Anesthesia & Clinical Research
Open Access
ISSN: 2155-6148
+44 1223 790975
ISSN: 2155-6148
+44 1223 790975
De Wolf Julien
University Hospital of Lille, Boulevard du Professeur Jules Leclercq,
59000 Lille
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 HenriDe 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