PMID: 15365928Sep 15, 2004Paper

Thoracic epidural local anesthetics are ineffective in alleviating post-thoracotomy ipsilateral shoulder pain

Journal of Cardiothoracic and Vascular Anesthesia
Michal BarakYeshayahu Katz

Abstract

This study was conducted to estimate the incidence and clinical predictors of post-thoracotomy shoulder pain and to determine the effectiveness of thoracic epidural block in alleviating this pain. A prospective clinical trial. University teaching hospital. Thirty-two adult patients undergoing elective thoracic surgery consented to participate in the study. All operations were open thoracotomies done by the same team of surgeons and anesthesiologists. A thoracic (T6) epidural catheter was placed before induction of general anesthesia. Each patient received 7 mL of lidocaine 2% epidurally and repeated doses of 5 mL of lidocaine 2% every half hour during the operation. Postoperatively, the occurrence of incision or ipsilateral shoulder pain was observed and treated with a maximal dose of 5 mL of lidocaine 2%. If ineffective, indomethacin suppository (nonsteroidal anti-inflammatory drug [NSAID]) was given. Variables such as patient's age, sex, American Society of Anesthesiologists physical status, type, site and duration of surgery, duration of anesthesia, the resection of main bronchus, and the use of thoracostomy tubes were recorded. Postoperatively, 10 patients (31%) had shoulder pain, 4 patients (12.5%) complained of incision p...Continue Reading

References

Dec 1, 1993·The Annals of Thoracic Surgery·R J LandreneauJ DeFino
Jul 1, 1993·Anesthesiology·J B Mark, J B Brodsky
Feb 1, 1993·Anesthesiology·F W BurgessD G Cavanaugh

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Citations

Jun 7, 2011·Journal of Cardiothoracic and Vascular Anesthesia·Mehmet CesurAtilla Turkyilmaz
Jun 28, 2011·Journal of Cardiothoracic and Vascular Anesthesia·Jeremy Kaplowitz, Peter J Papadakos
Apr 14, 2009·Journal of Cardiothoracic and Vascular Anesthesia·Hiroki IidaShuji Dohi
Nov 21, 2008·Journal of Clinical Anesthesia·Carmen KeithPriya A Kumar
May 6, 2008·Anesthesiology Clinics·Peter Gerner
Aug 7, 2007·Journal of Cardiothoracic and Vascular Anesthesia·Michal BarakYeshayahu Katz
Jun 17, 2011·Pain Practice : the Official Journal of World Institute of Pain·Michelle A O KinneyDarrell R Schroeder
Oct 7, 2006·Journal of Cardiothoracic and Vascular Anesthesia·David S MarshakJoann Thomson
Jan 23, 2014·Journal of Cardiothoracic and Vascular Anesthesia·Nutchanart BunchungmongkolApichat Tantraworasin
Sep 1, 2016·Journal of Cardiothoracic and Vascular Anesthesia·Morten R Blichfeldt-EckhardtPalle Toft
Jun 19, 2007·Journal of Clinical Anesthesia·Olumuyiwa A BamgbadeGaury S Adhikary
Jan 31, 2007·European Journal of Anaesthesiology·T F T CollinsS A Greenfield
Jan 16, 2008·Current Opinion in Anaesthesiology·Peter MacDougall
Jun 21, 2008·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Marie-Pierre HuotPasquale Ferraro
Dec 28, 2018·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Janet Rodríguez-TorresMarie C Valenza
Dec 27, 2016·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Fardin YousefshahiJuan Francisco Asenjo
Oct 12, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Timothy J P BatchelorBabu Naidu
Jul 6, 2021·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Takae BandoKazuyo Yamada

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