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Ann Thorac Surg 1979;27:203-205
© 1979 The Society of Thoracic Surgeons

Articles

Prospective Randomized Evaluation of Intrathoracic Intercostal Nerve Block with Bupivacaine on Postoperative Ventilatory Function

Luis H. Toledo-Pereyra, M.D., Ph.D.*, Tom R. DeMeester, M.D.

From the Department of Surgery, Thoracic and Vascular Service, Division of Biological Sciences, Pritzker School of Medicine, University of Chicago, Chicago, IL

Accepted for publication August 15, 1978.

* Address reprint requests to Dr. Toledo-Pereyra, Department of Surgery, Section of Transplantation and Surgical Research, Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI 48202

This prospective and randomized study demonstrates the beneficial effect of intrathoracic intercostal block with bupivacaine on the recovery of pulmonary function after thoracotomy. A significantly (p < 0.05) better forced expiratory volume was seen in the treated group in the early postoperative period. Similar findings were observed in forced vital capacity. Also, the requirements for analgesics were decreased in the treated group. We believe that intrathoracic intercostal block with bupivacaine when properly utilized can be a good adjuvant in the improvement of pulmonary function after thoracotomy.




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