Continuous intercostal nerve block for pain relief after thoracotomy
| Autor: | A J Mearns, Gautam Narsing Pradhan, Philip J. Bickford Smith, Hussain Hashimi, Sabaratnam Sabanathan, Jibah Eng |
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| Rok vydání: | 1995 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine medicine.medical_specialty medicine.medical_treatment Analgesic Pain relief Intercostal nerves medicine Humans Local anesthesia Thoracotomy Bupivacaine hydrochloride Aged Bupivacaine Pain Postoperative Thoracic Nerves business.industry Nerve Block Middle Aged Surgery Anesthesia Female Intercostal Nerves Complication Cardiology and Cardiovascular Medicine business medicine.drug Intercostal nerve block |
| Zdroj: | The Annals of Thoracic Surgery. 59:1261-1263 |
| ISSN: | 0003-4975 |
| DOI: | 10.1016/0003-4975(95)00058-s |
| Popis: | Others have demonstrated the effectiveness of intercostal analgesia with bupivacaine hydrochloride (Marcain Plain; Astra). We present a greatly simplified method of effecting this. Our method is dependent on an intact pleura. To date, we have utilized this technique in 81 patients. Seventy-five (92.6%) required no additional analgesic in the first 24 hours following operation and 66 (81.5%), in the subsequent four days. Only 2 patients had postoperative pulmonary complications. No complication related either to the procedure or to the infusion of bupivacaine occurred. The technique as described here is a safe and reliable method of providing analgesia without any side effects after thoracotomy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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