Comparison of continuous use of thoracic epidural analgesia and intercostal block for pain management after thoracotomy

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dc.authoridBaysal, AyG/0000-0002-1487-7407
dc.authoridIskender, Ilker/0000-0003-0530-2561
dc.authoridsagiroglu, gonul/0000-0002-1189-4973
dc.authorwosidBaysal, Ayse/AAF-8294-2019
dc.authorwosidsagiroglu, gönül/AAB-4472-2021
dc.authorwosidBaysal, AyG/AAR-8763-2021
dc.authorwosidBaysal, Ayse/AAR-8769-2021
dc.authorwosidIskender, Ilker/J-8923-2019
dc.authorwosidTasci, Ahmet Erdal/ABF-4634-2021
dc.authorwosidSagiroglu, Gonul/ABH-1345-2021
dc.contributor.authorSagiroglu, Gonul
dc.contributor.authorBaysal, Ayse
dc.contributor.authorKiraz, Osman Gazi
dc.contributor.authorMeydan, Burhan
dc.contributor.authorTasci, Ahmet Erdal
dc.contributor.authorIskender, Ilker
dc.date.accessioned2024-06-12T11:12:01Z
dc.date.available2024-06-12T11:12:01Z
dc.date.issued2013
dc.departmentTrakya Üniversitesien_US
dc.description.abstractAim of the study: We aimed to compare the efficacy of the continuous use of thoracic epidural and intercostal analgesia for post-thoracotomy pain. Material and methods: Sixty patients completed a prospective, randomized, double-blinded study. The patients were randomized to receive thoracic epidural (group 1, n = 30) or intercostal block (group 2, n = 30) for 24 hours. In both groups, 0.25% bupivacaine was infused at a rate of 5 ml/h through an inserted catheter. Visual analog scale at rest (VAS-R) and after coughing (VAS-C) scores were recorded at baseline and at 1, 6 and 24 hours after surgery to evaluate pain. Morphine consumption, complications and side effects were recorded as well. Results: VAS-R and VAS-C scores were similar at baseline; however, 1st, 6th and 24th hour scores of group 1 were significantly lower than the scores of group 2 (for VAS-R; p = 0.017, p = 0.001, p = 0.023, for VAS-C; p = 0.006, p = 0.002, p = 0.032, respectively). 24-hour morphine consumption was lower in group 1 in comparison to group 2 (p = 0.032). In group 1, 5 out of 30 patients (17%) experienced hypotension, compared with none in group 2 (p = 0.02). Conclusions: For post-thoracotomy pain, better control of analgesia is observed with the thoracic epidural technique; however, intercostal block constitutes an alternative method as it is characterized by lower incidence of hypotension.en_US
dc.identifier.doi10.5114/kitp.2013.38100
dc.identifier.endpage250en_US
dc.identifier.issn1731-5530
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-84886431295en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage244en_US
dc.identifier.urihttps://doi.org/10.5114/kitp.2013.38100
dc.identifier.urihttps://hdl.handle.net/20.500.14551/22997
dc.identifier.volume10en_US
dc.identifier.wosWOS:000326004300010en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherTermedia Publishing House Ltden_US
dc.relation.ispartofKardiochirurgia I Torakochirurgia Polskaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPainen_US
dc.subjectThoracotomyen_US
dc.subjectThoracic Epidural Blocken_US
dc.subjectIntercostal Nerve Blocken_US
dc.subjectPostthoracotomy Painen_US
dc.subjectNerve Blocken_US
dc.subjectIntravenous Morphineen_US
dc.subjectPulmonary-Functionen_US
dc.subjectClinical-Trialen_US
dc.subjectBupivacaineen_US
dc.subjectAnesthesiaen_US
dc.subjectSurgeryen_US
dc.subjectReliefen_US
dc.titleComparison of continuous use of thoracic epidural analgesia and intercostal block for pain management after thoracotomyen_US
dc.typeArticleen_US

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