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

来源：

ANNALS OF THORACIC SURGERY | 1991年 / 51卷 / 03期

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

页码：387 / 389

页数：3

共 17 条

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