Thoracotomy is one of the most painful surgical stimuli currently practiced. Inadequate management of post-thoracotomy pain can increase patient's discomfort and it is often associated with postoperative pulmonary and cardiac complications. Thoracic epidural analgesia was considered to be the most effective method of pain control and it remains the gold standard to treat post-thoracotomy pain; however, in the last few years evidences have suggested that paravertebral nerve block can be at least as effective as epidural analgesia for analgesia in thoracotomy. Scholarly peer review is the process of subjecting an author's scholarly work, research, or ideas to the scrutiny of others who are experts in the same field, before a paper describing this work is published in a journal. The work may be accepted, considered acceptable with revisions, or rejected. Peer review requires a community of experts in a given (narrowly defined) field, who are qualified and able to perform reasonably impartial review.
Last date updated on September, 2014