Intercostal Catheter Analgesia is More Efficient vs. Intercostal Nerve Blockade for Post-Thoracotomy Pain ReliefReport as inadecuate




Intercostal Catheter Analgesia is More Efficient vs. Intercostal Nerve Blockade for Post-Thoracotomy Pain Relief - Download this document for free, or read online. Document in PDF available to download.

Collegium antropologicum, Vol.31 No.2 April 2007. -

A pain after thoracotomy may result in a postoperative hypoventilation and lead to atelectases and pneumonia. This

study was aimed to compare two analgesic regimens after posterolateral thoracotomy. 80 patients 40–70 years undergoing

thoracotomy were randomized to intercostal catheter analgesia group A, n=40 and intercostal nerve block group B,

n=40. Patients in group A were given 20 mL of 0.5% bupivacaine injections twice a day by intercostal catheter. Intercostal

nerve blockade was performed using 5 mL of 0.5% bupivacaine. Intercostal nerve in thoracotomy wound, nerves below

and above thoracotomy wound was also injected. PaO2, PaCO2, FVC, FEV1 and visual analog pain scale VAS were obtained

preoperatively, 24, 48 and 72 hours after operation. Postoperative complications were recorded at the patient discharge.

Differences between groups were calculated using Mann-Whitney, KW test and chi square test. The arterial blood

gas analyses did not show statistically significant change in any group and time according to the baseline values. FVC

and FEV1 decreased significantly in both groups at first postoperative day according to baseline measurements. Patients

in B group had significantly higher FEV1 values in the third postoperative day 73.0511.25 in A vs. 83.509.17 in B

group, p



Author: Jozo Kristek - Slavica Kvolik - Kata Šakić - Borislav Has - Lidija Prlić -

Source: http://hrcak.srce.hr/



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