Bilateral thoracic Paravertebral block for immediate postoperative pain relief in the PACU: a prospective, observational study

To investigate the feasibility, effectiveness and safety of bilateral thoracic paravertebral block (TPVB) in the post anesthesia care unit (PACU) for pain relief in participants after laparotomy. A single shot of bilateral TPVB with 25 ml of 0.2% ropivacaine and 5 mg dexamethasone in combination for...

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Bibliographic Details
Published in:BMC anesthesiology 2017-07, Vol.17 (1), p.89-89, Article 89
Main Authors: Liu, Fei, Zhang, HuanKai, Zuo, Yunxia
Format: Article
Language:English
Subjects:
Amides - therapeutic use
Analgesics
Anesthesia
Anesthesiology
Anesthetics, Local - therapeutic use
Anti-Inflammatory Agents - therapeutic use
Blood pressure
Care and treatment
Complications
Complications and side effects
Cough
Dexamethasone
Dexamethasone - therapeutic use
Dosage and administration
Feasibility studies
Female
Heart rate
Humans
Laparotomy
Male
Middle Aged
Narcotics
Nerve Block
Observational studies
Ostomy
Oximetry
Pain
Pain management
Pain, Postoperative
Pain, Postoperative - prevention & control
Post anesthesia care unit
Postoperative pain
Postoperative period
Prevention
Prospective Studies
Rest
Ropivacaine
Surgery
Thoracic paravertebral block
Thoracic Vertebrae
Thorax
Ultrasonic imaging
Visual Analog Scale
Visual perception
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Summary:To investigate the feasibility, effectiveness and safety of bilateral thoracic paravertebral block (TPVB) in the post anesthesia care unit (PACU) for pain relief in participants after laparotomy. A single shot of bilateral TPVB with 25 ml of 0.2% ropivacaine and 5 mg dexamethasone in combination for both sides at the 8th thoracic transverse level (T8) was performed on 201 participants who complained moderate to severe pain on arrival to PACU after laparotomy. The visual analog scale (VAS) pain scores at rest and on cough, heart rate, blood pressure, and pulse oximetry before and after bilateral TPVB for up to 1 h were recorded. The VAS Pain scores at rest and on cough at 24 h after bilateral TPVB were also recorded. Bilateral TPVB was carried out successfully in all participants. The VAS pain scores at rest and on cough were 7.9 ± 1.6 and 8.7 ± 1.3 respectively pre-bilateral TPVB. The VAS pain scores at rest and on cough were significantly decreased to 1.1 ± 1.2 and 2.1 ± 1.6 respectively (P 
ISSN:1471-2253
1471-2253
DOI:10.1186/s12871-017-0378-3