Naslov
Complications of intercostal catheter analgesia vs. intercostal nerve blockade for posthoracotomy pain relief

Autori
Kvolik, Slavica ; Kristek, Jozo ; Šakić, Kata ; Tot, Ozana Katarina

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Abstracts and Programme of the Annual Meeting of the European Society of Anaesthesiology (EUROANAESTHESIA 2005) ; u European Journal of Anaesthesiology 22 (2005) S34 ; 1-200 ; A-96 / - , 2005, 104-105

Skup
Annual Meeting of the European Society of Anaesthesiology

Mjesto i datum
Beč, Austrija, 28.05.2005. - 31.05.2005

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
intercostal analgesia; postoperaative; complications

Sažetak
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. 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. 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. There were not statistically significant differences between groups in the mean of incidence of postoperative respiratory complications. The most observed complications in both groups were pneumonia (4 in ICB vs. 3 in ICC group, p=0, 36) and infected haematoma of the wound (2 in ICB vs. 3 in ICC group, p=0, 29). Both anaesthetic techniques were proven safe. According to the VAS the pain was thoroughly controlled by intercostal catheter analgesia, reaching tatistically significant differences from postoperative day 2-4th. No statistically significant differences between postoperative complications were observed in two groups.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA