A Simple Method for Thoracotomy Closure Avoiding Intercostal Nerve Damage
نویسندگان
چکیده
منابع مشابه
Intercostal catheter analgesia is more efficient vs. intercostal nerve blockade for post-thoracotomy pain relief.
A pain after thoracotomy may result in a postoperative hypoventilation and lead to atelectases and pneumonia. This study was aimed to compare two analgesic regimens after posterolateral thoracotomy. 80 patients (40-70 years) undergoing thoracotomy were randomized to intercostal catheter analgesia (group A, n = 40) and intercostal nerve block (group B, n = 40). Patients in group A were given 20 ...
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Chest injuries are one of the leading causes of morbidity and mortality in trauma patients. Significant morbidity can result from pain and respiratory distress in patients of blunt trauma chest.A prospective randomized controlled study was conducted at our institute on patients suffering from blunt trauma chest. A total of 36 patients were studied. Patients were randomized to two groups of 18 e...
متن کاملAvoiding nerve damage during elbow arthroscopy.
To define the anatomical relationships of the nerves to the common arthroscopy portals at the elbow an arthroscope was introduced into 20 cadaver elbows and the positions of the nerves were then determined by dissection. In all cases the posterior interosseous nerve lay close to the radiohumeral joint and to the anterolateral portal. Pronation of the forearm displaced the nerve away from the ar...
متن کاملRib approximation without intercostal nerve compression reduces post-thoracotomy pain: a prospective randomized study.
OBJECTIVE One of the most important considerations in the care of thoracic surgery patients is the control of pain, which leads to increased morbidity and relevant mortality. METHODS Between February and May 2009, 60 patients undergoing full muscle-sparing posterior minithoracotomy were prospectively randomized into two groups, according to the thoracotomy closure techniques. In the first gro...
متن کاملComparative study of continuous extrapleural intercostal nerve block and lumbar epidural morphine in post-thoracotomy pain.
OBJECTIVES To compare the efficacy of continuous extrapleural intercostal nerve block with bupivacaine 0.5% in 1:200,000 epinephrine and continuous lumbar epidural block with morphine in controlling post-thoracotomy pain and to measure serum bupivacaine concentrations during extrapleural infusion. DESIGN A prospective, randomized, controlled trial. SETTING St. Joseph's Hospital, Hamilton, O...
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ژورنال
عنوان ژورنال: Journal of Clinical and Analytical Medicine
سال: 2016
ISSN: 1309-0720,1309-2014
DOI: 10.4328/jcam.3110