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Updated: Jun 10, 2026

Non-Intubated Video-Assisted Thoracoscopic Surgery
Published on: May 26, 2023
Analgesic techniques following thoracic surgery: a survey of United Kingdom practice
Naren C Kotemane1, Niraj Gopinath, Rakesh Vaja
1Department of Anaesthesia and Critical Care Medicine, University Hospitals of Leicester NHS Trust, Glenfield Hospital, UK.
Background And Objective:
The authors present a national survey determining the current practice of postoperative analgesia after major thoracic surgery in the United Kingdom.
Methods:
Two hundred and forty anaesthetists from 36 thoracic centres were surveyed and the response rate was 78%.
Results:
The commonest analgesic technique after video-assisted thoracoscopic surgery is paravertebral block combined with patient-controlled analgesia with morphine. In open thoracotomy procedures, although epidural analgesia was used by a majority of the respondents, paravertebral block combined with patient-controlled analgesia with morphine is gaining popularity as an alternate technique for postoperative analgesia.
Conclusion:
The present survey demonstrates the increasing use of paravertebral block as an alternate regional anaesthetic technique to epidural analgesia after major thoracic surgery in the United Kingdom.
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