a database analysis of prospectively raised data. Br J Anaesth. 2008;101(6):832–40.PubMedCrossRef
65.
Zurück zum Zitat Horlocker TT, Heit JA, Wedel DJ, Enneking FK, Rowlingson JC. Safe epidural catheter removal in the patient receiving warfarin: does anybody really know what (prothrombin) time it is? Anesthesiology. 2010;113(3):759–61.PubMed Horlocker TT, Heit JA, Wedel DJ, Enneking FK, Rowlingson JC. Safe epidural catheter removal in the patient receiving warfarin: does anybody really know what (prothrombin) time it is? Anesthesiology. 2010;113(3):759–61.PubMed
66.
Zurück zum Zitat Horlocker TT, Wedel DJ, Rowlingson JC, Enneking FK, Kopp SL, Benzon HT, 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. 2010;35(1):64–101.PubMedCrossRef Horlocker TT, Wedel DJ, Rowlingson JC, Enneking FK, Kopp SL, Benzon HT, 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. 2010;35(1):64–101.PubMedCrossRef
67.
Zurück zum Zitat Horlocker TT. Regional anaesthesia in the patient receiving antithrombotic and antiplatelet therapy. Br J Anaesth. 2011;107(Suppl 1):i96–106.PubMedCrossRef Horlocker TT. Regional anaesthesia in the patient receiving antithrombotic and antiplatelet therapy. Br J Anaesth. 2011;107(Suppl 1):i96–106.PubMedCrossRef
68.
Zurück zum Zitat Horlocker TT. Complications of regional anesthesia and acute pain management. Anesthesiol Clin. 2011;29(2):257–78.PubMedCrossRef Horlocker TT. Complications of regional anesthesia and acute pain management. Anesthesiol Clin. 2011;29(2):257–78.PubMedCrossRef
69.
Zurück zum Zitat Holt HM, Andersen SS, Andersen O, Gahrn-Hansen B, Siboni K. Infections following epidural catheterization. J Hosp Inf. 1995;30(4):253–60.CrossRef Holt HM, Andersen SS, Andersen O, Gahrn-Hansen B, Siboni K. Infections following epidural catheterization. J Hosp Inf. 1995;30(4):253–60.CrossRef
70.
71.
Zurück zum Zitat Standl T, Gottschalk A. Epidural anesthesia: step by step to success. AINS. 2007;42(2):90–9.PubMed Standl T, Gottschalk A. Epidural anesthesia: step by step to success. AINS. 2007;42(2):90–9.PubMed
72.
Zurück zum Zitat Kozian A, Schilling T, Hachenberg T. Non-analgetic effects of thoracic epidural anaesthesia. Curr Opin Anaesthesiol. 2005;18(1):29–34.PubMedCrossRef Kozian A, Schilling T, Hachenberg T. Non-analgetic effects of thoracic epidural anaesthesia. Curr Opin Anaesthesiol. 2005;18(1):29–34.PubMedCrossRef
73.
Zurück zum Zitat Standl T. Combined spinal-epidural anaesthesia for pain relief in obstetric patients. AINS. 2007;42(5):342–9.PubMed Standl T. Combined spinal-epidural anaesthesia for pain relief in obstetric patients. AINS. 2007;42(5):342–9.PubMed
74.
Zurück zum Zitat Ali M, Winter DC, Hanly AM, O’Hagan C, Keaveny J, Broe P. Prospective, randomized, controlled trial of thoracic epidural or patient-controlled opiate analgesia on perioperative quality of life. Br J Anaesth. 2010;104(3):292–7.PubMedCrossRef Ali M, Winter DC, Hanly AM, O’Hagan C, Keaveny J, Broe P. Prospective, randomized, controlled trial of thoracic epidural or patient-controlled opiate analgesia on perioperative quality of life. Br J Anaesth. 2010;104(3):292–7.PubMedCrossRef
75.
Zurück zum Zitat Mendola C, Ferrante D, Oldani E, Cammarota G, Cecci G, Vaschetto R, et al. Thoracic epidural analgesia in post-thoracotomy patients: comparison of three different concentrations of levobupivacaine and sufentanil. Br J Anaesth. 2009;102(3):418–23.PubMedCrossRef Mendola C, Ferrante D, Oldani E, Cammarota G, Cecci G, Vaschetto R, et al. Thoracic epidural analgesia in post-thoracotomy patients: comparison of three different concentrations of levobupivacaine and sufentanil. Br J Anaesth. 2009;102(3):418–23.PubMedCrossRef
76.
