Interpleural analgesia has recently been shown to be effective in the management of various chronic pain syndromes. We have used interpleural analgesia successfully in 11 patients with severe chronic pancreatitis of 24-38 months' duration. Daily injections of 30 ml of 0.5 per cent bupivacaine with epinephrine 5 mu.ml-1, were given through a percutaneously inserted pleural catheter over a five- ...

BACKGROUND AND OBJECTIVES Postoperative analgesia is a wish of all surgical patients and has been used by most anesthesiologists. In addition to opioids, local anesthetic agents have been employed for peripheral and central blocks. The purpose of this study was to evaluate and to compare intercostal and interpleural blocks for post-cholecystectomy analgesia. METHODS Sixty patients undergoing ...

To the Editor: Interpleural regional analgesia for postoperative pain relief is simple, safe and effective. 1-2 Pneumothorax is the most common complication.l-3 Following an elective cholecystectomy in a 29-yr-old healthy human but before extubation of the trachea, the patient was turned to the left side, and an interpleural catheter was placed using the saline infusion technique. 4 General ana...

Management of pain in surgical patient is very crucial. It is more so in thoracic and upper abdominal surgery. Lots of technique and drugs have been used to control postoperative pain including thoracic epidural analgesia. We describe a case in whom Intraoperative and Postoperative pain was managed by injecting 0.5% bupivacaine 20 ml in the interpleural space through the catheter, followed by c...

pain control is a major concern in post-thoracotomy patients. the current prospective randomized double-blind study was designed to evaluate the analgesic effects of morphine and fentanyl given interpleurally after posterolateral thoracotomy. thirty patients undergoing elective posterolateral thoracotomy in a teaching hospital in tehran were divided into 3 groups with equal number of patients. ...