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  • Title: Analgesic techniques following thoracic surgery: a survey of United Kingdom practice.
    Author: Kotemane NC, Gopinath N, Vaja R.
    Journal: Eur J Anaesthesiol; 2010 Oct; 27(10):897-9. PubMed ID: 20657297.
    Abstract:
    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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