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Intercostal Catheter Analgesia is More Efficient vs. Intercostal Nerve Blockade for Post-Thoracotomy Pain Relief

Jozo Kristek
Slavica Kvolik
Kata Šakić
Borislav Has
Lidija Prlić

Puni tekst: engleski, pdf (91 KB) str. 561-566 preuzimanja: 276* citiraj
APA 6th Edition
Kristek, J., Kvolik, S., Šakić, K., Has, B. i Prlić, L. (2007). Intercostal Catheter Analgesia is More Efficient vs. Intercostal Nerve Blockade for Post-Thoracotomy Pain Relief. Collegium antropologicum, 31 (2), 561-566. Preuzeto s https://hrcak.srce.hr/27389
MLA 8th Edition
Kristek, Jozo, et al. "Intercostal Catheter Analgesia is More Efficient vs. Intercostal Nerve Blockade for Post-Thoracotomy Pain Relief." Collegium antropologicum, vol. 31, br. 2, 2007, str. 561-566. https://hrcak.srce.hr/27389. Citirano 28.09.2021.
Chicago 17th Edition
Kristek, Jozo, Slavica Kvolik, Kata Šakić, Borislav Has i Lidija Prlić. "Intercostal Catheter Analgesia is More Efficient vs. Intercostal Nerve Blockade for Post-Thoracotomy Pain Relief." Collegium antropologicum 31, br. 2 (2007): 561-566. https://hrcak.srce.hr/27389
Harvard
Kristek, J., et al. (2007). 'Intercostal Catheter Analgesia is More Efficient vs. Intercostal Nerve Blockade for Post-Thoracotomy Pain Relief', Collegium antropologicum, 31(2), str. 561-566. Preuzeto s: https://hrcak.srce.hr/27389 (Datum pristupa: 28.09.2021.)
Vancouver
Kristek J, Kvolik S, Šakić K, Has B, Prlić L. Intercostal Catheter Analgesia is More Efficient vs. Intercostal Nerve Blockade for Post-Thoracotomy Pain Relief. Collegium antropologicum [Internet]. 2007 [pristupljeno 28.09.2021.];31(2):561-566. Dostupno na: https://hrcak.srce.hr/27389
IEEE
J. Kristek, S. Kvolik, K. Šakić, B. Has i L. Prlić, "Intercostal Catheter Analgesia is More Efficient vs. Intercostal Nerve Blockade for Post-Thoracotomy Pain Relief", Collegium antropologicum, vol.31, br. 2, str. 561-566, 2007. [Online]. Dostupno na: https://hrcak.srce.hr/27389. [Citirano: 28.09.2021.]

Sažetak
A pain after thoracotomy may result in a postoperative hypoventilation and lead to atelectases and pneumonia. This
study was aimed to compare two analgesic regimens after posterolateral thoracotomy. 80 patients (40–70 years) undergoing
thoracotomy were randomized to intercostal catheter analgesia (group A, n=40) and intercostal nerve block (group B,
n=40). Patients in group A were given 20 mL of 0.5% bupivacaine injections twice a day by intercostal catheter. Intercostal
nerve blockade was performed using 5 mL of 0.5% bupivacaine. Intercostal nerve in thoracotomy wound, nerves below
and above thoracotomy wound was also injected. PaO2, PaCO2, FVC, FEV1 and visual analog pain scale (VAS) were obtained
preoperatively, 24, 48 and 72 hours after operation. Postoperative complications were recorded at the patient discharge.
Differences between groups were calculated using Mann-Whitney, KW test and chi square test. The arterial blood
gas analyses did not show statistically significant change in any group and time according to the baseline values. FVC
and FEV1 decreased significantly in both groups at first postoperative day according to baseline measurements. Patients
in B group had significantly higher FEV1 values in the third postoperative day (73.0511.25 in A vs. 83.509.17 in B
group, p<0.05). Intercostal catheter analgesia resulted in significantly lower postoperative VAS scores and reduced opioid
requirement as compared to intercostal nerve blockade. No differences in the postoperative complications were observed
between groups.

Ključne riječi
thoracotomy; pain; postoperative; analgesia; anesthetics; local; bupivacaine; catheter; nerve block

Hrčak ID: 27389

URI
https://hrcak.srce.hr/27389

Posjeta: 595 *