ISSN: 2155-6148
Labreuche Julien
France
Research Article
Effect of Induced Epidural Anesthesia before Surgical Incision on Acute Pain and Postoperative Pulmonary Events: Results from a Population with Lung Resection by Thoracotomy
Author(s): De Wolf Julien, Deblauwe Delphine, Labreuche Julien, Duhamel Alain, Desbordes Jacques, Wattier Jean-Michel and Porte Henri
De Wolf Julien, Deblauwe Delphine, Labreuche Julien, Duhamel Alain, Desbordes Jacques, Wattier Jean-Michel and Porte Henri
Introduction: Our study evaluated the effect on postoperative pain and pulmonary complications of a lidocaine injection in thoracic epidural anesthesia before surgical incision in patients with suspected lung cancer resected by thoracotomy.
Patients and methods: Between November 2012 and November 2013, we prospectively recruited patients requiring thoracotomy for suspected non-small cell lung cancer (NSCLC). All patients had a posterior lateral or lateral thoracotomy, and all had preoperative epidurals. Thoracic epidural catheter was removed 4 or 5 days after surgery. We studied NRS score on days 1 and 6 after surgery. Significant pain was defined as NRS>3. We recorded all pulmonary complications such as pneumonia, atelectasis requiring bronchoscopy, bronchopleural fistula, reintubation and tracheostomy.
Results:.. View More»
DOI:
10.4172/2155-6148.1000548