Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지

The Effect of Intrapleural Injection of Bupivacaine for Pain Relief Following Thoracotomy

늑막강내 Bupivacaine의 투여가 개흉술후 동통 감소에 미치는 영향

  • Published : 1993.07.01
Download PDF
⟨ Previous Next ⟩

Abstract

An approach to the treatment of post-operative pain by the injection of bupivacaine into the pleural space through an intrapleural cathter has been studied. Among 24 thoracotomy patients, bupivacaine was injected only to experimental group[ 12 patients ] when the patient was able to head up for oneself during recovery from anesthesia. The pain and ROM[ range of motion ] scores, respiration rate, PaCO2 level of both experimental and control group were measured at the time of head-up and 30 and 120 minutes thereafter.The scores of pain and ROM of experimental group were significantly[ P value < 0.05 ] decreased in 30 minutes and 120 minutes after bupivacaine injection compared with those of control group but respiration rate and PaCO2 level were not changed significantly. With this result, we can suggest that intrapleural injection of bupivacaine is useful for pain relief following thoracotomy.

Keywords

References

  1. Br J Anaesth v.56 Extradural administration of morphine and bupivacaine. A controlled comparison Torda,T.A.;Pybus,D.A.
  2. N Engl J Med v.269 Impaired oxygenation in surgical patients during general anesthesia with controlled ventilation : a concept of atelectasis Bendixen,M.M.;Hedly-Whyte,I.;Laver,M.B.
  3. Thorax v.22 The mechanism of hypoxaemia after laparotomy Goerge,J.;Hoonum,I.;Mellemgaard,K.
  4. Anesthesiology v.69 Continuous infusion of bupivacaine via intrapleural catheter for analgesia after thoracotomy in children McIlvaine,W.B.;Knox,R.F.;Fennessey,P.V.;Goldstein,M.
  5. Anesth analg v.59 Epidural narcotics for postoperative analgesia Bromage,P.R.;Camporesi,E.;Chestnut,D.
  6. Eur J Intens Care Med v.1 Epidural analgesia for the treatment of multiple rib fractures Dittman,M.;Ferstl,A.;Wolff,G.
  7. Br J Anaesth v.45 Relief of pain in chest injury Gibbons,J.;James,O.;Quail,A.
  8. Br J Anaesth v.47 Postoperative extradural analgesia following thoracic surgery : a feasibility study Griffiths,D.P.G.;Diamond,A.W.;Cameron,J.D.
  9. Anesthesia v.35 Epidural morphine ; a method of management of multiple fractured ribs Johnston,J.R.;McCaughey,W.
  10. Br J Anaesth v.53 Continuous pain relief for multiple fractures ribs O'Kelly,E.;Garry,B.
  11. Anesth Intensive Care v.12 Management of fifty cases of chest injury with a regimen of epidural bupivacaine and morphine Rankin,A.P.N.;Comber,R.E.H.
  12. Anesthesiology v.45 Arterial and venous plasma level of bupivacaine following epidural and intercostal nerve blocks Moore,D.C.;Mather,L.E.;Bridenbaugh,P.O.
  13. Regional Anesth v.11 Interpleural catheter in the management of postoperative pain. A preliminary report Reiestad,F.;Stromskag,K.E.
  14. Anesthesiology v.67 Continuous intrapleural infusion of bupivacaine for analgesia after thoracotomy Rosenerg,P.H.;Scheinin,B.M.A.;Lepantano,M.J.A.;Lindfors,O.
  15. Anesth Analg v.67 Intrapleural administration of 0.25%, 0.375% and 0.5% bupivacaine with epinephrine after cholecystectomy Stromskag,K.E.;Reiestad,F.;Holmqivist,E.L.O.;Ogenstad,S.
  16. Anesthesiology v.61 Interpleural catheter in the management of postoperative pain Kvalheim,L.;Reiestad,F.
  17. Anesthesiology v.62 Antimicrobial activity of bupivacaine and morphine Rosenberg,P.H.;Renkonen,O.V.
  18. Anesthesiology v.67 Intrapleural bupivacaine-A kinetic and dynamic evaluation Seltzer,J.L.;Larijani,G.E.;Goldberg,M.E.;Marr,A.T.
  19. Br J Anaesth v.58 Pharmacokinetics of local anesthetics Tucker,G.T.
  20. Acta Anesthesiol Scand v.12 The effects of local anesthetics on the central circulation and respiration in man and dog Jorfeldt,L.;Lofstrom,B.;Pernow,B.;Wahren,J.;Wildman,B.