Intermittent infusion of 0.25% bupivacaine through an intrapleural catheter for post-thoracotomy pain relief

Teti̇k, Ömer; Îslamoğlu, Fatih; Ayan, Erhan; Duran, Mehmet; Büket, Suat; Çekirdekçi, Ahmet

doi:10.1016/s0003-4975(03)01338-9

Cited by 30 publications

(18 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Previous studies have showed that the intrapleural side effects of morphine are very low. Teik observed greater analgesic effect of intrapleural bupivacaine compared to saline 23. In contrast, several studies have reported limited effectiveness of this method19,24 which may be due to drug dilution in the pleural space and drug drainage through chest tubes may lead to less drug concentration at the site of the receptors and insufficient analgesic effect.…”

Section: Discussionmentioning

confidence: 99%

The effect of bilateral intrapleural infusion of lidocaine with fentanyl versus only lidocaine in relieving pain after coronary artery bypasses surgery

et al. 2017

View full text Add to dashboard Cite

Background and Objective:Pain control during surgery in order to cause analgesia and reduce the somatic and autonomic response may decrease the morbidity. Intrapleural catheter embedding during surgery under direct vision of surgeon is safe and easy and without potential risk of thoracic epidural block. The aim of this study was to investigate the effect of bilateral intrapleural infusion of lidocaine with fentanyl versus only lidocaine in relieving pain after coronary artery bypass surgery.Methods:In this prospective randomized double blind clinical trial,130 adult patients undergoing elective CABG with age range of 20 to 60 years were divided into two groups receiving either lidocaine and fentanyl (group A) or lidocaine (group B). The analgesia was evaluated every two hours in all intubated and non-intubated patients using Visual analog scale (VAS) and data were analyzed using SPSS software package.Results:Of all patients, 67 (51.5%) were males and 63 (48.5%) were females. The average age of subjects was 53.49 ± 5.099 years. Mean pain score six hours after the surgery was statistically different between the groups at all times.Conclusion:The pain in patients receiving combination of lidocaine and fentanyl is less than patients receiving only lidocaine.

show abstract

Section: Discussionmentioning

confidence: 99%

The effect of bilateral intrapleural infusion of lidocaine with fentanyl versus only lidocaine in relieving pain after coronary artery bypasses surgery

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Other side effects of intrapleural block include respiratory arrest, which was reported in a narcotized patient [80] and Horner's syndrome [81]. Nevertheless, intrapleural analgesia resulted in the improvement of respiratory performance as well as a decrease in pulmonary complications in postoperative CABG patients with concomitant chronic obstructive pulmonary disease (COPD) [74], as previously reported in postthoracotomy patients [44, 50, 82]. …”

Section: Treatmentsmentioning

confidence: 65%

“…While there are reports which address safety and advantages of intrapleural block in postthoracotomy patients [43–50], most other studies showed little or no benefit for ISP [11, 51–55]. As an interesting finding, intrapleural block could not decrease epidural analgesia requirement and have little effect on intercostal incisional pain after thoracotomy, too [11, 57].…”

Section: Treatmentsmentioning

confidence: 99%

Postthoracotomy Ipsilateral Shoulder Pain: A Literature Review on Characteristics and Treatment

Yousefshahi

Predescu

Colizza

et al. 2016

Pain Research and Management

View full text Add to dashboard Cite

Context. Postthoracotomy Ipsilateral Shoulder Pain (IPS) is a common and sometimes intractable pain syndrome. IPS is different from chest wall pain in type, origin, and treatments. Various treatments are suggested or applied for it but none of them is regarded as popular accepted effective one. Objectives. To review data and collect all present experiences about postthoracotomy IPS and its management and suggest future research directions. Methods. Search in PubMed database and additional search for specific topics and review them to retrieve relevant articles as data source in a narrative review article. Results. Even in the presence of effective epidural analgesia, ISP is a common cause of severe postthoracotomy pain. The phrenic nerve has an important role in the physiopathology of postthoracotomy ISP. Different treatments have been applied or suggested. Controlling the afferent nociceptive signals conveyed by the phrenic nerve at various levels—from peripheral branches on the diaphragm to its entrance in the cervical spine—could be of therapeutic value. Despite potential concerns about safety, intrapleural or phrenic nerve blocks are tolerated well, at least in a selected group of patient. Conclusion. Further researches could be directed on selective sensory block and motor function preservation of the phrenic nerve. However, the safety and efficacy of temporary loss of phrenic nerve function and intrapleural local anesthetics should be assessed.

show abstract

“…Several reports have described effectiveness of IPA as postoperative pain relief for thoracic surgery, [5][6][7][8] but some reports have been only mildly positive 9) or frankly negative. 10,11) These conflicting results may be due to a variety of the applications and the study settings.…”

Section: Discussionmentioning

confidence: 99%

Intrapleural Analgesia Using Ropivacaine for Postoperative Pain Relief after Minimally Invasive Thoracoscopic Surgery

Ishikawa

Nishii

Yamanaka

et al. 2012

ATCS

View full text Add to dashboard Cite

Purpose: to evaluate the efficacy and safety of intrapleural analgesia (IPA) using ropivacaine after thoracoscopic surgery, compared with thoracic epidural analgesia (TEA) using ropivacaine. Methods: forty patients undergoing thoracoscopic bullectomy for spontaneous pneumothorax were randomly assigned to one of two groups. IPA group (n = 20) received intermittent bolus injection of 0.375% ropivacaine into intrapleural space two times; at the end of operation and one more time as the pain increased. TEA group (n = 20) received continuous epidural analgesia with 0.375% ropivacaine. Transrectal diclofenac was administered as an additional analgesic. Pain was assessed on the basis of additional analgesics requirements and by using a visual analog scale (VAS). Results: the time courses of VAS scores along the postoperative time course were not significantly different (p = 0.175). Consumption of transrectal diclofenac was significantly smaller in IPA group (p = 0.025). No major complications appeared in both groups, and incidence of adverse symptoms was not different. Conclusions: in IPA group, pain was managed with less consumption of additional analgesics. IPA could be one of the good choices after thoracoscopic surgery for its efficacy, safety, and benefit of easy placement of the catheter.

show abstract

Intermittent infusion of 0.25% bupivacaine through an intrapleural catheter for post-thoracotomy pain relief

Cited by 30 publications

References 18 publications

The effect of bilateral intrapleural infusion of lidocaine with fentanyl versus only lidocaine in relieving pain after coronary artery bypasses surgery

The effect of bilateral intrapleural infusion of lidocaine with fentanyl versus only lidocaine in relieving pain after coronary artery bypasses surgery

Postthoracotomy Ipsilateral Shoulder Pain: A Literature Review on Characteristics and Treatment

Intrapleural Analgesia Using Ropivacaine for Postoperative Pain Relief after Minimally Invasive Thoracoscopic Surgery

Contact Info

Product

Resources

About