Comparación de la eficacia de analgesia y efectos secundarios de bloqueos paravertebrales comparado con bloqueo peridural en toracotomía. Un meta-análisis actualizado
A comparison of the analgesia efficacy and side effects of paravertebral compared with epidural blockade for thoracotomy: an updated meta-analysis.
Ding X, Jin S, Niu X, Ren H, Fu S, Li Q.
PLoS One. 2014 May 5;9(5):e96233. doi: 10.1371/journal.pone.0096233. eCollection 2014.
Abstract
OBJECTIVE:The most recent systematic review and meta-analysis comparing the analgesic efficacy and side effects of paravertebral and epiduralblockade for thoracotomy was published in 2006. Nine well-designed randomized trials with controversial results have been published since then. The present report constitutes an updated meta-analysis of this issue.
SUMMARY OF BACKGROUND:Thoracotomy is a major surgical procedure and is associated with severe postoperative pain. Epidural analgesia is the gold standard for post-thoracotomy pain management, but has its limitations and contraindications, and paravertebral blockade is increasingly popular. However, it has not been decided whether the analgesic effect of the two methods is comparable, or whether paravertebral blockade leads to a lower incidence of adverse side effects after thoracotomy. ... CONCLUSIONS:This meta-analysis showed that PVB can provide comparable pain relief to traditional EPI, and may have a better side-effect profile for pain relief after thoracic surgery. Further high-powered randomized trials are to need to determine whether PVB truly offers any advantages over EPI.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4010440/pdf/pone.0096233.pdf
Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org
A comparison of the analgesia efficacy and side effects of paravertebral compared with epidural blockade for thoracotomy: an updated meta-analysis.
Ding X, Jin S, Niu X, Ren H, Fu S, Li Q.
PLoS One. 2014 May 5;9(5):e96233. doi: 10.1371/journal.pone.0096233. eCollection 2014.
Abstract
OBJECTIVE:The most recent systematic review and meta-analysis comparing the analgesic efficacy and side effects of paravertebral and epiduralblockade for thoracotomy was published in 2006. Nine well-designed randomized trials with controversial results have been published since then. The present report constitutes an updated meta-analysis of this issue.
SUMMARY OF BACKGROUND:Thoracotomy is a major surgical procedure and is associated with severe postoperative pain. Epidural analgesia is the gold standard for post-thoracotomy pain management, but has its limitations and contraindications, and paravertebral blockade is increasingly popular. However, it has not been decided whether the analgesic effect of the two methods is comparable, or whether paravertebral blockade leads to a lower incidence of adverse side effects after thoracotomy. ... CONCLUSIONS:This meta-analysis showed that PVB can provide comparable pain relief to traditional EPI, and may have a better side-effect profile for pain relief after thoracic surgery. Further high-powered randomized trials are to need to determine whether PVB truly offers any advantages over EPI.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4010440/pdf/pone.0096233.pdf
Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org
No hay comentarios:
Publicar un comentario