Continuous nerve block versus thoracic epidural analgesia for post-operative pain of pectus excavatum repair: a systematic review and meta-analysis
Abstract Surgery to repair pectus excavatum (PE) is often associated with severe postoperative pain, which can impact the length of hospital stay (LOS). While thoracic epidural analgesia (TEA) has traditionally been used for pain management in PE, its placement can sometimes result in severe neurolo...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | BMC Anesthesiology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12871-023-02221-x |
| _version_ | 1797556963193651200 |
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| author | Li-Jung Chen Shih-Hong Chen Yung-Lin Hsieh Po-Chuan Yu |
| author_facet | Li-Jung Chen Shih-Hong Chen Yung-Lin Hsieh Po-Chuan Yu |
| author_sort | Li-Jung Chen |
| collection | DOAJ |
| description | Abstract Surgery to repair pectus excavatum (PE) is often associated with severe postoperative pain, which can impact the length of hospital stay (LOS). While thoracic epidural analgesia (TEA) has traditionally been used for pain management in PE, its placement can sometimes result in severe neurological complications. Recently, paravertebral block (PVB) and erector spinae plane block (ESPB) have been recommended for many other chest and abdominal surgeries. However, due to the more severe and prolonged pain associated with PE repair, it is still unclear whether continuous administration of these blocks is as effective as TEA. Therefore, we conducted this systematic review and meta-analysis to demonstrate the equivalence of continuous PVB and ESPB to TEA. |
| first_indexed | 2024-03-10T17:10:38Z |
| format | Article |
| id | doaj.art-ee423415b0ba4a408197cdb44ad4ba98 |
| institution | Directory Open Access Journal |
| issn | 1471-2253 |
| language | English |
| last_indexed | 2024-03-10T17:10:38Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Anesthesiology |
| spelling | doaj.art-ee423415b0ba4a408197cdb44ad4ba982023-11-20T10:42:14ZengBMCBMC Anesthesiology1471-22532023-08-0123111210.1186/s12871-023-02221-xContinuous nerve block versus thoracic epidural analgesia for post-operative pain of pectus excavatum repair: a systematic review and meta-analysisLi-Jung Chen0Shih-Hong Chen1Yung-Lin Hsieh2Po-Chuan Yu3Department of Anesthesiology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical FoundationDepartment of Anesthesiology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical FoundationDepartment of Anesthesiology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical FoundationDepartment of Anesthesiology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical FoundationAbstract Surgery to repair pectus excavatum (PE) is often associated with severe postoperative pain, which can impact the length of hospital stay (LOS). While thoracic epidural analgesia (TEA) has traditionally been used for pain management in PE, its placement can sometimes result in severe neurological complications. Recently, paravertebral block (PVB) and erector spinae plane block (ESPB) have been recommended for many other chest and abdominal surgeries. However, due to the more severe and prolonged pain associated with PE repair, it is still unclear whether continuous administration of these blocks is as effective as TEA. Therefore, we conducted this systematic review and meta-analysis to demonstrate the equivalence of continuous PVB and ESPB to TEA.https://doi.org/10.1186/s12871-023-02221-xPectus excavatumThoracic epidural analgesiaParavertebral blockErector spinae plane block |
| spellingShingle | Li-Jung Chen Shih-Hong Chen Yung-Lin Hsieh Po-Chuan Yu Continuous nerve block versus thoracic epidural analgesia for post-operative pain of pectus excavatum repair: a systematic review and meta-analysis BMC Anesthesiology Pectus excavatum Thoracic epidural analgesia Paravertebral block Erector spinae plane block |
| title | Continuous nerve block versus thoracic epidural analgesia for post-operative pain of pectus excavatum repair: a systematic review and meta-analysis |
| title_full | Continuous nerve block versus thoracic epidural analgesia for post-operative pain of pectus excavatum repair: a systematic review and meta-analysis |
| title_fullStr | Continuous nerve block versus thoracic epidural analgesia for post-operative pain of pectus excavatum repair: a systematic review and meta-analysis |
| title_full_unstemmed | Continuous nerve block versus thoracic epidural analgesia for post-operative pain of pectus excavatum repair: a systematic review and meta-analysis |
| title_short | Continuous nerve block versus thoracic epidural analgesia for post-operative pain of pectus excavatum repair: a systematic review and meta-analysis |
| title_sort | continuous nerve block versus thoracic epidural analgesia for post operative pain of pectus excavatum repair a systematic review and meta analysis |
| topic | Pectus excavatum Thoracic epidural analgesia Paravertebral block Erector spinae plane block |
| url | https://doi.org/10.1186/s12871-023-02221-x |
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