Epidural block with mepivacaine before surgery reduces long-term post-thoracotomy pain
نویسندگان
چکیده
منابع مشابه
Epidural block with mepivacaine before surgery reduces long-term post-thoracotomy pain.
PURPOSE To examine the effect of continuous epidural block initiated before thoracic surgery upon early and long-term postoperative pain. METHODS In a double-blind study, 70 patients scheduled for thoracic surgery under general anesthesia were assigned randomly to receive continuous epidural block with mepivacaine 1.5% initiated either 20 min before surgical incision (Pre group) or at complet...
متن کاملAcute pain after thoracic surgery predicts long-term post-thoracotomy pain.
OBJECTIVE Long-term pain is a common sequela of thoracotomy, occurring in approximately 50% of patients 2 years after thoracic surgery. Despite this alarming statistic, little is known about the factors responsible for the transition of acute to chronic pain. The aim of the present study is to identify predictors of long-term post-thoracotomy pain. DESIGN Follow-up was for 1.5 years for patie...
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 کاملEffects of preemptive epidural analgesia on post-thoracotomy pain.
OBJECTIVE The purpose of this study was to determine whether preemptive thoracic epidural analgesia (TEA) initiated before surgical incision would reduce the severity of acute post-thoracotomy pain and the incidence of chronic post-thoracotomy pain. METHOD Meta-analysis of randomized controlled trials (RCTs). SEARCH STRATEGY MEDLINE, the Cochrane Central Register of Controlled Trials (CENTR...
متن کاملLong-term pain and activity during recovery from major thoracotomy using thoracic epidural analgesia.
BACKGROUND Pain following thoracotomy can persist for years with an undetermined impact on quality of life. Factors hypothesized to modulate this painful experience include analgesic regimen, gender, and type of incision. METHODS A total of 157 generally healthy patients of both genders scheduled for segmentectomy, lobectomy, or bilobectomy through a posterolateral or muscle-sparing incision ...
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ژورنال
عنوان ژورنال: Canadian Journal of Anesthesia/Journal canadien d'anesthésie
سال: 1999
ISSN: 0832-610X,1496-8975
DOI: 10.1007/bf03015520