Analgesia after thoracotomy: Epidural fentanyl/bupivacaine compared with intercostal nerve block plus intravenous morphine

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dc.contributor.authorConcha, M
dc.contributor.authorDagnino, J
dc.contributor.authorCariaga, M
dc.contributor.authorAguilera, J
dc.contributor.authorAparicio, R
dc.contributor.authorGuerrero, M
dc.date.accessioned2024-01-10T12:37:31Z
dc.date.available2024-01-10T12:37:31Z
dc.date.issued2004
dc.description.abstractObjectives: Intercostal nerve blockade plus intravenous (IV) patient-controlled analgesia (PCA) could be an easier and safer alternative to epidural analgesia for postthoracotomy pain, but information about the efficacy of this technique is scarce. The objective of this randomized study was to compare the quality of analgesia and lung function in 2 groups of patients undergoing pulmonary surgery through a posterolateral thoracotomy.
dc.description.abstractMethods: Two groups were studied: G1 (n = 16) patients received a 5-segment intercostal block plus IV PCA morphine, and G2 (n = 15) patients received a bupivacaine and fentanyl PCA infusion through a thoracic epidural catheter. Resting and dynamic visual analog pain scale (VAS) measurements, forced vital capacity, and forced expiratory volume in 1 second were measured basally, on arrival in the recovery room, then hourly up to 4 hours and then 12, 24 and 48 hours later.
dc.description.abstractResults were analyzed with a 2-way analysis of variance, chi-square, or Fisher exact test. A p value less than or equal to0.05 was considered significant. Results: Resting and dynamic VAS scores were slightly lower in G2 patients, although only resting scores were significant. After the first hour, mean scores were below 4 in both groups. No significant difference was observed between groups in relation to respiratory parameters or side effects.
dc.description.abstractConclusion: The fact that the difference in pain scores is probably not clinically significant shows that an intercostal block with bupivacaine plus IV morphine PCA is a good alternative for postthoracotomy pain management. (C) 2004 Elsevier Inc. All rights reserved.
dc.fechaingreso.objetodigital2024-04-25
dc.format.extent5 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1053/j.jvca.2004.03.013
dc.identifier.eissn1532-8422
dc.identifier.issn1053-0770
dc.identifier.pubmedidMEDLINE:15232813
dc.identifier.urihttps://doi.org/10.1053/j.jvca.2004.03.013
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/76867
dc.identifier.wosidWOS:000222863400013
dc.information.autorucMedicina;Concha M;S/I;61460
dc.issue.numero3
dc.language.isoen
dc.nota.accesocontenido parcial
dc.pagina.final326
dc.pagina.inicio322
dc.publisherW B SAUNDERS CO-ELSEVIER INC
dc.revistaJOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA
dc.rightsacceso restringido
dc.subjectthoracotomy
dc.subjectepidural analgesia
dc.subjectintercostal block
dc.subjectanalgesia
dc.subjectpostoperative pain
dc.subjectpulmonary function
dc.subjectPOSTTHORACOTOMY PAIN RELIEF
dc.subjectPOSTOPERATIVE ANALGESIA
dc.subjectFENTANYL
dc.subjectBUPIVACAINE
dc.subjectINFUSIONS
dc.subjectCOMPLICATIONS
dc.subjectLUMBAR
dc.titleAnalgesia after thoracotomy: Epidural fentanyl/bupivacaine compared with intercostal nerve block plus intravenous morphine
dc.typeartículo
dc.volumen18
sipa.codpersvinculados61460
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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