@article{JTD11226,
author = {Ming-Ju Hsieh and Kuo-Cheng Wang and Hung-Pin Liu and Diego Gonzalez-Rivas and Ching-Yang Wu and Yun-Hen Liu and Yi-Cheng Wu and Yin-Kai Chao and Ching-Feng Wu},
title = {Management of acute postoperative pain with continuous intercostal nerve block after single port video-assisted thoracoscopic anatomic resection},
journal = {Journal of Thoracic Disease},
volume = {8},
number = {12},
year = {2016},
keywords = {},
abstract = {Background: Effective postoperative pain control for thoracic surgery is very important, not only because it reduces pulmonary complications but also because it accelerates the pace of recovery. Moreover, it increases patients’ satisfaction with the surgery. In this study, we present a simple approach involving the safe placement of intercostal catheter (ICC) after single port video-assisted thoracoscopic surgery (VATS) anatomic resection and we evaluate postoperative analgesic function with and without it.
Methods: We identified patients who underwent single port anatomic resection with ICC placed intraoperatively as a route for continuous postoperative levobupivacaine (0.5%) administration and retrospectively compared them with a group of single port anatomic resection patients without ICC. The operation time, postoperative day 0, 1, 2, 3 and discharge day pain score, triflow numbers, narcotic requirements, drainage duration and post-operative hospital stay were compared.
Results: In total, 78 patients were enrolled in the final analysis (39 patients with ICC and 39 without). We found patients with ICC had less pain sensation numerical rating scale (NRS) on postoperative day 0, 1 (P=0.023, },
issn = {2077-6624}, url = {https://jtd.amegroups.org/article/view/11226}
}