Efficacy of Ketorolac Tromethamine and Extrapleural Intercostal Nerve Block on Post-Thoracotomy Pain: A Prospective, Randomized Study

International Surgery

Volumn 81, Issue 3, 1996, Pages 224-228

  Carretta, A ^a   Zannini, P ^a   Chiesa, G ^a   Altese, R ^a   Melloni, G ^a   Grossi, A ^a  

^a UNIVERSITY OF MILAN   (Italy)

Author keywords

Analgesia; Pain, postoperative; Thoracotomy

Indexed keywords

BUPIVACAINE; KETOROLAC TROMETAMOL; OPIATE;

ADULT; AGED; ANALGESIA; ARTICLE; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; COST EFFECTIVENESS ANALYSIS; DRUG ACTIVITY; DRUG COST; EPIDURAL ANESTHESIA; FORCED EXPIRATORY VOLUME; HUMAN; INTERCOSTAL NERVE BLOCK; INTERMETHOD COMPARISON; INTRAMUSCULAR DRUG ADMINISTRATION; LUNG LOBECTOMY; MALE; PEAK EXPIRATORY FLOW; POSTOPERATIVE PAIN; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; RESPIRATORY FUNCTION DISORDER; THORACOTOMY; VITAL CAPACITY;

AGED; ANALGESICS, OPIOID; ANTI-INFLAMMATORY AGENTS, NON-STEROIDAL; BUPIVACAINE; DOSE-RESPONSE RELATIONSHIP, DRUG; DRUG ADMINISTRATION SCHEDULE; HUMANS; INTERCOSTAL NERVES; KETOROLAC TROMETHAMINE; LUNG VOLUME MEASUREMENTS; MALE; MEPERIDINE; MIDDLE AGED; NERVE BLOCK; PAIN MEASUREMENT; PAIN, POSTOPERATIVE; PNEUMONECTOMY; PROSPECTIVE STUDIES; THORACOTOMY; TOLMETIN; TROMETHAMINE;

EID: 0030482371     PISSN: 00208868     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (18)

1. Craig DB. Postoperative recovery of pulmonary function. Anesth Analg 1981;60(1):46-52.
2. Fairley HB. Oxygen therapy for surgical patients. Am Rev Respir Dis 1980;122:37-44.
3. Marshall BE, Wyche MQ Jr. Hypoxemia during and after anesthesia. Anesthesiology 1972;37:178-209.
4. Rehder K, Marsh HM, Rodante JR, Hyatt RE. Airway closure. Anesthesiology 1977;47:40-52.
5. Lubenow TR, Faber LP, McCarthy RJ. Post-thoracotomy pain management using continuous epidural analgesia in 1324 patients. Ann Thorac Surg 1994;58:924-930.
6. Reiestad F, Stromskag KE., Holmquist E. Intrapleural administration of bupivacaine in postoperative management of pain. (Abstract). Anesthesiology 1986;65:A204.
7. Eng J, Sabanathan S. Site of action of continuous extrapleural intercostal nerve block. Ann Thorac Surg 1991;51:387-389.
8. Stanski DR, Cherry C, Bradley R. Efficacy and safety of single doses of intramuscular ketorolac tromethamine compared with meperidine for postoperative pain. Pharmacotherapy 1990;10(6): 40s-44s.
9. Melzack D. The Mc Gill Pain Questionnaire: major properties and scoring methods. Pain 1975;1:277-299.
10. Kavanagh BP, Katz J, Sandler AN. Pain control after thoracic surgery. Anesthesiology 1994;81:737-759.
11. Landreneau RJ, Mack MJ, Hazelrigg SR. Prevalence of chronic pain after pulmonary resection by thoracotomy or video-assisted thoracic surgery. J Thorac Cardiovasc Surg 1994;107(4):1079-1086.
12. Egbert LD, Benedixen HH. Effect of morphine on breathing pattern: possible factor in atelectasis. JAMA 1964;188:485-488.
13. Conacher ID. Pain relief after thoracotomy. Br J Anaesth 1990; 65:806-812.
14. Moore DC. Intercostal nerve block for postoperative somatic pain following surgery of thorax and upper abdomen. Br J Anaesth 1975;47:284-288.
15. Richardson J, Sabanathan S, Eng J. Continuous intercostal nerve block versus epidural morphine for post-thoracotomy analgesia. Ann Thorac Surg 1993;55:377-380.
16. Selzer JL, Larijani GE, Golberg ME, Marr AT. Intrapleural bupivacaine - a kinetic and dynamic evaluation. Anesthesiology 1987; 67:798-800.
17. Reiz S, Westberg M. Side effects of epidural morphine. Lancet 1980;(2):203-204.
18. Coleman DL. Control of postoperative pain. Non-narcotic and narcotic alternatives and their effect on pulmonary function. Chest 1987;92(3):520-528.