Abstract
ABSTRACT
Background:
Continuous infusion of local anesthetic through an extrapleural catheter decreases post-thoracotomy opioid requirements and improves respiratory mechanics.
Methods:
After the thoracoscopic procedure, a 16-gauge Tuohy needle is introduced posterior, medial, and inferior to the incision sites and advanced to the superior border of the rib. The catheter is passed through the needle into the extrapleural space under thoracoscopic control and secured to the skin. A loading dose of 0.25% bupivacaine is infused before the incisions are closed. Additional drug is given as needed.
Results and Conclusions:
This technique allows continuous extrapleural intercostal blockade with minimal morbidity and adds little time to the operation.
Get full access to this article
View all access options for this article.