Complete analgesia during pleurodesis under thoracic epidural anesthesia

Kempen, Paul Martin
August 1998
American Surgeon;Aug1998, Vol. 64 Issue 8, p755
Academic Journal
Describes a medical case illustrating the use of complete analgesia during pleurodesis under thoracic epidural anesthesia. Description of initial treatments for patient; Characteristics of pain during pleurodesis; Indicative signs for pleurodesis; Use of interpleural analgesia.


Related Articles

  • Epidural ropivacaine infusion for the treatment of pain following axillary muscle-sparing thoracotomy: a dose-evaluation study. Sakai, Tetsuya; Tomiyasu, Shiro; Sumikawa, Koji // Journal of Anesthesia;2007, Vol. 21 Issue 3, p320 

    We aimed to investigate the optimal dose of continuous epidural ropivacaine for effective analgesia with minimal side effects after axillary muscle-sparing thoracotomy. Sixty patients undergoing thoracic surgery via the axillary approach were studied. Patients were given continuous epidural...

  • The Association of Interpleural Ropivacaine and Epidural Following Major Thoracic Surgery: A Randomised Clinical Trial Investigating Pharmocokinetics and Benefits. Gékière, J. P.; Mathoulin-Pélissier, S.; Avril, A.; Molimard, M.; Doussau, A.; Kabbani, Y. // British Journal of Medicine & Medical Research;Oct-Dec2013, Vol. 3 Issue 4, p841 

    Background: Thoracic surgery is associated with high levels of postoperative pain. Interpleural blockades (IPB) can be effective in reducing this pain, but results after thoracotomy are controversial. The current study investigates the effects of the association of ropivacaine-based IPB and...

  • Acute Postoperative Pain Management and Malfunctioning Epidural Catheter. Bush, Nancy JO; Griffin-Sobel, Joyce P. // Oncology Nursing Forum;Mar/Apr2003, Vol. 30 Issue 2, p217 

    Presents a case study of a man diagnosed with leiomyosarcoma of the small bowel with extension into the retroperitoneal space one month before admission. Orders given by the pain service, responsible for the epidural catheter management, for nursing care; Benefits associated with epidural...

  • Does the Use of Epidural Analgesia Lead to Backache? Walling, Anne D. // American Family Physician;1/1/2003, Vol. 67 Issue 1, p169 

    Discusses the study 'Randomised Study of Long Term Outcome After Epidural Versus Non-epidural Analgesia During Labour,' by C.J. Howell et al., from the August 17, 2002 issue of the 'British Medical Journal.'

  • Regional analgesia for video-assisted thoracic surgery: a systematic review. Steinthorsdottir, Kristin Julia; Wildgaard, Lorna; Hansen, Henrik Jessen; Petersen, René Horsleben; Wildgaard, Kim // European Journal of Cardio-Thoracic Surgery;Jun2014, Vol. 45 Issue 6, p959 

    Video-assisted thoracic surgery (VATS) is emerging as the standard surgical procedure for both minor and major oncological lung surgery. Thoracic epidural analgesia (TEA) and paravertebral block (PVB) are established analgesic golden standards for open surgery such as thoracotomy; however, there...

  • A Comparison of the Analgesia Efficacy and Side Effects of Paravertebral Compared with Epidural Blockade for Thoracotomy: An Updated Meta-Analysis. Ding, Xibing; Jin, Shuqing; Niu, Xiaoyin; Ren, Hao; Fu, Shukun; Li, Quan // PLoS ONE;May2014, Vol. 9 Issue 5, p1 

    Objective: The most recent systematic review and meta-analysis comparing the analgesic efficacy and side effects of paravertebral and epidural blockade for thoracotomy was published in 2006. Nine well-designed randomized trials with controversial results have been published since then. The...

  • Anesthesia for thoracic surgery: A survey of middle eastern practice. Eldawlatly, Abdelazeem; Turkistani, Ahmed; Shelley, Ben; El-Tahan, Mohamed; Macfie, Alistair; Kinsella, John // Saudi Journal of Anaesthesia;Jul2012, Vol. 6 Issue 3, p192 

    Purpose: The main objective of this survey is to describe the current practice of thoracic anesthesia in the Middle Eastern (ME) region. Methods: A prospective online survey. An invitation to participate was e-mailed to all members of the ME thoracic-anaesthesia group. A total of 58 members...

  • Duration of cerebral desaturation time during single-lung ventilation correlates with mini mental state examination score. Suehiro, Koichi; Okutai, Ryu // Journal of Anesthesia;2011, Vol. 25 Issue 3, p345 

    Purpose: Single-lung ventilation (SLV) is thought to reduce regional cerebral oxygen saturation (rSO). In this study, we evaluated changes in rSO during SLV and their correlation with perioperative changes in cognitive function. Methods: Sixty-nine patients participated in this study, each of...

  • Thoracic epidural anaesthesia and analgesia. McLeod, G. A.; Cumming, C. // Continuing Education in Anaesthesia, Critical Care & Pain;Feb2004, Vol. 4 Issue 1, p16 

    Thoracic epidural anaesthesia followed by postoperative epidural analgesia is increasingly being used for abdominal, major vascular and cardiothoracic surgery. The objective of thoracic block is not solely to block noxious afferent stimuli from the surgical site, but to impart a bilateral...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics