Operative Intercostal Nerve Blocks With Long-Acting Bupivacaine Liposome for Pain Control After Thoracotomy Kamal G. Khalil, MD, FACS, Mina L. Boutrous,

Slides:

Advertisements

Similar presentations

Analysis of motor and somatosensory evoked potentials during thoracic and thoracoabdominal aortic aneurysm repair Kourosh Keyhani, DO, Charles C. Miller,

Advertisements

Giant Transdiaphragmatic Intercostal Hernia

Rana O. Afifi, MD, Harleen K. Sandhu, MD, MPH, Amy. E

Rana O. Afifi, MD, Harith H. Mushtaq, MD, Harleen K

Now or Later: Evaluating the Importance of Chemotherapy Timing in Resectable Stage III (N2) Lung Cancer in the National Cancer Database Daniel J. Boffa,

Association of Perioperative Fluid Balance and Adverse Surgical Outcomes in Esophageal Cancer and Esophagogastric Junction Cancer Shenhai Wei, MD, PhD,

Osteopathic Manipulative Treatment Improves Heart Surgery Outcomes: A Randomized Controlled Trial Vittorio Racca, MD, Bruno Bordoni, MS, Paolo Castiglioni,

Postoperative Atrial Fibrillation Prophylaxis After Lung Surgery: Systematic Review and Meta-Analysis Lars Peter Riber, MD, PhD, Torben Bjerregaard Larsen,

Trevor Williams, MD, MPH, Brian C

Thoracic Epidural Versus Intercostal Nerve Catheter Plus Patient-Controlled Analgesia: A Randomized Study James D. Luketich, MD, Stephanie R. Land, PhD,

Efficacy of Thoracic Epidural Analgesia With or Without Intercostal Nerve Cryoanalgesia for Postthoracotomy Pain Seppo T. Mustola, MD, PhD, Jukka Lempinen,

Hancock II Bioprosthesis for Aortic Valve Replacement: The Gold Standard of Bioprosthetic Valves Durability? Tirone E. David, MD, Susan Armstrong, MS,

Robert J Cerfolio, MD, Cyndi Bass, MSN, Charles R Katholi, PhD

Rewarming Rate During Cardiopulmonary Bypass Is Associated With Release of Glial Fibrillary Acidic Protein Daijiro Hori, MD, Allen D. Everett, MD, Jennifer.

Posterior Intercostal Nerve Block With Liposomal Bupivacaine: An Alternative to Thoracic Epidural Analgesia David C. Rice, MB, BCh, Juan P. Cata, MD,

Mina L. Boutrous, MD, Rana O. Afifi, MD, Hazim J. Safi, MD, Anthony L

Amr Mohammad Allama, MD The Annals of Thoracic Surgery

Low-Dose Steroid Therapy at an Early Phase of Postoperative Acute Respiratory Distress Syndrome Hyun-Sung Lee, MD, Jong Mog Lee, MD, Moon Soo Kim, MD,

Improved Myocardial Perfusion and Thickening After Off-Pump Revascularization: 5- Year Follow-Up Chang Young Kim, MD, Ho Young Hwang, MD, Jin Chul Paeng,

Gal Levy, MD, Mark A. Cordes, MD, Alexander S. Farivar, MD, Ralph W

Reza J. Mehran, MD, Linda W. Martin, MD, MPH, Carla M

Anthony L. Estrera, MD, Charles C

Randal S. Blank, MD, PhD, Christoph Hucklenbruch, MD, Kelly K

Analysis of motor and somatosensory evoked potentials during thoracic and thoracoabdominal aortic aneurysm repair Kourosh Keyhani, DO, Charles C. Miller,

Metabolic and Hemodynamic Effects of High-Dose Insulin Treatment in Aortic Valve and Coronary Surgery Juha K. Koskenkari, MD, Päivi K. Kaukoranta, MD,

Bahaaldin Alsoufi, MD, Sally Cai, PhD, Glen S

Risk Modeling to Optimize Patient Selection for Management of the Descending Thoracic Aortic Aneurysm Akiko Tanaka, MD, PhD, Harleen K. Sandhu, MD, MPH,

The Society of Thoracic Surgeons Mitral Valve Repair/Replacement Plus Coronary Artery Bypass Grafting Composite Score: A Report of The Society of Thoracic.

Assessment of Long-Term Postoperative Pain in Open Thoracotomy Patients: Pain Reduction by the Edge Closure Technique Noriaki Sakakura, MD, Noriyasu.

Trevor Williams, MD, MPH, Brian C

Candice Y. Lee, MD, Davida A. Robinson, MD, Carl A

Who Do You Say You Are? The Annals of Thoracic Surgery

R.J.Ni Mhuircheartaigh, R.A. Moore, H.J. McQuay

Relationship Between Antiinflammatory Cytokine Interleukin-10 and Lactate Concentrations in Neonates Undergoing the Arterial Switch Operation Kyrylo.

Lucas Goense, MD, Peter S. N. van Rossum, MD, Jelle P

Use of Amiodarone After Major Lung Resection

Surgical Dilemmas: Diagnosis and Treatment of Atrial Plasmacytoma

Sternal Closure With Tie Bands: A Word of Caution

Comparison of Conservative Treatment and Thymectomy on Myasthenia Gravis Outcome Emanuela Taioli, MD, PhD, Philip Kent Paschal, Bian Liu, PhD, Andrew.

