PMID: 15232812Jul 3, 2004Paper

Postoperative analgesia in video-assisted thoracoscopy: the role of intercostal blockade

Journal of Cardiothoracic and Vascular Anesthesia
Ruth TaylorKaren Stuart-Smith

Abstract

This study examined (1) the opioid and nonopioid requirement of patients undergoing video-assisted thoracoscopy (VATS) as a measure of postoperative pain and (2) whether percutaneous intercostal blockade might reduce morphine requirements and improve analgesia in VATS procedures. A combined retrospective and prospective study. A university teaching hospital. Patients undergoing VATS procedures. A retrospective analysis of 26 sequential patients; perioperative intercostal blockade with bupivacaine, either with or without dextran 40, in 26 prospective patients. Retrospective: opioid and nonopioid analgesic requirements of 26 sequential patients who had undergone VATS surgery without intercostal blockade were determined from a study of the case records. Twenty-six additional patients undergoing VATS surgery by the same surgeon were randomly divided to receive either percutaneous intercostal nerve block using plain bupivacaine 0.375% or bupivacaine 0.375% in dextran 40. The duration of local anesthesia was assessed. Postoperative opioid and nonopioid analgesic requirements were compared with the retrospective group. Postoperative morphine requirements after VATS surgery are considerable, with pleurectomy being the most painful proc...Continue Reading

References

Nov 11, 1975·Anesthesia and Analgesia·J A KaplanE G gallagher
Feb 27, 2001·BMJ : British Medical Journal·D W Wilmore, H Kehlet
Aug 18, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·E A Tovar
Sep 27, 2001·Anesthesiology Clinics of North America·I D Conacher
Sep 28, 2001·British Journal of Anaesthesia·B LekhakS M Nouraei
Apr 20, 2002·Circulation Research·Chao-Wei Hwang, Elazer R Edelman

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Citations

Jan 6, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Kim WildgaardHenrik Kehlet
Jun 28, 2011·Journal of Cardiothoracic and Vascular Anesthesia·Jeremy Kaplowitz, Peter J Papadakos
Jun 24, 2011·Regional Anesthesia and Pain Medicine·Jeremy Kaplowitz
Dec 23, 2006·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·R SobottkeC Schinkel
Mar 24, 2009·Annales Françaises D'anesthèsie Et De Rèanimation·L Beaudroit, J Ripart

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