EAJAIC
Eurasian Journal of Anesthesiology and Intensive Care

The Eurasian Journal of Anesthesiology and Intensive Care (EAJAIC) is an independent-unbiased, peer-reviewed, "double-blind", and open-access journal of current national and international issues and reviews for original clinical and experimental research, interesting case reports, differential diagnoses, editorial opinions, letters to the editor, and educational papers in anesthesiology, algology, and intensive care medicine.

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Original Article
Comparison between patient-controlled tramadol infusion and additional thoracic paravertebral block in the management of post-thoracotomy pain; a retrospective study
Abstract
Aims: Thoracic paravertebral block (TPVB) is provides effective analgesia in patients undergoing thoracotomy. In this study, we aimed to compare the level of analgesia, hemodynamic parameters, and analgesic consumption in post-thoracotomy patients who received iv patient-controlled analgesia (PCA) with the patients who received TPVB plus iv PCA.
Methods: We retrospectively evaluated the pain and anesthesia forms of 100 patients. Patients were divided into two groups according to analgesia methods. All patients were given 100 mg iv tramadol 30 minutes before the end of the operation. Intravenous tramadol infusion by using PCA was applied in both groups for postoperative 24 hours. In Group II, 5 levels of TPVB was performed just before the end of the operation. Additional analgesic (paracetamol 1 g infusion) was given when visual analog scale (VAS) was ? 4. Demographic data of patients and analgesia methods of patients were recorded. Hemodynamic parameters, peripheral oxygen saturation, respiratory rate, sedation scores, resting and coughing VAS score, additional analgesic requirement, side effects and complications, amounts of consumed analgesics, and analgesia-related satisfaction scores were recorded preoperatively, before PCA, and 1., 6, 12., and 24. hours postoperatively to use patients’ pain forms.
Results: Hemodynamic parameters were comparable between groups (p > 0.05). Resting and coughing VAS scores were significantly lower in the TPVB group (p < 0.05). The additional analgesic requirement was also lower in Group II (p < 0.05). Cumulative tramadol conpsumption was significantly lower in Group II (p < 0.05).
Conclusion: TPVB combined with iv tramadol PCA provided effective analgesia, and it decreased cumulative tramadol use in thoracotomy patients.

Keywords : Thoracotomy, thoracic paravertebral block, tramadol, visual analog scale

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Article available in :
Volume 1, Issue 3, 2024
Page : 47-51
https://doi.org/10.51271/EAJAIC-0011
Article Information
Received : 15 May 2024
Accepted : 11 Haz 2024
Published : 06 Ağu 2024
Corresponding Author :

Ali Alagöz: Department of Anesthesiology and Reanimation, Ankara Ataturk Sanatoryum Training and Research Hospital, University of Health Sciences, Ankara, Turkiye

[email protected]
Citation : Çetin MC, Tunç M, Sazak H, et al. Comparison between patient-controlled tramadol infusion and additional thoracic paravertebral block in the management of post-thoracotomy pain; a retrospective study. Eurasian J Anesthesiol Intens Care . 2024;1(3):47-51.

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