Continuous Intercostal Blockade After Cardiac Surgery

Baxter, Alan D.; Jennings, F.O.; Flynn, Jean; Harris, Robin; Way, J.

doi:10.1093/bja/59.2.162

Cited by 20 publications

(24 citation statements)

References 13 publications

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“…Not everyone has had success with the technique: Ishizuka and co-workers (16) reported four failures in nine patients. Baxter et al (18) showed that postoperative continuous intercostal blockade through indwelling catheters produced good analgesia but did not improve pulmonary function tests or reduce the incidence of pulmonary complications. Baxter et al (18) showed that postoperative continuous intercostal blockade through indwelling catheters produced good analgesia but did not improve pulmonary function tests or reduce the incidence of pulmonary complications.…”

Section: Discussionmentioning

confidence: 99%

Thoracic paravertebral block: a method of pain control

Gilbert

Hultman

1989

Acta Anaesthesiol Scand

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The adverse effects of pain on acutely ill or traumatized patients are well documented. A variety of pain-relieving techniques are now available to meet the varied requirements for pain relief. This paper presents the results of a single, large-volume injection of bupivacaine 0.5% in the thoracic paravertebral space, achieving pain relief over several thoracic dermatomes in patients with respiratory compromise secondary to thoracic or upper abdominal injury. The block proved quick and simple to perform, with excellent clinical results of long duration and virtually no complications. Although not previously described, this single, large-volume injection approach to achieving an extensive thoracic paravertebral block may well become an important pain management technique in appropriate patients.

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Section: Discussionmentioning

confidence: 99%

Thoracic paravertebral block: a method of pain control

Gilbert

Hultman

1989

Acta Anaesthesiol Scand

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“…Johansson and co-workers ( 17) found limited spread of 20 cc of local anesthetic administered as a single injection in the 9th intercostal space, and the distribution of analgesia/hypalgesia was much wider after five multiple injections of 4 cc than after the single 20-cc injection (5 dermatomes vs 2 dermatomes). Baxter et al (18) showed that postoperative continuous intercostal blockade through indwelling catheters produced good analgesia but did not improve pulmonary function tests or reduce the incidence of pulmonary complications.…”

Section: Discussionmentioning

confidence: 99%

Thoracic Paravertebral Block - A Method of Pain Control

Gilbert¹

1987

Critical Care Medicine

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The adverse effects of pain on acutely ill or traumatized patients are well documented. A variety of painrelieving techniques are now available to meet the vaned requirements for pain relief. This paper presents the results of a single, large-volume injection of bupivacaine 0.5% in the thoracic paravertebral sparr, achieving pain relief over several thoracic dermatomes in patients with respiratory compromise secondary to thoracic or upper abdominal injury. The block proved quick and simple to perform, with excellent clinical results of long duration and virtually no complications. Although not previously described, this single, largevolume injection approach to achieving an extensive thoracic paravertebral block may well becomr an important pain management technique in appropriate patients.

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“…Tumour invasion of the brachial plexus [68] Unilateral breast surgery [1,12,15,16] Open cholecystectomy [1][2][3][4][5][6][7][8][9][10][11] Pain of acute herpes zoster and post herpetic neuralgia [64][65][66][67] Needle localisation and breast biopsysole anaesthetic [15] Laparoscopic cholecystectomy [25,26] Chronic regional pain syndromes of the upper limb [36,61,63] Thoracotomy [42,43,45,[48][49][50][51] Renal surgery [1,[12][13][14] Upper limb ischaemia [62] Chest drain [108,109] Abdominal surgery (bilateral blocks) [55,56] Cardiac surgery [53,54] Percutaneous hepatic and biliary drainage procedures [27][28][29] Thoracic sympathectomy…”

Section: Head Neck and Upper Extremity Thorax Abdomenmentioning

confidence: 99%

“…Baxter et al reported significantly lower postoperative pain scores when bilateral interpleural catheters had been placed during cardiac surgery [53]. Mehta et al compared thoracic epidural analgesia and interpleural block in 50 patients undergoing minimally invasive direct coronary artery bypass (MIDCAB) surgery in a prospective randomised trial [54].…”

Section: Cardiac Surgerymentioning

confidence: 99%

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Interpleural block – part 2

Dravid

Paul²

2007

Anaesthesia

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SummaryInterpleural blockade is effective in treating unilateral surgical and non-surgical pain from the chest and upper abdomen in both the acute and chronic settings. It has been shown to provide safe, highquality analgesia after cholecystectomy, thoracotomy, renal and breast surgery, and for certain invasive radiological procedures of the renal and hepatobiliary systems. It has also been used successfully in the treatment of pain from multiple rib fractures, herpes zoster, complex regional pain syndromes, thoracic and abdominal cancer, and pancreatitis. The technique is simple to learn and has both few contra-indications and a low incidence of complications. In the second of two reviews, the authors cover the applications, complications, contra-indications and areas for future research. The interpleural route for the administration of local anaesthetic agents is capable of providing effective analgesia for postoperative, acute and chronic pain originating within the distribution of intercostal nerves. Local anaesthetic solutions can be administered as single or intermittent boluses, or as continuous infusions via an interpleural catheter. It has been shown to provide safe, high quality analgesia after cholecystectomy, thoracotomy, renal surgery and breast surgery, and for some invasive radiological procedures of the renal and hepatobiliary system. It has also been used successfully in the treatment of pain from multiple rib fractures, herpes zoster, Complex Regional Pain Syndromes (CRPS), thoracic cancer, abdominal cancer and pancreatitis. The first part of this review focused on the history, anatomy, mechanism of action, technique and local anaesthetic dosage regimens for this block. In the second part, we consider the applications, complications, contra-indications and areas for future research. Indications for interpleural block

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Continuous Intercostal Blockade After Cardiac Surgery

Cited by 20 publications

References 13 publications

Thoracic paravertebral block: a method of pain control

Thoracic paravertebral block: a method of pain control

Thoracic Paravertebral Block - A Method of Pain Control

Interpleural block – part 2

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