Zurück zum Zitat Behera BK, Puri GD, Ghai B. Patient-controlled epidural analgesia with fentanyl and bupivacaine provides better analgesia than intravenous morphine patient-controlled analgesia for early thoracotomy pain. J Postgrad Med. 2008;54(2):86–90.PubMedCrossRef Behera BK, Puri GD, Ghai B. Patient-controlled epidural analgesia with fentanyl and bupivacaine provides better analgesia than intravenous morphine patient-controlled analgesia for early thoracotomy pain. J Postgrad Med. 2008;54(2):86–90.PubMedCrossRef
77.
Zurück zum Zitat Weber T, Matzl J, Rokitansky A, Klimscha W, Neumann K, Deusch E, et al. Superior postoperative pain relief with thoracic epidural analgesia versus intravenous patient-controlled analgesia after minimally invasive pectus excavatum repair. J Thorac Cardiovasc Surg. 2007;134(4):865–70.PubMedCrossRef Weber T, Matzl J, Rokitansky A, Klimscha W, Neumann K, Deusch E, et al. Superior postoperative pain relief with thoracic epidural analgesia versus intravenous patient-controlled analgesia after minimally invasive pectus excavatum repair. J Thorac Cardiovasc Surg. 2007;134(4):865–70.PubMedCrossRef
78.
Zurück zum Zitat De Cosmo G, Congedo E, Mascia A, Adducci E, Lai C, Aceto P. Epidural infusion of levobupivacaine and sufentanil following thoracotomy. Anaesthesia. 2007;62(10):994–9.PubMedCrossRef De Cosmo G, Congedo E, Mascia A, Adducci E, Lai C, Aceto P. Epidural infusion of levobupivacaine and sufentanil following thoracotomy. Anaesthesia. 2007;62(10):994–9.PubMedCrossRef
79.
Zurück zum Zitat Bauer C, Hentz JG, Ducrocq X, Meyer N, Oswald-Mammosser M, Steib A, et al. Lung function after lobectomy: a randomized, double-blinded trial comparing thoracic epidural ropivacaine/sufentanil and intravenous morphine for patient-controlled analgesia. Anesth Analg. 2007;105(1):238–44.PubMedCrossRef Bauer C, Hentz JG, Ducrocq X, Meyer N, Oswald-Mammosser M, Steib A, et al. Lung function after lobectomy: a randomized, double-blinded trial comparing thoracic epidural ropivacaine/sufentanil and intravenous morphine for patient-controlled analgesia. Anesth Analg. 2007;105(1):238–44.PubMedCrossRef
80.
Zurück zum Zitat • Richardson J, Lonnqvist PA. Thoracic paravertebral block. Br J Anaesth. 1998;81(2):230–8. Best description of the anatomy, technique, analgesia, side effects, and complications of paravertebral nerve blocks. • Richardson J, Lonnqvist PA. Thoracic paravertebral block. Br J Anaesth. 1998;81(2):230–8. Best description of the anatomy, technique, analgesia, side effects, and complications of paravertebral nerve blocks.
81.
Zurück zum Zitat Richardson J, Sabanathan S, Jones J, Shah RD, Cheema S, Mearns AJ. A prospective, randomized comparison of preoperative and continuous balanced epidural or paravertebral bupivacaine on post-thoracotomy pain, pulmonary function and stress responses. Br J Anaesth. 1999;83(3):387–92.PubMedCrossRef Richardson J, Sabanathan S, Jones J, Shah RD, Cheema S, Mearns AJ. A prospective, randomized comparison of preoperative and continuous balanced epidural or paravertebral bupivacaine on post-thoracotomy pain, pulmonary function and stress responses. Br J Anaesth. 1999;83(3):387–92.PubMedCrossRef
82.
83.
Zurück zum Zitat Naja MZ, Gustafsson AC, Ziade MF, El Rajab M, Al-Tannir M, Daher M, et al. Distance between the skin and the thoracic paravertebral space. Anaesthesia. 2005;60(7):680–4.PubMedCrossRef Naja MZ, Gustafsson AC, Ziade MF, El Rajab M, Al-Tannir M, Daher M, et al. Distance between the skin and the thoracic paravertebral space. Anaesthesia. 2005;60(7):680–4.PubMedCrossRef
84.
