SITE OF ACTION OF CONTINUOUS EXTRAPLEURAL INTERCOSTAL NERVE BLOCK

被引:54
作者
ENG, J [1 ]
SABANATHAN, S [1 ]
机构
[1] BRADFORD ROYAL INFIRM, DEPT THORAC SURG, DUCKWORTH LANE, BRADFORD BD9 6RJ, ENGLAND
关键词
D O I
10.1016/0003-4975(91)90850-P
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Continuous extrapleural intercostal nerve block has been shown in a randomized, controlled study to be effective in reducing postoperative pain after thoracotomy and in restoring pulmonary mechanics. To assess the extent of spread of bupivacaine infused through an extrapleurally placed cannula inserted at thoracotomy, iohexol (Omnipaque) was infused at 5 days postoperativelv in 5 patients and computed tomography performed. The contrast medium was confined to the paravertebral space covering on average six intercostal spaces. This study demonstrated that anatomically, the site of action of the bupivacaine infused through an extrapleural cannula was primarily in the paravertebral space.
引用
收藏
页码:387 / 389
页数:3
相关论文
共 17 条
[1]  
BERGH NP, 1966, ACTA ANAESTH SCAND, VS, P85
[2]   DIRECT ACCESS TO THE PARAVERTEBRAL SPACE AT THORACOTOMY [J].
BERRISFORD, RG ;
SABANATHAN, SS .
ANNALS OF THORACIC SURGERY, 1990, 49 (05) :854-854
[3]   CERVICAL SYMPATHETIC BLOCKADE AFTER THORACIC INTERCOSTAL INJECTION OF LOCAL-ANESTHETIC [J].
BROWN, RH ;
TEWES, PA .
ANESTHESIOLOGY, 1989, 70 (06) :1011-1012
[4]   POSTOPERATIVE PARAVERTEBRAL BLOCKS FOR THORACIC-SURGERY - A RADIOLOGICAL APPRAISAL [J].
CONACHER, ID ;
KOKRI, M .
BRITISH JOURNAL OF ANAESTHESIA, 1987, 59 (02) :155-161
[5]   PARAVERTEBRAL THORACIC BLOCK - REAPPRAISAL [J].
EASON, MJ ;
WYATT, R .
ANAESTHESIA, 1979, 34 (07) :638-642
[6]  
EGBERT LD, 1964, JAMA-J AM MED ASSOC, V188, P485
[7]   EFFECT OF INTERCOSTAL NERVE BLOCKADE DURING OPERATION ON LUNG-FUNCTION AND RELIEF OF PAIN FOLLOWING THORACOTOMY [J].
GALWAY, JE ;
CAVES, PK ;
DUNDEE, JW .
BRITISH JOURNAL OF ANAESTHESIA, 1975, 47 (06) :730-735
[8]   CONTINUOUS THORACIC EPIDURAL ANALGESIA FOR POSTOPERATIVE PAIN RELIEF FOLLOWING THORACOTOMY - A RANDOMIZED PROSPECTIVE-STUDY [J].
LOGAS, WG ;
ELBAZ, N ;
ELGANZOURI, A ;
CULLEN, M ;
STAREN, E ;
FABER, LP ;
IVANKOVICH, AD .
ANESTHESIOLOGY, 1987, 67 (05) :787-791
[9]  
MAIWAND MO, 1986, J THORAC CARDIOV SUR, V92, P291
[10]   POSTERIOR INTERCOSTAL NERVE BLOCK FOR PAIN RELIEF AFTER CHOLECYSTECTOMY - ANATOMICAL BASIS AND EFFICACY [J].
NUNN, JF ;
SLAVIN, G .
BRITISH JOURNAL OF ANAESTHESIA, 1980, 52 (03) :253-260