Murphy D F
Br J Anaesth. 1983 Jun;55(6):521-4. doi: 10.1093/bja/55.6.521.
Continuous intercostal nerve blockade was used to provide analgesia after cholecystectomy. The blockade was maintained by the insertion of a single extradural catheter into an appropriate intercostal space and by "topping-up" with local anaesthetic on demand. Of the patients studied, 92%, and 76%, required no additional analgesia in the first 24 h and first 48 h following operation, respectively. Measurements of peak flow were obtained on the 1st day after operation. A mean improvement of 37% on pre- "top-up" peak flows, was found. It is suggested that continuous intercostal analgesia is a a safe, reliable and powerful form of analgesia which may improve respiratory function after cholecystectomy.
连续肋间神经阻滞用于胆囊切除术后镇痛。通过将一根硬膜外导管插入合适的肋间间隙并根据需要“追加”局部麻醉药来维持阻滞。在所研究的患者中，分别有92%和76%在术后第1个24小时和第1个48小时不需要额外镇痛。在术后第1天测量峰值流速。发现“追加”前峰值流速平均提高了37%。有人认为，连续肋间镇痛是一种安全、可靠且有效的镇痛方式，可能会改善胆囊切除术后的呼吸功能。
