Abstract | OBJECTIVE: METHODS: We performed a retrospective comparative analysis of 110 patients undergoing thoracotomies between November 1999 and March 2003. Postoperative pain management with a continuous-infusion elastomeric pump providing local anesthetic into the incisional area was compared with a single-shot epidural in combination with continuous local anesthetic infusion and continuous thoracic epidural infusion. Data sources were reviewed for mean narcotic use, pain score, and complications. RESULTS: After thoracotomy procedures, 38 patients received the ON-Q Pain Relief System (I-Flow Corp, Lake Forest, Calif), 32 received the ON-Q device and single-shot epidural infusion, and 40 received continuous epidural infusion. Demographic attributes, including age, body mass index, and sex were similar between the groups. Preoperative American Society of Anesthesiologists status was significantly higher in the ON-Q group compared with that in the other groups (P = .02). Narcotic use and pain scores were significantly reduced in the ON-Q group compared with that in the epidural group at all time points (P < .001). There were no wound-healing complications or infections associated with the use of the pump. CONCLUSION:
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Authors | Grayson H Wheatley 3rd, David H Rosenbaum, Michelle C Paul, Alan P Dine, Michael A Wait, Dan M Meyer, Michael E Jessen, W Steves Ring, J Michael DiMaio |
Journal | The Journal of thoracic and cardiovascular surgery
(J Thorac Cardiovasc Surg)
Vol. 130
Issue 2
Pg. 464-8
(Aug 2005)
ISSN: 0022-5223 [Print] United States |
PMID | 16077414
(Publication Type: Comparative Study, Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)
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Chemical References |
- Analgesics, Opioid
- Anesthetics, Local
- Morphine
- Bupivacaine
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Topics |
- Adult
- Aged
- Analgesia, Epidural
- Analgesics, Opioid
(administration & dosage)
- Anesthetics, Local
(administration & dosage)
- Bupivacaine
(administration & dosage)
- Female
- Humans
- Infusion Pumps, Implantable
- Male
- Middle Aged
- Morphine
(administration & dosage)
- Pain, Postoperative
(drug therapy, etiology)
- Thoracotomy
(adverse effects)
- Treatment Outcome
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