| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1998;66:367-372
© 1998 The Society of Thoracic Surgeons
a Department of Surgery, University Hospital, Zürich, Switzerland
b Institute for Anesthesiology, University Hospital, Zürich, Switzerland
Accepted for publication March 23, 1998.
Address reprint requests to Dr Weder, Departement Chirurgie, Klinik für Viszeralchirurgie, Universitätsspital, Rämistr. 100, CH-8091 Zürich, Switzerland
Background. Thoracic epidural analgesia is considered the method of choice for postthoracotomy analgesia, but it is not suitable for every patient and is associated with some risks and side effects. We therefore evaluated the effects of an extrapleural intercostal analgesia as an alternative to thoracic epidural analgesia.
Methods. In a prospective, randomized study, pain control, recovery of ventilatory function, and pulmonary complications were analyzed in patients undergoing elective lobectomy or bilobectomy. Two groups of 15 patients each were compared: one received a continuous extrapleural intercostal nerve blockade (T3 through T6) with bupivacaine through an indwelling catheter, the other was administered a combination of local anesthetics (bupivacaine) and opioid analgesics (fentanyl) through a thoracic epidural catheter.
Results. Both techniques were safe and highly effective in terms of pain relief and recovery of postoperative pulmonary function. However, minor differences were observed that, together with practical benefits, would favor extrapleural intercostal analgesia.
Conclusions. These results led us to suggest that extrapleural intercostal analgesia might be a valuable alternative to thoracic epidural analgesia for pain control after thoracotomy and should particularly be considered in patients who do not qualify for thoracic epidural analgesia.
This article has been cited by other articles:
|
|
 |
|
  J. J. Fibla, L. Molins, J. M. Mier, A. Sierra, and G. Vidal Comparative analysis of analgesic quality in the postoperative of thoracotomy: paravertebral block with bupivacaine 0.5% vs ropivacaine 0.2% Eur. J. Cardiothorac. Surg., March 1, 2008; 33(3): 430 - 434. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. D'Andrilli, M. Ibrahim, A. M. Ciccone, F. Venuta, T. De Giacomo, D. Massullo, G. Pinto, and E. A. Rendina Intrapleural intercostal nerve block associated with mini-thoracotomy improves pain control after major lung resection. Eur. J. Cardiothorac. Surg., May 1, 2006; 29(5): 790 - 794. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. G. Davies, P. S. Myles, and J. M. Graham A comparison of the analgesic efficacy and side-effects of paravertebral vs epidural blockade for thoracotomy--a systematic review and meta-analysis of randomized trials Br. J. Anaesth., April 1, 2006; 96(4): 418 - 426. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Vogt, D. S. Stieger, C. Theurillat, and M. Curatolo Single-injection thoracic paravertebral block for postoperative pain treatment after thoracoscopic surgery Br. J. Anaesth., December 1, 2005; 95(6): 816 - 821. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. C. Detterbeck Efficacy of Methods of Intercostal Nerve Blockade for Pain Relief After Thoracotomy Ann. Thorac. Surg., October 1, 2005; 80(4): 1550 - 1559. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Madi-Jebara, C. Adaime, A. Yazigi, F. Haddad, G. Hayek, G. Sleilaty, and M.-C. Antakly L'analgesie peridurale thoracique et rachidienne ont des effets comparables sur la douleur et la fonction respiratoire apres chirurgie thoracique: [Thoracic epidural and intrathecal analgesia have similar effects on pain relief and respiratory function after thoracic surgery] Can J Anesth, August 1, 2005; 52(7): 710 - 716. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. D. Luketich, S. R. Land, E. A. Sullivan, M. Alvelo-Rivera, J. Ward, P. O. Buenaventura, R. J. Landreneau, L. A. Hart, and H. C. Fernando Thoracic Epidural Versus Intercostal Nerve Catheter Plus Patient-Controlled Analgesia: A Randomized Study Ann. Thorac. Surg., June 1, 2005; 79(6): 1845 - 1850. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
O. Tetik, F. Islamoglu, E. Ayan, M. Duran, S. Buket, and A. Cekirdekci Intermittent infusion of 0.25% bupivacaine through an intrapleural catheter for post-thoracotomy pain relief Ann. Thorac. Surg., January 1, 2004; 77(1): 284 - 288. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. A. Richardson and V. A. Anikin Optimal thoracotomy analgesia Ann. Thorac. Surg., September 1, 2003; 76(3): 978 - 978. [Full Text] [PDF]
|
|
|
|
|
|
R. G. Soto and E. S. Fu Acute pain management for patients undergoing thoracotomy Ann. Thorac. Surg., April 1, 2003; 75(4): 1349 - 1357. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Takamori, S. Yoshida, A. Hayashi, T. Matsuo, M. Mitsuoka, and K. Shirouzu Intraoperative intercostal nerve blockade for postthoracotomy pain Ann. Thorac. Surg., August 1, 2002; 74(2): 338 - 341. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Y. Gozal and B. Drenger The Pharmacology of New Drugs and New Uses for Older Drugs Used for Thoracic Pain Relief Seminars in Cardiothoracic and Vascular Anesthesia, September 1, 1999; 3(3): 144 - 155. [Abstract] [PDF]
|
|
|
|
 |
|
 C. Peeters-Asdourian and S. Gupta Choices in Pain Management Following Thoracotomy Chest, May 1, 1999; 115(suppl_2): 122S - 124S. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
