Chest surgery is historically recognized for the incidence and severity of associated postoperative pain, both acute and chronic. Although the development and diffusion of video thoracoscopy (VTC) have been key in reducing the morbidity and intensity of acute postoperative pain, incidences of chronic pain vary between 25- 67%, figures similar to classic thoracotomy. Lower rates of chronic pain have been reported only with the uniportal approach. Regarding analgesic techniques for open surgery, the thoracic epidural catheter (TEA) continues to be the gold standard. In this context, the paravertebral block has been evaluated as an analgesic alternative in patients with contraindication for an epidural block. However, the need, choice, and benefits those regional techniques could offer in 22 minimally invasive thorax surgery are under discussion. We present a brief review of existing literature on the topic.
Barra C., I., & Blanch Z., A. (2021). Regional analgesia in minimal invasive thoracic surgery. Boletín De Anestesia, (2), pp. 21–26. Retrieved from https://boletinanestesia.uchile.cl/index.php/BA/article/view/64531
