Comparison of continuous thoracic epidural and paravertebral block for postoperative analgesia after robotic-assisted coronary artery bypass surgery

Annals of Cardiac Anaesthesia. 2008;11(2):90-95


Journal Homepage

Journal Title: Annals of Cardiac Anaesthesia

ISSN: 0971-9784 (Print); 0974-5181 (Online)

Publisher: Wolters Kluwer Medknow Publications

Society/Institution: Indian Association of Cardiovascular Thoracic Anaesthesiologists

LCC Subject Category: Medicine: Surgery: Anesthesiology | Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system

Country of publisher: India

Language of fulltext: English

Full-text formats available: PDF, HTML, ePUB



Mehta Yatin
Arora Dheeraj
Sharma Krishna
Mishra Yugal
Wasir Harpreet
Trehan Naresh


Blind peer review

Editorial Board

Instructions for authors

Time From Submission to Publication: 26 weeks


Abstract | Full Text

Minimally invasive surgery with robotic assistance should elicit minimal pain. Regional analgesic techniques have shown excellent analgesia after thoracotomy. Thus the aim of this study was to compare thoracic epidural analgesia (TEA) technique with paravertebral block (PVB) technique in these patients with regard to quality of analgesia, complications, and haemodynamic and respiratory parameters. This was a prospective randomised study involving 36 patients undergoing elective robotic-assisted coronary artery bypass grafting (CABG). TEA or PVB were administered in these patients. The results revealed no significant differences with regard to demographics, haemodynamics, and arterial blood gases. Pulmonary functions were better maintained in PVB group postoperatively; however, this was statistically insignificant. The quality of analgesia was also comparable in both the groups. We conclude that PVB is a safe and effective technique for postoperative analgesia after robotic-assisted CABG and is comparable to TEA with regard to quality of analgesia.