Post toracothomy pain relief plays a key role in the post operative management because it allows an early recovery with normal breathing activity and an early physical therapy. Intrapleural analgesia was initially proposed for pain management after thoracic surgery and also after high abdominal surgery (such as colecistectomy or kidney surgery). Other indications are the treatment of chronic pain like post herpetichal neuralgia and lung cancer. Other interesting application are the thoracic paediatric surgery, MIDCAB (Minimal Invasive Direct Coronary Artery By Pass) and asofagectomy. The technique is performed by the preventive introduction of an epidural catheter in the pleural space and the consecutive injection of the local anestethic. With an adequate training this technique could be relatively easy and safe to perform. The main complications of the technique are: PNX, emothorax, Horner syndrome, toxic reaction. Conclusions: actually other techniques are available for postoperative analgesia. Epidural anaesthesia is considered more safe and effective after thoracic and abdominal procedures and thus intrapleural analgesia has been almost completely abandoned. This review aims to regenerate interests about this technique, the analgesia techniques "cinderella".
Silvi, M.b., Gatti, A., Leonardi, L., Martucci, M., Cati, G., Alonzi, N., et al. (2001). Intrapleural analgesia, 22(2), 39-42.
Intrapleural analgesia
SILVI, MARIA BEATRICE;GATTI, ANTONIO;
2001-01-01
Abstract
Post toracothomy pain relief plays a key role in the post operative management because it allows an early recovery with normal breathing activity and an early physical therapy. Intrapleural analgesia was initially proposed for pain management after thoracic surgery and also after high abdominal surgery (such as colecistectomy or kidney surgery). Other indications are the treatment of chronic pain like post herpetichal neuralgia and lung cancer. Other interesting application are the thoracic paediatric surgery, MIDCAB (Minimal Invasive Direct Coronary Artery By Pass) and asofagectomy. The technique is performed by the preventive introduction of an epidural catheter in the pleural space and the consecutive injection of the local anestethic. With an adequate training this technique could be relatively easy and safe to perform. The main complications of the technique are: PNX, emothorax, Horner syndrome, toxic reaction. Conclusions: actually other techniques are available for postoperative analgesia. Epidural anaesthesia is considered more safe and effective after thoracic and abdominal procedures and thus intrapleural analgesia has been almost completely abandoned. This review aims to regenerate interests about this technique, the analgesia techniques "cinderella".I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
