A spray catheter technique for pleural anesthesia: a novel method for pain control before talc poudrage.

Abstract:

BACKGROUND:Chemical pleurodesis causes severe pain, prompting physicians to perform thoracoscopic talc poudrage under general or neuroleptanalgesia. We describe a novel method for pain control in five patients with pneumothoraces and severe chronic obstructive pulmonary disease. METHODS:Patients were premedicated with IM pethidine and IV midazolam. The pleural space was examined with the flex-rigid pleuroscope. Before talc poudrage, 250 mg lidocaine was administered via spray catheter, and pain scores measured immediately after the procedure and on postoperative days 1 and 2 were 3, 2, and 2, respectively. RESULTS:No complications were noted, and 30-day mortality was 0%. CONCLUSION:Lidocaine via spray catheter is effective for pain control before pleurodesis.

journal_name

Anesth Analg

journal_title

Anesthesia and analgesia

authors

Lee P,Colt HG

doi

10.1213/01.ane.0000249046.02025.ef

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

198-200

issue

1

eissn

0003-2999

issn

1526-7598

pii

104/1/198

journal_volume

104

pub_type

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