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

Slides:

Advertisements

Similar presentations

Randomized controlled trial comparing the McGrath videolaryngoscope with the C-MAC videolaryngoscope in intubating adult patients with potential difficult.

Advertisements

Pregabalin reduces postoperative opioid consumption and pain for 1 week after hospital discharge, but does not affect function at 6 weeks or 3 months.

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

Addition of transversus thoracic muscle plane block to pectoral nerves block provides more effective perioperative pain relief than pectoral nerves block.

Functional walking capacity as an outcome measure of laparoscopic prostatectomy: the effect of lidocaine infusion S. Lauwick, D.J. Kim, G. Mistraletti,

Postoperative pain after abdominal hysterectomy: a randomized, double-blind, controlled trial comparing continuous infusion vs patient-controlled intraperitoneal.

C Dualé, C Frey, F Bolandard, A Barrière, P Schoeffler

Pregabalin and pain after total knee arthroplasty: a double-blind, randomized, placebo- controlled, multidose trial† J.T. YaDeau, Y. Lin, D.J. Mayman,

Antiemetic and analgesic-sparing effects of diphenhydramine added to morphine intravenous patient-controlled analgesia T.-F. Lin, Y.-C. Yeh, Y.-H. Yen,

Type of anaesthesia and patient quality of recovery: a randomized trial comparing propofol–remifentanil total i.v. anaesthesia with desflurane anaesthesia

K.-Y. Ho, W Tay, M.-C. Yeo, H Liu, S.-J. Yeo, S.-L. Chia, N.-N. Lo

Prospective randomized observer-blinded study comparing the analgesic efficacy of ultrasound-guided rectus sheath block and local anaesthetic infiltration.

Effect of combining tramadol and morphine in adult surgical patients: a systematic review and meta-analysis of randomized trials V. Martinez, L. Guichard,

Cost-effectiveness of a systematic e-assessed follow-up of postoperative recovery after day surgery: a multicentre randomized trial K. Dahlberg, A. Philipsson,

Comparison of the effects of thoracic epidural analgesia and i. v

A comparison of the analgesic efficacy and side-effects of paravertebral vs epidural blockade for thoracotomy—a systematic review and meta-analysis of.

Paracetamol and selective and non-selective non-steroidal anti-inflammatory drugs for the reduction in morphine-related side-effects after major surgery:

Prospective, randomized comparison of extrapleural versus epidural analgesia for postthoracotomy pain Andreas M. Kaiser, MD, Andreas Zollinger, MD, Diego.

Prospective, randomized, controlled trial of thoracic epidural or patient-controlled opiate analgesia on perioperative quality of life M. Ali, D.C. Winter,

Measuring acute postoperative pain using the visual analog scale: the minimal clinically important difference and patient acceptable symptom state P.S.

Thoracic epidural analgesia or patient-controlled local analgesia for radical retropubic prostatectomy: a randomized, double-blind study F. Fant, K.

R.S. Bondok, A.M. Abd El-Hady British Journal of Anaesthesia

N.T.M. Jack, E.B. Liem, L.H. Vonho¨gen British Journal of Anaesthesia

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

Postoperative pain after hip fracture is procedure specific

Should continuous rather than single-injection interscalene block be routinely offered for major shoulder surgery? A meta-analysis of the analgesic and.

Randomized, double-blind comparison of patient-controlled epidural infusion vs nurse- administered epidural infusion for postoperative analgesia in patients.

Intrathecal sufentanil and morphine for post-thoracotomy pain relief†

Evaluation of costs and effects of epidural analgesia and patient-controlled intravenous analgesia after major abdominal surgery E Bartha, P Carlsson,

Iontophoretic transdermal system using fentanyl compared with patient-controlled intravenous analgesia using morphine for postoperative pain management†

Sumatriptan improves postoperative quality of recovery and reduces postcraniotomy headache after cranial nerve decompression L. Venkatraghavan, L. Li,

K.J. Chin British Journal of Anaesthesia

Effects of magnesium sulphate on intraoperative anaesthetic requirements and postoperative analgesia in gynaecology patients receiving total intravenous.

Epidural analgesia compared with peripheral nerve blockade after major knee surgery: a systematic review and meta-analysis of randomized trials S.J.

J.-H. Schiff, N Russ, K Ihringer, C Heal, E Martin, A Walther

Saliva cyclic GMP increases during anaesthesia

Postoperative pulmonary complications, pulmonary and systemic inflammatory responses after lung resection surgery with prolonged one-lung ventilation.

Patient choice compared with no choice of intrathecal morphine dose for caesarean analgesia: a randomized clinical trial B. Carvalho, F. Mirza, P. Flood

Determination of moderate-to-severe postoperative pain on the numeric rating scale: a cut-off point analysis applying four different methods H.J. Gerbershagen,

Emetic effects of morphine and piritramide†

D. Fletcher, V. Martinez British Journal of Anaesthesia

Impact of induction chemoradiotherapy on pulmonary function after lobectomy for lung cancer Hiroaki Nomori, MD, Atsushi Shiraishi, MD, Yue Cong, MD,

Analgesia and functional outcome after total knee arthroplasty: periarticular infiltration vs continuous femoral nerve block F Carli, A Clemente, J.F.

Lung recruitment and positive airway pressure before extubation does not improve oxygenation in the post-anaesthesia care unit: a randomized clinical.