Zurück zum Zitat Luyet C, Eichenberger U, Greif R, Vogt A, Szucs Farkas Z, Moriggl B. Ultrasound-guided paravertebral puncture and placement of catheters in human cadavers: an imaging study. Br J Anaesth. 2009;102(4):534–9.PubMedCrossRef Luyet C, Eichenberger U, Greif R, Vogt A, Szucs Farkas Z, Moriggl B. Ultrasound-guided paravertebral puncture and placement of catheters in human cadavers: an imaging study. Br J Anaesth. 2009;102(4):534–9.PubMedCrossRef
85.
Zurück zum Zitat •• Luyet C, Herrmann G, Ross S, Vogt A, Greif R, Moriggl B et al. Ultrasound-guided thoracic paravertebral puncture and placement of catheters in human cadavers: where do catheters go? Br J Anaesth. 2011;106(2):246–54. Comparison of the accuracy of a modified approach to the paravertebral space using loss-of-resistance and ultrasound-guided techniques. Ultrasound-guided interventions yielded 94% correct needle tip placements but only a few adequate catheter tip positions. This may be improved by modifying the design of the catheters. •• Luyet C, Herrmann G, Ross S, Vogt A, Greif R, Moriggl B et al. Ultrasound-guided thoracic paravertebral puncture and placement of catheters in human cadavers: where do catheters go? Br J Anaesth. 2011;106(2):246–54. Comparison of the accuracy of a modified approach to the paravertebral space using loss-of-resistance and ultrasound-guided techniques. Ultrasound-guided interventions yielded 94% correct needle tip placements but only a few adequate catheter tip positions. This may be improved by modifying the design of the catheters.
86.
Zurück zum Zitat Luyet C, Seiler R, Herrmann G, Hatch GM, Ross S, Eichenberger U. Newly designed, self-coiling catheters for regional anesthesia—an imaging study. Reg Anesth Pain Med. 2011;36(2):171–6.PubMedCrossRef Luyet C, Seiler R, Herrmann G, Hatch GM, Ross S, Eichenberger U. Newly designed, self-coiling catheters for regional anesthesia—an imaging study. Reg Anesth Pain Med. 2011;36(2):171–6.PubMedCrossRef
87.
Zurück zum Zitat Naja MZ, Ziade MF, El Rajab M, El Tayara K, Lonnqvist PA. Varying anatomical injection points within the thoracic paravertebral space: effect on spread of solution and nerve blockade. Anaesthesia. 2004;59(5):459–63.PubMedCrossRef Naja MZ, Ziade MF, El Rajab M, El Tayara K, Lonnqvist PA. Varying anatomical injection points within the thoracic paravertebral space: effect on spread of solution and nerve blockade. Anaesthesia. 2004;59(5):459–63.PubMedCrossRef
88.
Zurück zum Zitat Messina M, Boroli F, Landoni G, Bignami E, Dedola E, N’Zepa Batonga J, et al. A comparison of epidural vs. paravertebral blockade in thoracic surgery. Minerva Anestesiol. 2009;75(11):616–21.PubMed Messina M, Boroli F, Landoni G, Bignami E, Dedola E, N’Zepa Batonga J, et al. A comparison of epidural vs. paravertebral blockade in thoracic surgery. Minerva Anestesiol. 2009;75(11):616–21.PubMed
89.
Zurück zum Zitat 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(5):626–36.PubMedCrossRef 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(5):626–36.PubMedCrossRef
90.
Zurück zum Zitat Cowie B, McGlade D, Ivanusic J, Barrington MJ. Ultrasound-guided thoracic paravertebral blockade: a cadaveric study. Anesth Analg. 2010;110(6):1735–9.PubMedCrossRef Cowie B, McGlade D, Ivanusic J, Barrington MJ. Ultrasound-guided thoracic paravertebral blockade: a cadaveric study. Anesth Analg. 2010;110(6):1735–9.PubMedCrossRef
91.
Zurück zum Zitat Richardson J, Lonnqvist PA, Naja Z. Bilateral thoracic paravertebral block: potential and practice. Br J Anaesth. 2011;106(2):164–71.PubMedCrossRef Richardson J, Lonnqvist PA, Naja Z. Bilateral thoracic paravertebral block: potential and practice. Br J Anaesth. 2011;106(2):164–71.PubMedCrossRef
92.
