Acute postoperative pain management - 2020

Perioperative pain management and bridging to postoperative period is an important task and has a great impact on chronification of pain in the future. We present you revised algorithm using both paravertebral or epidural block in patient undergoing thoracotomy.

paravertebral block
epirural block
Published at: 8.5.2020


Assoc. Prof. Tomáš Gabrhelík, MD, PhD
Head of Department of Anaesthesiology and Intensive Care, Regional Hospital of Tomáš Baťa, Zlín, Czech Republic

Modern approaches of multimodal analgesic treatment are one of the must-haves of good clinical practice in anesthesiology. The educational algorithm for the treatment of pain after thoracotomy allows students to practically verify their knowledge and level of insight into the issue of post-operative acute pain. The authors describe in an attractive, illustrative way, how the anesthesiologist makes up the management of postoperative pain and how he considers and solves possible complications. I recommend this algorithm as an attractive educative medium, which excellently complements the usual teaching materials.


KARMAKAR, Manoj K. et al. Thoracic and Lumbar Paravertebral Block - Landmarks and Nerve Stimulator Technique - NYSORA. NYSORA - Continuing Medical Education [online]. Copyright © NYSORA [cit. 29.03.2020]. Available at:

Prospect working group. Summary Recommendations - ESRA. ESRA Europe [online]. Copyright © 2020 The European Society of Regional Anaesthesia [cit. 29.03.2020]. Available at:

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