Recovery after total intravenous general anaesthesia or spinal anaesthesia for total knee arthroplasty: a randomized trial† A Harsten, H Kehlet, S Toksvig-Larsen

Postoperative pain relief after total hip arthroplasty: a randomized, double-blind comparison between intrathecal morphine and local infiltration analgesia

Spinal analgesia for laparoscopic colonic resection using an enhanced recovery after surgery programme: better analgesia, but no benefits on postoperative.

Systemic lidocaine fails to improve postoperative morphine consumption, postoperative recovery and quality of life in patients undergoing posterior spinal.

Recovery of fibrinogen after administration of fibrinogen concentrate to patients with severe bleeding after cardiopulmonary bypass surgery C. Solomon,

Single-dose intravenous paracetamol or propacetamol for prevention or treatment of postoperative pain: a systematic review and meta-analysis E.D. McNicol,

Methylnaltrexone to prevent intrathecal morphine-induced pruritus after Caesarean delivery: a multicentre, randomized clinical trial M. Paech, B. Sng,

Pregabalin has an opioid-sparing effect in elderly patients after cardiac surgery: a randomized placebo-controlled trial A. Pesonen, R. Suojaranta-Ylinen,

Effect of dexamethasone in combination with caudal analgesia on postoperative pain control in day-case paediatric orchiopexy J.-Y. Hong, S.W. Han, W.O.

E. -H. Lee, H. -M. Lee, C. -H. Chung, J. -H. Chin, D. -K. Choi, H. -J

A. J. Byrne, M Oliver, O Bodger, W. A

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

Combined paravertebral and intrathecal vs thoracic epidural analgesia for postthoracotomy pain relief S. Dango, S. Harris, K. Offner, E. Hennings, H.-J.

Epidural analgesia with 0. 15% ropivacaine plus sufentanil 0

Postoperative analgesic effect of intravenous (i. v

Postoperative analgesia with parecoxib, acetaminophen, and the combination of both: a randomized, double-blind, placebo-controlled trial in patients undergoing.

Are perioperative therapeutic doses of statins associated with postoperative pain and opioid consumption after hip surgery under spinal anaesthesia?

M Senard, E. P. Deflandre, D Ledoux, L Roediger, B. M

Patient-initiated mandatory boluses for ambulatory continuous interscalene analgesia: an effective strategy for optimizing analgesia and minimizing side-effects

Additional femoral catheter in combination with popliteal catheter for analgesia after major ankle surgery S Blumenthal, A Borgeat, C Neudörfer, R Bertolini,

Comparison between patient-controlled analgesia and subcutaneous morphine in elderly patients after total hip replacement† H. Keïta, N. Geachan, S. Dahmani,

Analgesia for day-case surgery†

Pulmonary function, postoperative pain, and serum cytokine level after lobectomy: a comparison of VATS and conventional procedure Itaru Nagahiro, MD,

Nottingham Hip Fracture Score as a predictor of one year mortality in patients undergoing surgical repair of fractured neck of femur M.D. Wiles, C.G.

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

Benefit and risk of intrathecal morphine without local anaesthetic in patients undergoing major surgery: meta-analysis of randomized trials N. Meylan,

Presentation transcript:

Analgesia and pulmonary function after lung surgery: is a single intercostal nerve block plus patient-controlled intravenous morphine as effective as patient-controlled epidural anaesthesia? A randomized non-inferiority clinical trial R. Meierhenrich, D. Hock, S. Kühn, E. Baltes, B. Muehling, R. Muche, M. Georgieff, G. Gorsewski British Journal of Anaesthesia Volume 106, Issue 4, Pages 580-589 (April 2011) DOI: 10.1093/bja/aeq418 Copyright © 2011 The Author(s) Terms and Conditions

Fig 1 Participant flow. EDA, epidural anaesthesia; POD, postoperative day. British Journal of Anaesthesia 2011 106, 580-589DOI: (10.1093/bja/aeq418) Copyright © 2011 The Author(s) Terms and Conditions

Fig 2 Pain course at rest (a), on coughing (b), and ‘maximum pain experienced since last questioning’ (c). Data given as median and 95% confidential interval of the median. *P<0.05; **P<0.01: comparison between the epidural and intercostal groups (Mann–Whitney rank sum test). NRS, numeric rating scale; POD1, POD2, POD3, and POD 4, first, second, third, and fourth postoperative day. British Journal of Anaesthesia 2011 106, 580-589DOI: (10.1093/bja/aeq418) Copyright © 2011 The Author(s) Terms and Conditions

Fig 3 Median treatment differences for NRS scores at rest on the first postoperative day. Error bars indicate two-sided 95% confidence intervals. Δ, margin of non-inferiority. Non-tinted area indicates zone of inferiority. NRS, numeric rating scale. British Journal of Anaesthesia 2011 106, 580-589DOI: (10.1093/bja/aeq418) Copyright © 2011 The Author(s) Terms and Conditions

Fig 4 Time course of pulmonary function: IVC (a), FVC (b), PEFR (c), and FEV1 (d). The median, 5% percentile, 95% percentile, and inter-quartile range (box) are shown. P-value, comparison between the epidural and intercostal groups (Mann–Whitney rank-sum test). IVC, inspiratory vital capacity; FVC, forced vital capacity; PEFR, peak expiratory flow rate; FEV1, forced expiratory volume 1; POD1, POD2, POD3, and POD 4, first, second, third, and fourth postoperative day. British Journal of Anaesthesia 2011 106, 580-589DOI: (10.1093/bja/aeq418) Copyright © 2011 The Author(s) Terms and Conditions