書誌事項
- タイトル別名
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- Effectiveness of interpleural analgesia in management of the post-thoracotomy Pain.
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To investigate the effectiveness of interpleural analgesia (IPA) in the management of post-thoracotomy pain, we compared the epidural anesthetic group with the epidural anesthetic and IPA combination group. We divided 33 post-thoracotomy patients into two groups. Epidural anesthetic was administered to one group of the patients (Epi group), and epidural anesthetic and IPA were combined in the other group (IPA group). Buprenorphine hydrochloride was used as the epidural anesthetic agent. A double lumen chest tube was used as an indwelling drainage tube, and 20 ml of 0.25% bupivacaine was injected into the pleural cavity through the double lumen chest tube in the IPA group. Pain was assessed by visual analog scale (VAS) and the Prince Henry pain score (PH). The concentration of plasma bupivacaine was measured before and after Epi/IPA administration.<BR>The severity of pain was significantly milder in the IPA group than the Epi group. The concentration of plasma bupivacaine started to increase soon after IPA administration, after reaching a maximum in one hour (0.95 ± 0.21, μ/ml), it gradually decreased, and did not reach a toxic level.<BR>These findings suggested that epidural anesthetic and IPA combination was an easy and effective way to manage of post-thoracotomy pain.
収録刊行物
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- 日本呼吸器外科学会雑誌
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日本呼吸器外科学会雑誌 11 (5), 609-613, 1997
特定非営利活動法人 日本呼吸器外科学会
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詳細情報 詳細情報について
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- CRID
- 1390282679337447808
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- NII論文ID
- 10004928121
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- NII書誌ID
- AN10467885
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- ISSN
- 18814158
- 09190945
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
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- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可