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To relieve postoperative pain along a lumbar incision in 9 patients the intercostal nerves were blocked with catheters for continuous epidural anesthesia. The catheters were inserted near the intercostal nerves, above and beneath the incision, just before the wound was closed and 0.25% bupivacaine hydrochloride solution was infused periodically through the catheters. With this technique 5 of 9 patients had a satisfactory analgesic effect and could breathe deeply or cough without pain. The other 4 patients did not have satisfactory results and this was believed to be owing to inadequate insertion of the catheters. None of the patients had any complications. The technique is simple and can produce an analgesic effect repeatedly without causing pain for the patient.
E Ishizuka, and
A Iwasaki, and
Y Okutsu, and
T Kobayashi
October 1988,
The Annals of thoracic surgery,
E Ishizuka, and
A Iwasaki, and
Y Okutsu, and
T Kobayashi
March 1984,
Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke,
E Ishizuka, and
A Iwasaki, and
Y Okutsu, and
T Kobayashi
May 1995,
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E Ishizuka, and
A Iwasaki, and
Y Okutsu, and
T Kobayashi
January 1966,
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E Ishizuka, and
A Iwasaki, and
Y Okutsu, and
T Kobayashi
May 1989,
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E Ishizuka, and
A Iwasaki, and
Y Okutsu, and
T Kobayashi
October 1989,
The Thoracic and cardiovascular surgeon,
E Ishizuka, and
A Iwasaki, and
Y Okutsu, and
T Kobayashi
June 1983,
British journal of anaesthesia,
E Ishizuka, and
A Iwasaki, and
Y Okutsu, and
T Kobayashi
March 1980,
British journal of anaesthesia,
E Ishizuka, and
A Iwasaki, and
Y Okutsu, and
T Kobayashi
January 1975,
Acta anaesthesiologica Scandinavica. Supplementum,
E Ishizuka, and
A Iwasaki, and
Y Okutsu, and
T Kobayashi
January 1994,
Journal of clinical anesthesia,
