Document Detail


Interpleural block for patients with multiple rib fractures: comparison with epidural block.
MedLine Citation:
PMID:  7963387     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Interpleural block (IPB) was compared with epidural block (EB) in 17 adults with unilateral multiple rib fractures and hemopneumothorax. The study was a randomized, crossover, before-after trial on the first and second hospital days. An IPB catheter was inserted along with a chest tube, and an upper thoracic EB was also established in the same patient. We administered 10 ml of 1% lidocaine for both blocks. The range of thermohypesthesia was unilateral and shorter in IPB, whereas it was bilateral and wider in EB. The effects of pain relief were almost the same. Respiratory rate decreased, and PaO2 tended to elevate similarly. In IPB, systemic blood pressure changed minimally, but it fell significantly in EB, which would be a disadvantage of EB in trauma patients. Serum levels of lidocaine were similar and in the safe range. The technique of IPB seemed to be easier than EB. In conclusion, IPB with lidocaine is as effective for pain relief as EB.
Authors:
K Shinohara; H Iwama; Y Akama; C Tase
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  The Journal of emergency medicine     Volume:  12     ISSN:  0736-4679     ISO Abbreviation:  J Emerg Med     Publication Date:    1994 Jul-Aug
Date Detail:
Created Date:  1994-12-02     Completed Date:  1994-12-02     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8412174     Medline TA:  J Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  441-6     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, Fukushima Medical College, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Anesthesia, Epidural*
Catheterization
Cross-Over Studies
Emergencies
Female
Hemodynamics / drug effects
Humans
Lidocaine / pharmacology
Male
Middle Aged
Nerve Block* / methods
Pain Measurement
Pleura
Rib Fractures / surgery*
Chemical
Reg. No./Substance:
137-58-6/Lidocaine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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