Review article
https://doi.org/10.20471/acc.2019.58.s1.06
The Role of Paravertebral Blocks in Ambulatory Surgery: Review of the Literature
Miroslav Župčić
orcid.org/0000-0002-1989-7255
; Clinical Hospital Centre Rijeka, Clinic of Anesthesiology and Intensive Care Medicine, Rijeka, Croatia; University of Rijeka, Faculty of Medicine, Department of Physiology and Immunology, Rijeka, Croatia; J. J. Strossmayer University, Faculty of Medicine,
David Dedić
orcid.org/0000-0001-5273-1882
; Clinical Hospital Dubrava, Clinic of Anaesthesiology, Reanimatology and Intensive Care Medicine, Zagreb, Croatia
Sandra Graf Župčić
; University of Rijeka, Faculty of Medicine, Department of Physiology and Immunology, Rijeka, Croatia; Clinical Hospital Centre Rijeka, Clinic of Neurology, Rijeka, Croatia
Viktor Đuzel
; Barking, Havering and Redbridge University Hospitals NHS Trust, Department of Anaesthesia, London, United Kingdom
Tatjana Šimurina
orcid.org/0000-0002-2657-5537
; J. J. Strossmayer University, Faculty of Medicine, Osijek, Croatia; General Hospital Zadar, Department of Anesthesiology and Intensive Care Medicine, Zadar, Croatia; Department of Health Studies University of Zadar, Zadar, Croatia
Livija Šakić
; Department of Anaesthesiology, Reanimatology and Intensive Medicine, University Hospital “Sveti Duh”, Zagreb, Croatia
Igor Grubješić
; Clinical Hospital Centre Rijeka, Clinic of Anesthesiology and Intensive Care Medicine, Rijeka, Croatia
Ingrid Šutić
orcid.org/0000-0001-9212-266X
; University of Rijeka, Faculty of Medicine, Department of Physiology and Immunology, Rijeka, Croatia
Ivana Šutić
orcid.org/0000-0002-3157-538X
; University of Rijeka, Faculty of Medicine, Department of Family medicine, Rijeka, Croatia
Andjelko Korušić
orcid.org/0000-0002-8758-3485
; J. J. Strossmayer University, Faculty of Medicine, Osijek, Croatia; Clinical Hospital Dubrava, Clinic of Anaesthesiology, Reanimatology and Intensive Care Medicine, Zagreb, Croatia
Abstract
Ambulatory surgery often involves surgical procedures on the thorax, abdomen and limbs, which can be associated with substantial postoperative pain. The aim of this narrative review is to provide an analysis of the effectiveness of paravertebral block (PVB) alone or in combination with general anaesthesia, in this setting, with an emphasis on satisfactory postoperative analgesia in comparison to other modalities. We have conducted a search of current medical literature written in English through PubMed, Google Scholar and Ovid Medline®. Peer-reviewed professional articles, review articles, retrospective and prospective studies, case reports and case series were systematically
searched for during the time period between November 2003 and February 2019. The literature used for the purpose of creating this review showed that utilisation of paravertebral block either alone or in
combination with general anaesthesia, has a positive effect on satisfactory analgesia in ambulatory surgery. With a multimodal analgesic approach of PVB and other techniques of anaesthesia and analgesia there is a reduction in postoperative opioid consumption, fewer side effects, lower pain scores, decreased mortality, earlier mobilisation of patients and reduced hospital stay.
Keywords
ambulatory surgery; breast surgery; local anesthetics; nerve blocks; paravertebral; regional anesthesia
Hrčak ID:
224162
URI
Publication date:
1.7.2019.
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