Nicolosi M, Chisari A, Compagnone S, Tornambene F, Pulvirenti G, Guarino D, Deodato G
Dipartimento di Chirurgia, Università degli Studi, Catania.
Minerva Chir. 1996 Mar;51(3):103-7.
The authors compare the efficacy of epidural morphine analgesia with continuous intercostal extrapleural block using bupivacaine 0.5% after thoracotomy. They affirm that antalgic treatment in thoracotomised patients is the most important factor in preventing the onset of major complications that may negatively influence the results of surgery. The efficacy of the analgesic techniques examined was evaluated using El-Baz's visual analogic scale of pain, through the analysis of spirometric values and on the incidence of postoperative complications. The authors demonstrate that the extrapleural continuous nerve block is a reliable method of post-thoracotomic analgesia.
作者比较了开胸术后硬膜外吗啡镇痛与使用0.5%布比卡因进行连续肋间胸膜外阻滞的疗效。他们断言,开胸患者的镇痛治疗是预防可能对手术结果产生负面影响的主要并发症发生的最重要因素。通过分析肺功能测定值以及术后并发症的发生率,使用埃尔-巴兹视觉模拟疼痛量表对所研究的镇痛技术的疗效进行了评估。作者证明,胸膜外连续神经阻滞是一种可靠的开胸术后镇痛方法。