Lung Function and ECMO After Lung Transplantation

Ara A. Vaporciyan, MD, MHPE, Vid Fikfak, MD, Matthew C

Eric S. Weiss, MD, MPH, Jeremiah G. Allen, MD, Christian A

Editorial Board, January 2010

Severe Two-Vessel Ostial Stenosis of the Main Coronary Arteries in a Patient With Transposition of the Great Arteries After an Arterial Switch Operation

Red Blood Cell Transfusion Is Associated With Troponin Release After Elective Off- Pump Coronary Artery Bypass Surgery Fausto Biancari, MD, PhD, Eeva-Maija.

Surgical Treatment of Aortic Prosthetic Valve Endocarditis: A 20-Year Single-Center Experience Sossio Perrotta, MD, Anders Jeppsson, MD, PhD, Victoria.

Vacuum-Assisted Closure for the Treatment of Complex Chest Wounds

The Unifocal Bilateral Bidirectional Cavopulmonary Anastomosis

Pallav J. Shah, MD, Anthony L. Estrera, MD, Charles C

Interinstitutional Comparison of Risk-Adjusted Mortality and Length of Stay in Congenital Heart Surgery William M. DeCampli, MD, PhD, Redmond P. Burke,

Functional and Physiologic Results of Video-Assisted Thoracoscopic Diaphragm Plication in Adult Patients With Unilateral Diaphragm Paralysis Richard.

Robert Lee Replogle, September 30, 1931–May 9, 2016

Optimization of Aortic Arch Replacement: Two-Stage Approach

Digital Drainage System Reduces Hospitalization After Video-Assisted Thoracoscopic Surgery Lung Resection Daniel L. Miller, MD, Gerald A. Helms, MD,

The Journal of Thoracic and Cardiovascular Surgery

Anthony L. Estrera, MD, David C

Effect of Coronary Artery Disease Extent on Contemporary Outcomes of Combined Aortic Valve Replacement and Coronary Artery Bypass Graft Surgery Zhongmin.

Analgesia and pulmonary function after lung surgery: is a single intercostal nerve block plus patient-controlled intravenous morphine as effective as.

Prospective randomized trial of high thoracic epidural analgesia for coronary artery bypass surgery Colin Royse, MBBS, MD, Alistair Royse, MBBS, MD,

Dumbor L. Ngaage, MD, FRCS (C-Th), Michael E. Cowen, FRCS

Descending Thoracic Aortic Aneurysm Repair: 12-Year Experience Using Distal Aortic Perfusion and Cerebrospinal Fluid Drainage Anthony L. Estrera, MD,

Mark I. Block, MD The Annals of Thoracic Surgery

Late Consequences of a Much Earlier Decision

Hazim J. Safi, MD, Anthony L. Estrera, MD, Charles C

The Impact of New Technology on Cardiothoracic Surgical Practice

Slide Tracheoplasty in Infants and Children: Risk Factors for Prolonged Postoperative Ventilatory Support Peter B. Manning, MD, Michael J. Rutter, MD,

Leukocytosis and Increased Risk of Atrial Fibrillation After General Thoracic Surgery David Amar, MD, Anuj Goenka, BS, Hao Zhang, MD, Bernard Park, MD,

Stephen Greer, MD, Ashley D. Miller, FNP, Jeremiah S

David S. Mulder, MD The Annals of Thoracic Surgery

Vinay Badhwar, MD, J. Scott Rankin, MD, Jeffrey P. Jacobs, MD, David M

Presentation transcript:

Operative Intercostal Nerve Blocks With Long-Acting Bupivacaine Liposome for Pain Control After Thoracotomy Kamal G. Khalil, MD, FACS, Mina L. Boutrous, MD, Adel D. Irani, MD, FACS, Charles C. Miller, PhD, Timothy R. Pawelek, MD, Anthony L. Estrera, MD, FACS, Hazim J. Safi, MD, FACS The Annals of Thoracic Surgery Volume 100, Issue 6, Pages 2013-2018 (December 2015) DOI: 10.1016/j.athoracsur.2015.08.017 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Box plot of daily pain scores for the epidural and infiltration groups. The lower box boundary represents the 25th percentile of the variable distribution, the white line at the midpoint of the box represents the median (50th percentile), and the upper boundary represents the 75th percentile, so that the height of the box represents the interquartile range. The diamond in each box is the mean for that variable level, and the lines protruding from each box on both ends represent the 95% confidence interval for the mean; p values for the comparisons are shown in Table 1. (IC = intercostal.) The Annals of Thoracic Surgery 2015 100, 2013-2018DOI: (10.1016/j.athoracsur.2015.08.017) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 PCA dose. Patient-controlled analgesia (PCA) dose = daily hydromorphone dose (mg). (IC = intercostal; POD = postoperative day.) The Annals of Thoracic Surgery 2015 100, 2013-2018DOI: (10.1016/j.athoracsur.2015.08.017) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Mixed-model estimates of pain score over postoperative days 1, 2, and 3. Treatment group remains statistically significant after adjustment for daily dose of adjunctive analgesia (see Table 2). The Annals of Thoracic Surgery 2015 100, 2013-2018DOI: (10.1016/j.athoracsur.2015.08.017) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions