The Korean Journal of Pain
- 제9권1호
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- Pages.135-139
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- 1996
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- 2005-9159(pISSN)
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- 2093-0569(eISSN)
지속적 늑간신경 차단법에 의한 개흉술후 통증관리 치험
Experience of Continuous Intercostal Nerve Block for Management of the Post-thoracotomy Pain -10 cases-
- 원경섭 (순천향대학교 의과대학 마취과학교실) ;
- 이정석 (순천향대학교 의과대학 마취과학교실) ;
- 김용익 (순천향대학교 의과대학 마취과학교실) ;
- 황경호 (순천향대학교 의과대학 마취과학교실) ;
- 박욱 (순천향대학교 의과대학 마취과학교실)
- Won, Kyung-Sub (Department of Anesthesiology, School of Medicine, Soon Chun Hyang University) ;
- Lee, Jeong-Seok (Department of Anesthesiology, School of Medicine, Soon Chun Hyang University) ;
- Kim, Yong-Ik (Department of Anesthesiology, School of Medicine, Soon Chun Hyang University) ;
- Hwang, Kyung-Ho (Department of Anesthesiology, School of Medicine, Soon Chun Hyang University) ;
- Park, Wook (Department of Anesthesiology, School of Medicine, Soon Chun Hyang University)
- 발행 : 1996.06.01
초록
Intercostal nerve blockade with local anesthetics has been used extensively in the past to provide pain relief following thoracotomy. Its popularity fell, for a period, probably due to increasing use of epidural analgesia. More recently, interest has focused on intercostal nerve block with the introduction of variously sited catheters. Two epidural catheters were placed under direct vision, in the intercostal spaces just above and below the wound by feeding the catheters posteriorly from the wound edges, superficial to the parietal pleura. Bupivacaine 0.25%. Was infused continuously at a rate of 5 ml/hour through each of the two intercostal catheters. Each catheter was primed with 10 ml/hour through each of the two intercostal catheters. Each catheter was primed with 10 ml of 0.25% bupivacaine. Postoperative vital signs resembled preoperation data. Arterial carbon dioxide pressure (