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Ropivacaine versus ropivacaine plus dexmedetomidine in serratus anterior plane block patients undergoing post-thoracotomy surgery: a randomized, double-blinded clinical trial.
BMC Anesthesiol
October 2024
Pain Research Centre, Department of Anesthesiology, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Article Synopsis
- - The study aimed to assess whether adding dexmedetomidine to ropivacaine during a Serratus Anterior Plane Block (SAP) could help reduce pain for patients after thoracotomy surgery.
- - It involved 74 patients who were randomly assigned to two groups: one receiving only ropivacaine and the other receiving ropivacaine with dexmedetomidine, with various health parameters measured post-surgery.
- - Results showed that the group receiving dexmedetomidine experienced significantly longer-lasting pain relief and lower heart rate and blood pressure, along with a reduced need for painkillers compared to the control group.
Treatment of chronic mini-thoracotomy wound pain and lung herniation with intercostal cryoablation and surgical mesh repair: a case report.
J Cardiothorac Surg
June 2024
Department of Thoracic and Cardiovascular Surgery, Yeungnam University College of Medicine, 170 Hyeonchung-ro, Nam-gu, Daegu, 42415, Korea.
Background: The incidence of minimally invasive heart surgery via mini-thoracotomy (MT; right anterior thoracotomy) is on the rise, accompanied by an increase in post-MT intercostal nerve neuralgia and the risk of lung herniation through the incision site. While various methods have been proposed to address these issues, none have been commonly effective. In this case report, we attempted to simultaneously address these problems by performing intercostal cryoablation (IC) and mesh repair.
View Article and Find Full Text PDFComparison of Intercostal Block and Epidural Analgesia for Post-thoracotomy: A Systematic Review and Meta-analysis of Randomized Controlled Trials.
Pain Physician
May 2023
Department of Anesthesiology, Affiliated Hospital of Qingdao University, Qingdao, China.
Background: Thoracotomy is associated with severe postoperative pain. Effective management of acute pain after thoracotomy may reduce complications and chronic pain. Epidural analgesia (EPI) is considered the gold standard for postthoracotomy analgesia; however, it is associated with complications and limitations.
View Article and Find Full Text PDFUltrasound-Guided Percutaneous Cryoneurolysis for Post-Thoracotomy Pain Syndrome: A Case Report.
Cureus
December 2022
Anesthesiology, University of California San Diego, La Jolla, USA.
Post-thoracotomy pain syndrome (PTPS) is a post-operative thoracotomy complication that is difficult to treat. We describe the first-time use of ultrasound-guided percutaneous cryoneurolysis of the intercostal nerves to successfully treat PTPS refractory to conventional medications and interventions. We report a case of a 40-year-old male with two years of severe PTPS sustained after undergoing a thoracotomy.
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