Continuous extrapleural intercostal nerve block after pleurectomy.
نویسندگان
چکیده
منابع مشابه
Continuous extrapleural intercostal nerve block after pleurectomy.
A randomised, double blind trial was carried out in 16 patients undergoing pleurectomy to assess the effect of continuous extrapleural intercostal block on postoperative pain and pulmonary function. Subjective pain relief was assessed on a linear visual analogue scale. Pulmonary function was measured on the day before operation and daily for five days after surgery. Eight patients received bupi...
متن کاملpreliminary report Continuous Extrapleural Intercostal Nerve Block With Continuous Infusion of Lidocaine After Thoracotomy
ous infusion of1% lidocaine hydrochloride at a dose of 1 mg/kg/h. A posterior parietal pleural pocket was created and cannulated with a 16-g polyethylene catheter. Lidocaine was perfused over a 3-day period following surgery. Patients also had access to mor¬ phine sulfate via patient-controlled analgesia. Eigh¬ teen consecutive posterolateral thoracotomies (in 17 patients) performed during a 6-...
متن کاملComparative study of continuous extrapleural intercostal nerve block and lumbar epidural morphine in post-thoracotomy pain.
OBJECTIVES To compare the efficacy of continuous extrapleural intercostal nerve block with bupivacaine 0.5% in 1:200,000 epinephrine and continuous lumbar epidural block with morphine in controlling post-thoracotomy pain and to measure serum bupivacaine concentrations during extrapleural infusion. DESIGN A prospective, randomized, controlled trial. SETTING St. Joseph's Hospital, Hamilton, O...
متن کاملPain control after thoracotomy. An extrapleural tunnel to provide a continuous bupivacaine infusion for intercostal nerve blockade.
This study was undertaken to determine whether an infusion of local anesthetic (LA) delivered through an extrapleural tunnel could provide satisfactory control of pain in the postthoracotomy period. Twelve patients undergoing thoracotomy were studied. A T-shaped tunnel was created by elevating the parietal pleura at the posteromedial end of the thoracotomy wound. An irrigation catheter was then...
متن کاملTumour invasion of the brachial plexus: management of pain with intrapleural analgesia.
REFERENCES 1 Eng J, Sabanathan S. Site of action of continuous extrapleural intercostal nerve block. Ann Thorac Surg 1991; 51: 387-9. 2 Berrisford RG, Sabanathan S. Direct access to the paravertebral space at thoracotomy. Ann Thorac Surg 1990; 49: 854. 3 Mozell E J, Sabanathan S, Mearns A J, Bickford Smith PR, Majid MR, Zografos G. Continuous extrapleural intercostal nerve block after pleurecto...
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ژورنال
عنوان ژورنال: Thorax
سال: 1991
ISSN: 0040-6376
DOI: 10.1136/thx.46.1.21