[Comparative study of intercostal and interpleural block for post-cholecystectomy analgesia]. 2003

Antonio Mauro Vieira, and Taylor Brandão Schnaider, and Antonio Carlos Aguiar Brandão, and João Pires Campos Neto
Departamento de Farmacologia, Universidade do Vale do Sapucaí, Brazil.

OBJECTIVE Postoperative analgesia is a wish of all surgical patients and has been used by most anesthesiologists. In addition to opioids, local anesthetic agents have been employed for peripheral and central blocks. The purpose of this study was to evaluate and to compare intercostal and interpleural blocks for post-cholecystectomy analgesia. METHODS Sixty patients undergoing open cholecystectomy with subcostal incision, received either intercostal block (Group IC, n = 30) or interpleural block (Group IP, n = 30), for postoperative analgesia, both with 0.5% bupivacaine (100 mg) with epinephrine. Analgesia duration and patients complaints were evaluated. RESULTS Analgesia was considered satisfactory for both groups. Mean analgesia duration was 505 minutes for Group IP and 620 minutes for Group IC, with no statistical significant difference. Nausea, vomiting and mild abdominal pain were the most frequent postoperative complaints. There was no postoperative complication related to blockade and no pneumothorax was detected. CONCLUSIONS We concluded that both techniques were effective in promoting post-cholecystectomy analgesia, but interpleural block was easier to perform.

UI MeSH Term Description Entries

Related Publications

Antonio Mauro Vieira, and Taylor Brandão Schnaider, and Antonio Carlos Aguiar Brandão, and João Pires Campos Neto
June 1993, Middle East journal of anaesthesiology,
Antonio Mauro Vieira, and Taylor Brandão Schnaider, and Antonio Carlos Aguiar Brandão, and João Pires Campos Neto
August 1989, Anaesthesia and intensive care,
Antonio Mauro Vieira, and Taylor Brandão Schnaider, and Antonio Carlos Aguiar Brandão, and João Pires Campos Neto
January 1991, Veterinary surgery : VS,
Antonio Mauro Vieira, and Taylor Brandão Schnaider, and Antonio Carlos Aguiar Brandão, and João Pires Campos Neto
January 1993, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery,
Antonio Mauro Vieira, and Taylor Brandão Schnaider, and Antonio Carlos Aguiar Brandão, and João Pires Campos Neto
January 1993, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery,
Antonio Mauro Vieira, and Taylor Brandão Schnaider, and Antonio Carlos Aguiar Brandão, and João Pires Campos Neto
January 1997, Anaesthesiologie und Reanimation,
Antonio Mauro Vieira, and Taylor Brandão Schnaider, and Antonio Carlos Aguiar Brandão, and João Pires Campos Neto
January 1990, Regional anesthesia,
Antonio Mauro Vieira, and Taylor Brandão Schnaider, and Antonio Carlos Aguiar Brandão, and João Pires Campos Neto
December 1990, Anaesthesia,
Antonio Mauro Vieira, and Taylor Brandão Schnaider, and Antonio Carlos Aguiar Brandão, and João Pires Campos Neto
January 1991, Canadian journal of anaesthesia = Journal canadien d'anesthesie,
Antonio Mauro Vieira, and Taylor Brandão Schnaider, and Antonio Carlos Aguiar Brandão, and João Pires Campos Neto
September 1990, The Australian and New Zealand journal of surgery,
Copied contents to your clipboard!