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A combined chest drain and intrapleural catheter for post‐thoracotomy pain relief
Author(s) -
Broome I. J.,
Sherry K. M.,
Reilly C. S.
Publication year - 1993
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1993.tb07190.x
Subject(s) - medicine , bupivacaine , thoracotomy , anesthesia , catheter , bolus (digestion) , chest pain , local anesthetic , surgery , morphine , lumen (anatomy)
Summary This study examined the effectiveness of a new type of chest drain, which incorporates an additional lumen within its wall to facilitate the administration of intrapleural bupivacaine. Nine patients who received a bolus dose of 1.5 mg.kg −1 bupivacaine with 1:200 000 adrenaline through this chest drain used less morphine, and had lower visual analogue pain scores in the first 6 h after thoracotomy than patients in whom a standard chest drain had been used. Bupivacaine levels were found to be within safe limits in all patients.