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Lapkina I.V.

I.M. Sechenov First Moscow State Medical University

Alekseeva T.M.

I.M. Sechenov First Moscow State Medical University

Khalikova E.Yu.

I.M. Sechenov First Moscow State Medical University

Ali S.Kh.

I.M. Sechenov First Moscow State Medical University

Sukhanov R.B.

I.M. Sechenov First Moscow State Medical University

Slusarenko R.I.

I.M. Sechenov First Moscow State Medical University

Bezrukov E.A.

I.M. Sechenov First Moscow State Medical University

Paravertebral block in fast track urology

Authors:

Lapkina I.V., Alekseeva T.M., Khalikova E.Yu., Ali S.Kh., Sukhanov R.B., Slusarenko R.I., Bezrukov E.A.

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Journal: Russian Journal of Anesthesiology and Reanimatology. 2020;(4): 87‑92

DOI: 10.17116/anaesthesiology202004187

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Table of contents

PARAVERTEBRAL BLOCK IN FAST TRACK UROLOGY
PARAVERTEBRAL BLOCK IN FAST TRACK UROLOGY

To cite this article:

Lapkina IV, Alekseeva TM, Khalikova EYu, Ali SKh, Sukhanov RB, Slusarenko RI, Bezrukov EA. Paravertebral block in fast track urology. Russian Journal of Anesthesiology and Reanimatology. 2020;(4):87‑92. (In Russ.)
https://doi.org/10.17116/anaesthesiology202004187

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OBJECTIVE

To compare an effectiveness of general anesthesia (GA) combined with paravertebral block (GA+PVB), general anesthesia combined with epidural anesthesia (GA+EA) and general anesthesia (GA) in a urological hospital.

MATERIAL AND METHODS

All patients (n=182) were divided into 3 groups depending on the type of anesthetic management: GA+PVB, GA, GA+EA. An amount of opioid analgesic was intraoperatively assessed. Effectiveness of analgesia with a visual analogue scale (VAS), early activation, incidence of hemodynamic impairment and motor block were analyzed in postoperative period.

RESULTS

VAS scores were significantly lower in the GA+PVB group compared to the GA group in 1, 6 and 24 hours after surgery (p=0.015). VAS scores were similar in the GA+PVB and GA+EA groups within 6 and 12 hours after surgery. Intraoperative doses of opioid analgesic (Fentanyl) were lower in the GA+PVB group compared to all other patients (p<0.001). It should be noted that doses of narcotic analgesic were similar for GA+EA and GA (p=0.467). GA+PVB was not followed by postoperative motor block. In the GA+EA group, this event occurred in 30% of patients. No motor block and hemodynamic impairment after PVB ensured early activation of all patients in the GA+PVB group.

CONCLUSION

Paravertebral block is a simple, effective and safe technique for perioperative analgesia in urological patients, including fast track surgical approach. No motor block and hemodynamic instability determines an obvious advantage of paravertebral block over epidural anesthesia.

Keywords:

paravertebral block
epidural anesthesia
fast track surgery
visual analogue scale
fast track recovery

Authors:

Lapkina I.V.

I.M. Sechenov First Moscow State Medical University

Alekseeva T.M.

I.M. Sechenov First Moscow State Medical University

Khalikova E.Yu.

I.M. Sechenov First Moscow State Medical University

Ali S.Kh.

I.M. Sechenov First Moscow State Medical University

Sukhanov R.B.

I.M. Sechenov First Moscow State Medical University

Slusarenko R.I.

I.M. Sechenov First Moscow State Medical University

Bezrukov E.A.

I.M. Sechenov First Moscow State Medical University

Received:

18.05.2020

Accepted:

20.06.2020

List of references:

  1. Zatevahin II, Pasechnik IN, Achkasov SI, Gubajdullin RR, Lyadov KV, Procenko DN, Shelygin YuA, Ciciashvili MSh. Klinicheskie rekomendacii po vnedreniyu programmy uskorennogo vyzdorovleniya pacientov posle planovyh hirurgicheskih vmeshatel’stv na obodochnoj kishke. Doktor. Ru. 2016;129(12-I):8-21. (In Russ.).
  2. Pasechnik IN, Nazarenko AG, Gubaidullin RR, Skobelev EI, Borisov AYu. Modern Approaches to Enhanced Recovery After Surgery. Doktor. Ru. 2015;15-16(116-117):10-17. (In Russ.).
  3. Detterbeck FC. Efficacy of methods of intercostal nerve blockade for pain relief after thoracotomy. Annals of Thoracic Surgery. 2005;80(4):1550-1559. https://doi.org/10.1016/j.athoracsur.2004.11.051
  4. Orlov MM, Uvarov DN, Nedashkovskij EV. Stress-limitiruyushchee vliyanie perioperacionnoj epidural’noj anal’gezii pri radikal’nyh operativnyh vmeshatel’stvah na organah dyhaniya. Tezisy dokladov XII S»ezda Federacii anesteziologov i reanimatologov 19—22 sentyabrya 2010. M.: 2010;322-328. Accessed July 20, 2020. (In Russ.). https://elibrary.ru/item.asp?id=28773798
  5. Pafmell DP, Nil DM, Viskoumi KM. Oslozhneniya epidural’noj anestezii. Regionarnaya anesteziya. M.: MEDpress-inform; 2008;149. (In Russ.).
  6. Cowie B, McGlade D, Ivanusic J, Barrington MJ. Ultrasound-guided thoracic paravertebral blockade: a cadaveric study. Anesthesia and Analgesia. 2010;110(6):1735-1739. https://doi.org/10.1213/ANE.0b013e3181dd58b07
  7. Batra RK, Krishnan K, Agarwal A. Paravertebral block. Journal of Anaesthesiology, Clinical Pharmacology. 2011;27(1):5-11. 
  8. Borle AP, Chhabra A, Subramaniam R, Rewari V, Sinha R, Ramachandran R, Kumar R, Seth A. Analgesic efficacy of paravertebral bupivacaine during percutaneous nephrolithotomy: an observer blinded, randomized controlled trial. Journal of Endourology. 2014;28(9):1085-1090. https://doi.org/10.1089/end.2014.0179
  9. Gautam SKS, Das PK, Agarwal A, Kumar S, Dhiraaj S, Keshari A, Patro A. Comparative Evaluation of Continuous Thoracic Paravertebral Block and Thoracic Epidural Analgesia Techniques for Post-operative Pain Relief in Patients Undergoing Open Nephrectomy: A Prospective, Randomized, Single-blind Study. Anesthesia, Essays and Researches. 2017;11(2):359-364.  https://doi.org/10.4103/0259-1162.194559
  10. Karmakar MK. Thoracic paravertebral block. Anesthesiology. 2001;95(3):771-780. 
  11. Carney J, Finnerty O, Rauf J, Bergin D, Laffey JG, Mc Donnell JG. Studies on the spread of local anaesthetic solution in transversus abdominis plane blocks. Anaesthesia. 2011;66(11):1023-1030. https://doi.org/10.1111/j.1365-2044.2011.06855.x
  12. Eid HEA. Paravertebral block: An overview. Current Anaesthesia and Critical Care. 2009;20(2):65-70.  https://doi.org/10.1016/j.cacc.2008.12.003
  13. Tighe SQM, Greene MD, Rajadurai N. Paravertebral block. Continuing Education in Anaesthesia, Critical Care and Pain. 2010;10(5):133-137.  https://doi.org/10.1093/bjaceaccp/mkq029
  14. Lonnqvist PA, MacKenzie J, Soni AK, Conacher ID. Paravertebral blockade. Failure rate and complications. Anaesthesia. 1995;50(9):813-815.  https://doi.org/10.1111/j.1365-2044.1995.tb06148.x
  15. Naja Z, Lonnqvist PA. Somatic paravertebral nerve blockade. Incidence of failed block and complications. Anaesthesia. 2001;56(12):1184-1188. https://doi.org/10.1046/j.1365-2044.2001.02084-2.x
  16. Davies RG, Myles PS, Graham JM. A comparison of the analgesic efficacy and side-effects of paravertebral vs epidural blockade for thoracotomy — a systematic review and meta-analysis of randomized trials. British Journal of Anaesthesia. 2006;96(4):418-426.  https://doi.org/10.1093/bja/ael020
  17. Ak K, Gursoy S, Duger C, Isbir AC, Kaygusuz K, Ozdemir Kol I, Gokce G, Mimaroglu C. Thoracic paravertebral block for postoperative pain management in percutaneous nephrolithotomy patients: a randomized controlled clinical trial. Medical Principles and Practice. 2013;22(3):229-233.  https://doi.org/10.1159/000345381
  18. Elbealy E, Rashwan D, Kassim SA, Abbas S. A Comparison of the Effects of Epidural Anesthesia, Lumbar Paravertebral Block and General Anesthesia in Percutaneous Nephrolithotomy. Journal of Medical Sciences. 2008;8:170-176.  https://doi.org/10.3923/jms.2008.170.176
  19. Copik M, Bialka S, Daszkiewicz A, Misiolek H. Thoracic paravertebral block for postoperative pain management after renal surgery: A randomised controlled trial. European Journal of Anaesthesiology. 2017;34(9):596-601.  https://doi.org/10.1097/EJA.0000000000000673
  20. Baik JS, Oh AY, Cho CW, Shin HJ, Han SH, Ryu JH. Thoracic paravertebral block for nephrectomy: a randomized, controlled, observer-blinded study. Pain Medicine. 2014;15(5):850-856.  https://doi.org/10.1111/pme.12320

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