Zurück zum Zitat Liu N, Kuhlman G, Dalibon N, Moutafis M, Levron JC, Fischler M. A randomized, double-blinded comparison of intrathecal morphine, sufentanil and their combination versus IV morphine patient-controlled analgesia for postthoracotomy pain. Anesth Analg. 2001;92(1):31–6.PubMedCrossRef Liu N, Kuhlman G, Dalibon N, Moutafis M, Levron JC, Fischler M. A randomized, double-blinded comparison of intrathecal morphine, sufentanil and their combination versus IV morphine patient-controlled analgesia for postthoracotomy pain. Anesth Analg. 2001;92(1):31–6.PubMedCrossRef
93.
Zurück zum Zitat Mason N, Gondret R, Junca A, Bonnet F. Intrathecal sufentanil and morphine for post-thoracotomy pain relief. Br J Anaesth. 2001;86(2):236–40.PubMedCrossRef Mason N, Gondret R, Junca A, Bonnet F. Intrathecal sufentanil and morphine for post-thoracotomy pain relief. Br J Anaesth. 2001;86(2):236–40.PubMedCrossRef
94.
Zurück zum Zitat Meylan N, Elia N, Lysakowski C, Tramer MR. Benefit and risk of intrathecal morphine without local anaesthetic in patients undergoing major surgery: meta-analysis of randomized trials. Br J Anaesth. 2009;102(2):156–67.PubMedCrossRef Meylan N, Elia N, Lysakowski C, Tramer MR. Benefit and risk of intrathecal morphine without local anaesthetic in patients undergoing major surgery: meta-analysis of randomized trials. Br J Anaesth. 2009;102(2):156–67.PubMedCrossRef
95.
Zurück zum Zitat Askar FZ, Kocabas S, Yucel S, Samancilar O, Cetin H, Uyar M. The efficacy of intrathecal morphine in post-thoracotomy pain management. J Int Med Res. 2007;35(3):314–22.PubMedCrossRef Askar FZ, Kocabas S, Yucel S, Samancilar O, Cetin H, Uyar M. The efficacy of intrathecal morphine in post-thoracotomy pain management. J Int Med Res. 2007;35(3):314–22.PubMedCrossRef
96.
Zurück zum Zitat Yapici D, Altunkan ZO, Atici S, Bilgin E, Doruk N, Cinel I, et al. Postoperative effects of low-dose intrathecal morphine in coronary artery bypass surgery. J Cardiac Surg. 2008;23(2):140–5.CrossRef Yapici D, Altunkan ZO, Atici S, Bilgin E, Doruk N, Cinel I, et al. Postoperative effects of low-dose intrathecal morphine in coronary artery bypass surgery. J Cardiac Surg. 2008;23(2):140–5.CrossRef
97.
Zurück zum Zitat Gehling M, Tryba M. Risks and side-effects of intrathecal morphine combined with spinal anaesthesia: a meta-analysis. Anaesthesia. 2009;64(6):643–51.PubMedCrossRef Gehling M, Tryba M. Risks and side-effects of intrathecal morphine combined with spinal anaesthesia: a meta-analysis. Anaesthesia. 2009;64(6):643–51.PubMedCrossRef
98.
Zurück zum Zitat Gehling MH, Luesebrink T, Kulka PJ, Tryba M. The effective duration of analgesia after intrathecal morphine in patients without additional opioid analgesia: a randomized double-blind multicentre study on orthopaedic patients. Eur J Anaesthesiol. 2009;26(8):683–8.PubMedCrossRef Gehling MH, Luesebrink T, Kulka PJ, Tryba M. The effective duration of analgesia after intrathecal morphine in patients without additional opioid analgesia: a randomized double-blind multicentre study on orthopaedic patients. Eur J Anaesthesiol. 2009;26(8):683–8.PubMedCrossRef
99.
Zurück zum Zitat Dango S, Harris S, Offner K, Hennings E, Priebe HJ, Buerkle H, et al. Combined paravertebral and intrathecal vs thoracic epidural analgesia for post-thoracotomy pain relief. Br J Anaesth. 2013;110(3):443–9.PubMedCrossRef Dango S, Harris S, Offner K, Hennings E, Priebe HJ, Buerkle H, et al. Combined paravertebral and intrathecal vs thoracic epidural analgesia for post-thoracotomy pain relief. Br J Anaesth. 2013;110(3):443–9.PubMedCrossRef
100.
Zurück zum Zitat Detterbeck FC. Efficacy of methods of intercostal nerve blockade for pain relief after thoracotomy. Ann Thorac Surg. 2005;80(4):1550–9.PubMedCrossRef Detterbeck FC. Efficacy of methods of intercostal nerve blockade for pain relief after thoracotomy. Ann Thorac Surg. 2005;80(4):1550–9.PubMedCrossRef
101.
