Regional analgesia for video-assisted thoracic surgery – a systematic review

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Standard

Regional analgesia for video-assisted thoracic surgery – a systematic review. / Julia Steinthorsdottir, Kristin; Wildgaard, Lorna ; Jessen Hansen, Henrik; Petersen, René Horsleben; Wildgaard, Kim.

In: European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 11.2013.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Julia Steinthorsdottir, K, Wildgaard, L, Jessen Hansen, H, Petersen, RH & Wildgaard, K 2013, 'Regional analgesia for video-assisted thoracic surgery – a systematic review', European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery. https://doi.org/10.1093/ejcts/ezt525

APA

Julia Steinthorsdottir, K., Wildgaard, L., Jessen Hansen, H., Petersen, R. H., & Wildgaard, K. (2013). Regional analgesia for video-assisted thoracic surgery – a systematic review. European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery. https://doi.org/10.1093/ejcts/ezt525

Vancouver

Julia Steinthorsdottir K, Wildgaard L, Jessen Hansen H, Petersen RH, Wildgaard K. Regional analgesia for video-assisted thoracic surgery – a systematic review. European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery. 2013 Nov. https://doi.org/10.1093/ejcts/ezt525

Author

Julia Steinthorsdottir, Kristin ; Wildgaard, Lorna ; Jessen Hansen, Henrik ; Petersen, René Horsleben ; Wildgaard, Kim. / Regional analgesia for video-assisted thoracic surgery – a systematic review. In: European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery. 2013.

Bibtex

@article{892f1c0ca3814906aa16dfb5febaf070,
title = "Regional analgesia for video-assisted thoracic surgery – a systematic review",
abstract = "Video-assisted thoracic surgery (VATS) is emerging as the standard surgical procedure for both minor and major oncologic lung surgery. Thoracic epidural analgesia (TEA) and paravertebral block (PVB) are established analgesic golden standards for open surgery such as thoracotomy; however there is no gold standard for regional analgesia for VATS. This systematic review aimed to assess different regional techniques in regards to effect on acute post-operative pain following VATS, with emphasis on VATS lobectomy. The systematic review of the PubMed, Cochrane Library and Embase databases yielded unique 1542 abstracts, 17 articles were included for qualitative assessment, of which 3 were studies on VATS lobectomy. The analgesic techniques included TEA, multilevel- and single PVB, paravertebral catheter, intercostal catheter, interpleural infusion and long thoracic nerve block. Overall the studies were heterogeneous with small numbers of participants. In comparative studies TEA and especially PVB showed some effect on pain scores, but were often compared to inferior analgesic treatment. Other techniques showed no unequivocal results. No clear gold standard for regional analgesia for VATS could be demonstrated, but a guide of factors to include in future studies on regional analgesia for VATS is presented.",
keywords = "The Faculty of Health and Medical Sciences, Pain, post-operative, regional analgesia, thoracoscopic, VATS, Video-assisted thoracic surgery",
author = "{Julia Steinthorsdottir}, Kristin and Lorna Wildgaard and {Jessen Hansen}, Henrik and Petersen, {Ren{\'e} Horsleben} and Kim Wildgaard",
year = "2013",
month = "11",
doi = "10.1093/ejcts/ezt525",
language = "English",
journal = "European Journal of Cardio-Thoracic Surgery",
issn = "1010-7940",
publisher = "Oxford University Press",

}

RIS

TY - JOUR

T1 - Regional analgesia for video-assisted thoracic surgery – a systematic review

AU - Julia Steinthorsdottir, Kristin

AU - Wildgaard, Lorna

AU - Jessen Hansen, Henrik

AU - Petersen, René Horsleben

AU - Wildgaard, Kim

PY - 2013/11

Y1 - 2013/11

N2 - Video-assisted thoracic surgery (VATS) is emerging as the standard surgical procedure for both minor and major oncologic lung surgery. Thoracic epidural analgesia (TEA) and paravertebral block (PVB) are established analgesic golden standards for open surgery such as thoracotomy; however there is no gold standard for regional analgesia for VATS. This systematic review aimed to assess different regional techniques in regards to effect on acute post-operative pain following VATS, with emphasis on VATS lobectomy. The systematic review of the PubMed, Cochrane Library and Embase databases yielded unique 1542 abstracts, 17 articles were included for qualitative assessment, of which 3 were studies on VATS lobectomy. The analgesic techniques included TEA, multilevel- and single PVB, paravertebral catheter, intercostal catheter, interpleural infusion and long thoracic nerve block. Overall the studies were heterogeneous with small numbers of participants. In comparative studies TEA and especially PVB showed some effect on pain scores, but were often compared to inferior analgesic treatment. Other techniques showed no unequivocal results. No clear gold standard for regional analgesia for VATS could be demonstrated, but a guide of factors to include in future studies on regional analgesia for VATS is presented.

AB - Video-assisted thoracic surgery (VATS) is emerging as the standard surgical procedure for both minor and major oncologic lung surgery. Thoracic epidural analgesia (TEA) and paravertebral block (PVB) are established analgesic golden standards for open surgery such as thoracotomy; however there is no gold standard for regional analgesia for VATS. This systematic review aimed to assess different regional techniques in regards to effect on acute post-operative pain following VATS, with emphasis on VATS lobectomy. The systematic review of the PubMed, Cochrane Library and Embase databases yielded unique 1542 abstracts, 17 articles were included for qualitative assessment, of which 3 were studies on VATS lobectomy. The analgesic techniques included TEA, multilevel- and single PVB, paravertebral catheter, intercostal catheter, interpleural infusion and long thoracic nerve block. Overall the studies were heterogeneous with small numbers of participants. In comparative studies TEA and especially PVB showed some effect on pain scores, but were often compared to inferior analgesic treatment. Other techniques showed no unequivocal results. No clear gold standard for regional analgesia for VATS could be demonstrated, but a guide of factors to include in future studies on regional analgesia for VATS is presented.

KW - The Faculty of Health and Medical Sciences

KW - Pain

KW - post-operative

KW - regional analgesia

KW - thoracoscopic, VATS, Video-assisted thoracic surgery

U2 - 10.1093/ejcts/ezt525

DO - 10.1093/ejcts/ezt525

M3 - Journal article

JO - European Journal of Cardio-Thoracic Surgery

JF - European Journal of Cardio-Thoracic Surgery

SN - 1010-7940

ER -

ID: 49732955