Post-thoracotomy Horner syndrome associated with extrapleural infusion of local anesthetic
نویسندگان
چکیده
منابع مشابه
Post Thoracotomy Pain Syndrome
Post-thoracotomy pain is one of the most severe and long lasting complications after surgery (1-4) which acutely contributes to limit normal respiratory activity impairing the sputum clearance and reducing ventilatory function (5). Along with limb amputation, thoracotomy is the surgical procedure with the highest risk of severe and long lasting acute postoperative pain (6). Moreover, a chronic ...
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 کاملContinuous extrapleural infusion of ropivacaine 0.2% after cardiovascular surgery via the lateral thoracotomy approach.
OBJECTIVE The pharmacokinetics of ropivacaine 0.2% were evaluated during a 48-hour continuous extrapleural infusion with 2 different infusion rates in patients undergoing cardiovascular surgery. The hypotheses that no toxic plasma concentrations of ropivacaine would be reached and that proportionality exists among plasma concentrations and dosage used were tested. DESIGN A prospective, random...
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 کامل[Postoperative analgesia: comparing continuous epidural catheter infusion of local anesthetic and opioid and continuous wound catheter infusion of local anesthetic].
BACKGROUND AND OBJECTIVES Continuous wound infusion has been investigated as a method of postoperative pain control and its efficacy has been demonstrated when compared to saline infusion. The objective of this study was to compare the quality of postoperative analgesia, the use of opioids as rescue analgesia, patient satisfaction, and the incidence of complications between epidural catheter in...
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ژورنال
عنوان ژورنال: Interactive CardioVascular and Thoracic Surgery
سال: 2009
ISSN: 1569-9293
DOI: 10.1510/icvts.2008.198085