Zurück zum Zitat Graf BM, Abraham I, Eberbach N, Kunst G, Stowe DF, Martin E. Differences in cardiotoxicity of bupivacaine and ropivacaine are the result of physicochemical and stereoselective properties. Anesthesiology. 2002;96(6):1427–34.PubMedCrossRef Graf BM, Abraham I, Eberbach N, Kunst G, Stowe DF, Martin E. Differences in cardiotoxicity of bupivacaine and ropivacaine are the result of physicochemical and stereoselective properties. Anesthesiology. 2002;96(6):1427–34.PubMedCrossRef
102.
Zurück zum Zitat Chan VW, Chung F, Cheng DC, Seyone C, Chung A, Kirby TJ. Analgesic and pulmonary effects of continuous intercostal nerve block following thoracotomy. Can J Anaesth. 1991;38(6):733–9.PubMedCrossRef Chan VW, Chung F, Cheng DC, Seyone C, Chung A, Kirby TJ. Analgesic and pulmonary effects of continuous intercostal nerve block following thoracotomy. Can J Anaesth. 1991;38(6):733–9.PubMedCrossRef
103.
Zurück zum Zitat Liu M, Rock P, Grass JA, Heitmiller RF, Parker SJ, Sakima NT, et al. Double-blind randomized evaluation of intercostal nerve blocks as an adjuvant to subarachnoid administered morphine for post-thoracotomy analgesia. Reg Anesth. 1995;20(5):418–25.PubMed Liu M, Rock P, Grass JA, Heitmiller RF, Parker SJ, Sakima NT, et al. Double-blind randomized evaluation of intercostal nerve blocks as an adjuvant to subarachnoid administered morphine for post-thoracotomy analgesia. Reg Anesth. 1995;20(5):418–25.PubMed
104.
Zurück zum Zitat Takamori S, Yoshida S, Hayashi A, Matsuo T, Mitsuoka M, Shirouzu K. Intraoperative intercostal nerve blockade for postthoracotomy pain. Ann Thorac Surg. 2002;74(2):338–41.PubMedCrossRef Takamori S, Yoshida S, Hayashi A, Matsuo T, Mitsuoka M, Shirouzu K. Intraoperative intercostal nerve blockade for postthoracotomy pain. Ann Thorac Surg. 2002;74(2):338–41.PubMedCrossRef
105.
Zurück zum Zitat Wurnig PN, Lackner H, Teiner C, Hollaus PH, Pospisil M, Fohsl-Grande B, et al. Is intercostal block for pain management in thoracic surgery more successful than epidural anaesthesia? Eur J Cardiothoracic Surg. 2002;21(6):1115–9.CrossRef Wurnig PN, Lackner H, Teiner C, Hollaus PH, Pospisil M, Fohsl-Grande B, et al. Is intercostal block for pain management in thoracic surgery more successful than epidural anaesthesia? Eur J Cardiothoracic Surg. 2002;21(6):1115–9.CrossRef
106.
Zurück zum Zitat Debreceni G, Molnar Z, Szelig L, Molnar TF. Continuous epidural or intercostal analgesia following thoracotomy: a prospective randomized double-blind clinical trial. Acta Anaesthesiol Scand. 2003;47(9):1091–5.PubMedCrossRef Debreceni G, Molnar Z, Szelig L, Molnar TF. Continuous epidural or intercostal analgesia following thoracotomy: a prospective randomized double-blind clinical trial. Acta Anaesthesiol Scand. 2003;47(9):1091–5.PubMedCrossRef
107.
Zurück zum Zitat Taylor R, Massey S, Stuart-Smith K. Postoperative analgesia in video-assisted thoracoscopy: the role of intercostal blockade. J Cardiothoracic Vasc Anesth. 2004;18(3):317–21.CrossRef Taylor R, Massey S, Stuart-Smith K. Postoperative analgesia in video-assisted thoracoscopy: the role of intercostal blockade. J Cardiothoracic Vasc Anesth. 2004;18(3):317–21.CrossRef
Metadaten
Titel
Recent Advances in Postoperative Pain Therapy for Thoracic Surgery
verfasst von
Torsten Loop
Stephen Harris
Alexander Grimm
Publikationsdatum
01.06.2014
Verlag
Springer US
Erschienen in
Current Anesthesiology Reports / Ausgabe 2/2014
Elektronische ISSN: 2167-6275
DOI
https://doi.org/10.1007/s40140-014-0058-5

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