Konichezky S, Szmuk P, Ezri T, Soroker D, Ben-Aharon U, Pfefferman R
General Intensive Care Unit, Kaplan Hospital, Rehovot.
Harefuah. 1995 Mar 1;128(5):269-71, 336.
Intrapleural administration of local anesthetics to achieve postoperative analgesia was recently described by Kvalheim and Reiestad. It has been stated that the intrapleural technique provides analgesia, but not surgical anesthesia. However, this method has been used recently for anesthesia during minor surgical procedures. We describe the use of combined, bilateral intrapleural and low epidural anesthesia in a woman with severe impairment of cardiopulmonary function who underwent combined splenectomy and cholecystectomy.
Kvalheim和Reiestad最近描述了胸膜腔内注射局部麻醉药以实现术后镇痛。据说胸膜腔内技术可提供镇痛，但不能提供手术麻醉。然而，这种方法最近已用于小型外科手术的麻醉。我们描述了在一名心肺功能严重受损的女性患者中联合使用双侧胸膜腔内和低位硬膜外麻醉，该患者接受了脾切除术和胆囊切除术。
