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Intermediate Technical IVT

thoracic epidural analgesia

Also written as: TEA — Thoracic Epidural Analgesia

Regional pain management technique using epidural catheter placement in the thoracic spine for post-operative analgesia.

Full Definition

Thoracic epidural analgesia is a regional anesthetic technique involving the placement of an epidural catheter in the thoracic epidural space to provide superior pain control following thoracic surgery. Local anesthetics and/or opioids are administered through the catheter to block pain transmission at the spinal level. This technique provides excellent analgesia for thoracotomy incisions, reduces systemic opioid requirements, facilitates early mobilization, and may improve respiratory function post-operatively. Proper catheter placement and monitoring are essential to prevent complications such as epidural hematoma or neurological injury.

Usage

Usage note: Specify catheter level (T4-T6 typical for cardiac, T6-T8 for thoracic surgery) when documenting.

In Context

  • "Thoracic epidural analgesia was initiated pre-operatively for post-thoracotomy pain management." — anesthesia plan
  • "The patient experienced excellent pain control with thoracic epidural analgesia following lobectomy." — post-operative assessment

Also known as

TEA thoracic epidural

Contrasted with

systemic analgesia general anesthesia

Don't confuse with

paravertebral block intercostal nerve block

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