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INTERPLEURAL CATHETER FOR ANALGESIA AFTER CHOLECYSTECTOMY: THE SURGICAL PERSPECTIVE
Author(s) -
Schroeder David,
Baker Paul
Publication year - 1990
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1990.tb07457.x
Subject(s) - medicine , anesthesia , cholecystectomy , catheter , ileus , bupivacaine , continuous infusion , surgery , postoperative pain
Sixteen otherwise healthy women undergoing cholecystectomy were randomized to receive postoperative analgesia either by continuous infusion of papavereturn ( n = 8), or by continuous interpleural infusion of bupivacaine ( n = 8). Postoperative pain was assessed by linear analogue and ventilatory capacity. Changes in body protein were measured by in vivo neutron activation analysis. Clinical course was also noted. Pain scores were significantly lower in the interpleural group over the first 48 h ( P < 0.02). Ventilatory capacity was also significantly better for the first 24 h ( P < 0.025). Thet‐e was no evidence of shortened postoperative ileus: hospital stay and postoperative fatigue were similar for the two groups. Weight and protein losses over a 2 week period were similar in the two groups. It is concluded that the apparent advantages in patient cotiifort and mobility offered by interpleural infusion are most marked in the first 48 h postoperatively. with an advantage in ventilatory capacity over the first 24 h.