The efficacy of intraoperative internal intercostal nerve block during video-assisted thoracic surgery on postoperative pain

Bolotin, Gil; Lazarovici, Horia; Uretzky, Gideon; Zlotnick, Amnon Y.; Tamir, Ada; Sauté, Milton

doi:10.1016/s0003-4975(00)01757-4

Cited by 56 publications

(67 citation statements)

References 11 publications

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“…Dolor pleurítico persistente e intenso suele seguir a extensa lisis de adhesiones pleurales o a aparición de neumotórax persistente, efusión pleural o empiema 4,7,47 . Para su tratamiento pueden usarse analgésicos sistémicos (morfina, paracetamol, antiinflamatorios no esteroideos, etc.)…”

Section: Dolor Postoperatoriounclassified

“…Así, el uso de anestesia intrapleural bilateral mediante la colocación en la cavidad torácica de 10-20 ml de bupicaína al 0.5% y 5 mg/ml de adrenalina al final de la simpatectomía, consigue una reducción significativa del dolor y del uso de analgésicos 4 . Otra medida que puede reducir significativamente el dolor postoperatorio y el requerimiento de analgésicos es el bloqueo de los nervios intercostales internos con 3 ml de bupicaína al 0.5% en cada uno de los niveles intercostales T2, T3 y T4 7,47 .…”

Section: Dolor Postoperatoriounclassified

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Simpatectomía toracoscópica: una revisión de la literatura

Bejarano¹,

Manrique²

2010

Neurocirugía

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Section: Dolor Postoperatoriounclassified

Simpatectomía toracoscópica: una revisión de la literatura

Bejarano¹,

Manrique²

2010

Neurocirugía

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“…Complications are rare 1 , but some patients experience, despite the simplicity and rapidness of the procedure, intense and sometimes persistent postoperative pain 6,7 . Postoperative pain thus becomes the major aggravation of sympathectomy 8 .…”

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confidence: 99%

Intrapleural analgesia after endoscopic thoracic sympathectomy

et al. 2011

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Brazil. Advisor and critical revision. ABSTRACT PURPOSE:To compare analgesia traditionally used for thoracic sympathectomy to intrapleural ropivacaine injection in two different doses. METHODS: Twenty-four patients were divided into three similar groups, and all of them received intravenous dipyrone. Group A received intravenous tramadol and intrapleural injection of saline solution. Group B received intrapleural injection of 0.33% ropivacaine, and Group C 0.5% ropivacaine. The following aspects were analyzed: inspiratory capacity, respiratory rate and pain. Pain was evaluated in the immediate postoperative period by means of the visual analog scale and over a one-week period. RESULTS: In Groups A and B, reduced inspiratory capacity was observed in the postoperative period. In the first postoperative 12 hours, only 12.5% of the patients in Groups B and C showed intense pain as compared to 25% in Group A. In the subsequent week, only one patient in Group A showed mild pain while the remainder reported intense pain. In Group B, half of the patients showed intense pain, and in Group C, only one presented intense pain. CONCLUSION: Intrapleural analgesia with ropivacaine resulted in less pain in the late postoperative period with better analgesic outcomes in higher doses, providing a better ventilatory pattern. Keywords: Intrapleural Analgesia. Sympathectomy. Thoracoscopy. RESUMO OBJETIVO:Comparar a analgesia tradicionalmente utilizada para simpatectomia videotoracoscópica à injeção intrapleural de ropivacaína em duas doses diferentes. MÉTODOS: Vinte e quatro pacientes foram distribuídos em três grupos semelhantes, e todos eles receberam dipirona endovenosa. O grupo A recebeu tramadol endovenoso e injeção intrapleural de solução salina. O grupo B recebeu injeção intrapleural de ropivacaína a 0,33%, e Grupo C ropivacaína a 0,5%. Os aspectos analisados foram: capacidade inspiratória, freqüência respiratória e dor. A dor foi avaliada no período pós-operatório por meio da escala visual analógica e durante o período de uma semana. RESULTADOS: Nos grupos A e B, a redução da capacidade inspiratória foi observada no período pós-operatório. Nas primeiras 12 horas de pós-operatório, apenas 12,5% dos pacientes nos grupos B e C apresentaram dor intensa em comparação a 25% no Grupo A. Na semana seguinte, apenas um paciente do grupo A apresentou dor leve, enquanto o restante relatou dor intensa. No Grupo B, metade dos pacientes apresentou dor intensa, e no Grupo C, apenas um apresentou intensa dor. CONCLUSÃO: A analgesia intrapleural com ropivacaína resultou em menos dor no pós-operatório tardio com os melhores resultados analgésicos nas doses mais altas, proporcionando um melhor padrão ventilatório. Descritores: Analgesia Intrapleural. Simpatectomia. Toracoscopia. Intrapleural analgesia after endoscopic thoracic sympathectomyActa Cirúrgica Brasileira -Vol. 26 (6) 5011 -509

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“…The use of intercostal nerve blocks has been reported to reduce both pain and narcotic requirements postoperatively following VATS. 13 Bupivacaine administered via the chest tube has also been reported to reduce postoperative pain scores and opioid usage following VATS.…”

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confidence: 99%

“…Il a été rapporté que le recours à des blocs nerveux intercostaux réduisait la douleur et les besoins en morphiniques après une vidéothoracoscopie. 13 Il a également été rapporté que l'administration de bupivacaïne via un drain thoracique réduisait les scores de douleur et l'utilisation d'opioïdes en postopératoire après une vidéothoracoscopie.…”

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Postoperative analgesia after minimally invasive thoracoscopy: What should we do?

Neustein

McCormick

2011

Can J Anesth/J Can Anesth

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The efficacy of intraoperative internal intercostal nerve block during video-assisted thoracic surgery on postoperative pain

Cited by 56 publications

References 11 publications

Simpatectomía toracoscópica: una revisión de la literatura

Simpatectomía toracoscópica: una revisión de la literatura

Intrapleural analgesia after endoscopic thoracic sympathectomy

Postoperative analgesia after minimally invasive thoracoscopy: What should we do?

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