Observational studyJournal of cardiothoracic surgery2019
Subpleural multilevel intercostal continuous analgesia after thoracoscopic pulmonary resection: a pilot study.
Observational study in Journal of cardiothoracic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 13 citations in OpenAlex.
- Pain management after thoracotomy with dexamethasone and bupivacaine through a peripleural cather: a randomized controlled trial.BMC anesthesiology · 2024Trial
- Incidence of early persistent pain after video-assisted thoracoscopic surgery: a single-centre prospective cohort study.Journal of thoracic disease · 2024Article
- Local anesthetic dosing and toxicity of adult truncal catheters: a narrative review of published practice.Regional anesthesia and pain medicine · 2024Review
- Thoracoscopic Intercostal Nerve Block with Cocktail Analgesics for Pain Control After Video-Assisted Thoracoscopic Surgery: A Prospective Cohort Study.Journal of pain research · 2024Article
- Acute pain management after thoracoscopic lung resection: a systematic review and explorative meta-analysis.Interdisciplinary cardiovascular and thoracic surgery · 2023Article
- Article
- Regional anesthesia and acute perioperative pain management in thoracic surgery: a narrative review.Journal of thoracic disease · 2022Review
- Incorporation of an intercostal catheter into a multimodal analgesic strategy for uniportal video-assisted thoracoscopic surgery: a feasibility study.Journal of cardiothoracic surgery · 2021Observational
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSufficient pain control and rapid mobilisation after VATS are important to enhance recovery and prevent complications. Thoracic epidural analgesia (TEA) is the gold standard, but failure rates of 9-30% have been described. In addition, TEA reduces patient mobilisation and bladder function. Subpleural continuous analgesia (SCA) is a regional analgesic technique that is placed under direct thoracoscopic vision and is not associated with the mentioned disadvantages of TEA. The objective of this study was to assess surgical feasibility, pain control and patient satisfaction of SCA.
methodsObservational pilot study in patients who underwent VATS pulmonary resection and received SCA (n = 23). Pain scores (numeric rating scale 0-10) and patient satisfaction (5-point Likert scale) were collected on postoperative day (POD) 0-3. Secondary outcomes were the period of urinary catheter use and period to full mobilisation.
resultsPlacement of the subpleural catheter took an average of 11 min (SD 5) and was successful in all patients. Pain scores on POD 0-3 were 1.2 (SD 1.2), 2.0 (SD 1.9), 1.7 (SD 1.5) and 1.2 (SD 1.1) respectively. On POD 0-3 at least 79% of patients were satisfied or very satisfied on pain relief and mobilisation. The duration of subpleural continuous analgesia was 4 days (IQR 3-5, range 2-11). Urinary catheters were used zero days (IQR 0-1, range 0-6) and full mobilisation was achieved on POD 2 (IQR 1-2, range 1-6).
conclusionSubpleural continuous analgesia in VATS pulmonary resection is feasible and provides adequate pain control and good patient satisfaction.
trial registrationThis pilot study was not registered in a trial register.
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