Intercostal neuralgia is pain in the thoracic region emanating from an intercostal nerve. It occurs commonly after thoracotomy. It can also be seen in elderly debilitated patients without a known precipitating event, other causes include rib trauma, very rarely benign periosteal lipoma and pregnancy. Intercostal neuralgia due to surgical injury of the intercostal nerve has traditionally been di...

Sir,—I agree entirely with this view that paravertebral block would provide reduction in requirement for morphine, greater than that achieved with the intercostal block used in our technique. Several of the chest radiographs, including the one in the article, demonstrated contrast medium in the paravertebral space. The statement "it should not be assumed that an intercostal injection of contras...

conclusions obtained results demonstrate significant differences between intraneural and perineural injection pressures in the median, ulnar, and radial nerves. intraneural injection pressures show low specificity but high sensitivity suggesting that pressure monitoring might be a valuable tool in improving the safety and efficacy of peripheral nerve blockade in regional anesthesia. peripheral ...

Critically ill patients treated for multiple organ failure often develop muscle dysfunction. Here we test the hypothesis that mitochondrial and energy metabolism are deranged in leg and intercostal muscle of critically ill patients with sepsis-induced multiple organ failure. Ten critically ill patients suffering from sepsis-induced multiple organ failure and requiring mechanical ventilation wer...

Intubated general anesthesia with single-lung ventilation has been considered mandatory for thoracoscopic lobectomy for nonsmall cell lung cancer. Few reports of thoracoscopic lobectomy without tracheal intubation are published, using either thoracic epidural anesthesia (TEA) or intercostal blockade. The comparisons of perioperative outcomes of nonintubated thoracoscopic lobectomy using epidura...