Thoracic Epidural Analgesia and Acute Pain Management
Thoracic epidural analgesia remains a key component of anesthesia-based acute pain services and is used to treat acute pain after: thoracic surgery, abdominal surgery, and rib fractures. 1 TEA is warranted when a moderate-to-large thoracic or upper abdominal incision is anticipated.
Insertion of a thoracic epidural in the awake patient has two principal benefits: lancinating pain warns the anaesthetist of any potential neurological damage; and the extent of sensory analgesia can be measured before inducing general anaesthesia.
Thoracic epidural anaesthesia and analgesia - Oxford Academic
2004年2月1日 · Thoracic epidural anaesthesia followed by postoperative epidural analgesia is increasingly being used for abdominal, major vascular and cardiothoracic surgery. The objective of thoracic block is not solely to block noxious afferent stimuli from the surgical site, but to impart a bilateral selective thoracic sympathectomy.
understand the indications, placement techniques, solutions administered, potential complications, and evidence-based outcomes for TEA in acute pain management.
High vs Mid Thoracic Epidural Analgesia – A Comparative Study …
Thoracic epidural analgesia offers effective perioperative pain relief in patients undergoing thoracotomies apart from attenuating stress responses. It helps in fast tracking by facilitating early mobilization and improving respiratory function. Literature on high (T1–T2 level) thoracic segmental analgesia for thoracotomy is less.
Real-time ultrasound guided thoracic epidural catheterization: a ...
In this review, we described the technical methods and tips of real-time ultrasound-guided thoracic epidural catheterization. It was found that ultrasound guidance during thoracic epidural catheterization reduced epidural needle placement time and the number of needle passes as compared to the landmark palpation technique .
Evidence-based thoracic epidural nerve block: A systematic review
2020年1月1日 · Thoracic epidural nerve block (TENB) is a technique in which analgesia is produced by injecting local anesthetic agent by itself or combined with additives or alone into the epidural space. This systematic review was designed to improve the quality of pain management and to form a common consensus for TENB based on the current evidences.
Recent Advances in Epidural Analgesia - PMC - PubMed Central …
For thoracic epidural placement, the inferior border of the scapula is the usual site of the T7 vertebral body/spinous process, and is typically used to approximate thoracic level of epidural placement for thoracic or intraabdominal surgical procedures. ... Epidural anesthesia is a versatile technique widely used in anesthetic practice. Its ...
Evaluation of a modified ultrasound-assisted technique for mid-thoracic …
In this article, we describe the practice of thoracic epidural placement under a modified ultrasound-assisted technique using a stratified needle insertion site and a modified position to improve the accuracy of skin markings. We showed the results of our technique in 128 consecutive patients regarding the feasibility of this technique.
Continuous epidural analgesia for postoperative pain: Technique …
Epidural catheters are inserted in the thoracic or lumbar spine, at a level determined by the dermatome level of the planned surgery (figure 1). For catheter-incision congruency, thoracic …