Interpleural or thoracic epidural analgesia for pain after thoracotomy. A double blind study
| Autor: | F Reiestad, V Brockmeier, B R Karlsson, H Moen, P A Steen, N B Fjeld |
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| Rok vydání: | 1994 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors medicine.drug_class medicine.medical_treatment Thoracic Vertebrae Placebos Bolus (medicine) Double-Blind Method Humans Medicine Thoracotomy Aged Pain Measurement Bupivacaine Hematoma Pain Postoperative Morphine business.industry Local anesthetic General Medicine Pain scale Middle Aged Surgery Analgesia Epidural Catheter Anesthesiology and Pain Medicine Epinephrine Anesthesia Pleura Female Analgesia business medicine.drug |
| Zdroj: | Acta Anaesthesiologica Scandinavica. 38:317-321 |
| ISSN: | 1399-6576 0001-5172 |
| DOI: | 10.1111/j.1399-6576.1994.tb03900.x |
| Popis: | The analgetic effect of bupivacaine given epidurally or interpleurally after thoracotomy was investigated in a randomized, double blind, placebo controlled study. 32 patients with both an epidural and an interpleural catheter, were randomized to receive either interpleural or epidural analgesia. The interpleural group was given bupivacaine 5 mg.ml-1 with 5 microgram epinephrine as a 30 ml interpleural bolus, followed by a continuous infusion starting at a rate of 7 ml per hour and epidurally a bolus of 0.9% NaCl followed by a continuous infusion of 0.9% NaCl. The epidural group was given bupivacaine 3.75 mg.ml-1 with 5 microgram epinephrine as a 5 ml epidural bolus, followed by a continuous infusion starting at a rate of 5 ml per hour and interpleurally a bolus of 0.9% NaCl followed by a continuous infusion of 0.9% NaCl. The draining tubes were clamped during the injection of the interpleural bolus and 15 min afterwards. Adequacy of pain relief was evaluated with the Prins-Henry pain scale. Morphine requirement was registered, there was no difference between the groups in pain scores or need for additional morphine. |
| Databáze: | OpenAIRE |
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