Pulmonary complications after lung resection: the effect of continuous extrapleural intercostal nerve block
- 1 January 1990
- journal article
- clinical trial
- Published by Oxford University Press (OUP) in European Journal of Cardio-Thoracic Surgery
- Vol. 4 (8) , 407-411
- https://doi.org/10.1016/1010-7940(90)90068-b
Abstract
To assess the efficacy of continuous extrapleural intercostal nerveblock (CEINB) with 0.5% bupivacaine on postoperative pain, pulmonaryfunction and pulmonary complications, a prospective, randomised, doubleblind controlled trial was conducted on comparable patients undergoing lungresections; n = 21 (control), n = 25 (bupivacaine). The bupivacaine grouprequired less papaveretum in the first 24 h (P less than 0.01) and hadlower pain scores over 5 postoperative days (P less than 0.01). Pulmonaryfunction recovered earlier in the bupivacaine group. Pulmonarycomplications occurred in 1 patient with normal lung function and 12patients with obstructive airways disease (COAD): FEV1/FVC less than 70%.There were no infusion-related complications. CEINB has been shown to besafe and effective in reducing postoperative pain and pulmonarycomplications. CEINB minimises the loss of lung function after thoracotomyand restores impaired pulmonary mechanics more rapidly.Keywords
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