ࡱ> =?< ubjbj 4*u >>T $VTTTTTTT0N-7jTt0 TTTT TT > G: Complications of intercostal catheter analgesia vs. intercostal nerve blockade for posthoracotomy pain relief Kvolik S, Kristek J*, Sakic K# and Tot OK Department of Anaesthesiology and ICU, University Clinical Hospital Osijek, *Department of Thoracic surgery, University Clinical Hospital Osijek, #University of Zagreb, Medical school; Clinical Hospital Dubrava, Department of Anaesthesiology and ICU, Zagreb, Croatia Background: Posthoracotomy pain relief can be achieved by several analgesic regimens. An aim of this prospective randomised study was to compare analgesic effects and postoperative/postanaesthetic complications of two regional anaesthetic techniques. Materials: After informed consent was obtained 80 patients 40-70 years were scheduled for elective operations were divided in two groups: A (n=40) intercostal (IC) analgesia, and B (n=40) IC catheter analgesia. All patients were given perioperative antibiotic prophylaxis (Cefazolin 1g) and dose adjusted thromboprophylaxys. Methods: The intercostal nerve blockade was performed using 5 ml of 0,5% bupivacaine for blockade of intercostal nerve in thoracotomy wound, nerve below and above thoracotomy. IC catheter analgesia was achieved through catheter placed at the end of an operation into intercostal space by surgeon. 20 ml of 0.5% bupivacaine was injected Additional increments of local anaesthetics were repeated every 12 hours. Chest drainage was removed at day 1st to 3rd and chest X-rays were done at 3rd day. Visual analogous pain score (VAS) was obtained preoperatively, 24, 48 and 72 hours after operation. Differences between groups were calculated using t-test (p<0,05). Results. VAS scores SD are shown in table 1. VASPreop.1 PO2 PO3 POIC catheter 02,20,521,90,71,20,47IC nerve block03,00,813,60,84*2,30,82*Statistically significant differences are signed by*). Table 2. Postoperative complications recorded at discharge. Postoperative complicationsIC blockIC catheter Infected haematoma of the wound23 (p=0,33)Pneumothorax00Pleural infections21 (p=0,29)Pneumonia43 (p=0,36)Atelectasis22  Conclusion: According to the VAS the pain control was thoroughly controlled by intercostal catheter analgesia. No statistically significant differences between postoperative complications were observed in two groups Reference: Downs CS, Cooper MG. 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