Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Postthoracotomy pain management.

Clare Savage1, Christopher McQuitty, DongFang Wang

  • 1Division of Cardiothoracic Surgery, University of Texas Medical Branch, 301 University Blvd., Galveston, TX 77555-0528, USA. claresavage@yahoo.com

Chest Surgery Clinics of North America
|July 19, 2002
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Intolerance of uncertainty predicts independent and joint trajectories of anxiety and depressive symptoms in adolescents: A three-wave longitudinal study.

Journal of affective disorders·2026
Same author

A novel less invasive single port pulsatile ventricular assist device.

JHLT open·2026
Same author

Digital self-harm among adolescents in China: Latent profiles, correlates, and its relationship with suicidal behaviors.

Psychiatry research·2026
Same author

Trajectories of intolerance of uncertainty in adolescents: Associations with anxiety and depression.

Journal of anxiety disorders·2026
Same author

Rapid and Efficient Purification of Low-Concentration Fluoride-Containing Water Using Cationic Chitosan Fibers.

Gels (Basel, Switzerland)·2026
Same author

Exploring Molecular Mechanism of Fluoxetine in Animal Models of Depression via Integrated Metabolomic and Proteomic Analysis.

Journal of cellular and molecular medicine·2026
Same journal

New treatment modalities for end-stage emphysema.

Chest surgery clinics of North America·2003
Same journal

Cost effectiveness of lung volume reduction surgery.

Chest surgery clinics of North America·2003
Same journal

Results of lung volume reduction surgery for emphysema.

Chest surgery clinics of North America·2003
Same journal

Complications after lung volume reduction surgery.

Chest surgery clinics of North America·2003
Same journal

Operative techniques for lung volume reduction surgery.

Chest surgery clinics of North America·2003
Same journal

Patient selection for lung volume reduction surgery.

Chest surgery clinics of North America·2003
See all related articles

Effective postthoracotomy pain management involves regional techniques like continuous intercostal or paravertebral blockade, and epidural analgesia. These methods reduce opioid consumption and improve patient recovery after thoracic surgery.

Area of Science:

  • Thoracic Surgery
  • Pain Management
  • Anesthesiology

Background:

  • Postthoracotomy pain significantly impacts patient recovery and quality of life.
  • Systemic opioid use for pain control carries risks of side effects and dependence.
  • Various regional anesthesia techniques offer potential for improved pain control and reduced opioid requirements.

Purpose of the Study:

  • To review and evaluate the efficacy of different techniques for managing postthoracotomy pain.
  • To compare the effectiveness of continuous intercostal blockade, paravertebral blockade, and epidural analgesia.
  • To provide guidance for thoracic surgeons and anesthesiologists in selecting optimal pain management strategies.

Main Methods:

  • Review of existing literature on postthoracotomy pain control techniques.

Related Experiment Videos

  • Analysis of the effectiveness and feasibility of continuous intercostal blockade, paravertebral blockade, epidural opioids/anesthetics, and interpleural analgesia.
  • Description of a general thoracic surgery protocol incorporating preoperative assessment, intraoperative nerve blocks, and patient-controlled epidural analgesia.

    • Main Results:

    • Continuous intercostal blockade, paravertebral blockade, and epidural analgesia are effective in controlling postthoracotomy pain and reducing opioid consumption.
    • Thoracic epidural analgesia offers potent pain relief but requires significant expertise and monitoring.
    • Intraoperative insertion of intercostal and paravertebral catheters can minimize insertion complications; however, one-time intercostal blockade offers only short-term relief.

    Conclusions:

    • A multimodal approach combining regional anesthesia techniques and patient-controlled analgesia is recommended for optimal postthoracotomy pain management.
    • Selection of pain management strategy should consider physician experience, patient factors, and available resources.
    • Minimally invasive surgical techniques may reduce the severity of postthoracotomy pain, complementing effective analgesia protocols.