Skip Navigation

This Article
Right arrow Full Text (PDF)
Right arrow E-Letters: Submit a response to the article
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (3)
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Borges, M. F.
Right arrow Articles by Coulson, A. S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Borges, M. F.
Right arrow Articles by Coulson, A. S.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

British Journal of Anaesthesia, Vol 80, Issue 4 519-520, Copyright © 1998 by The Board of Management and Trustees of the British Journal of Anaesthesia

CASE REPORTS

Minimally invasive coronary bypass surgery: postoperative pain management using intermittent bupivacaine infiltration

M. F. Borges and A. S. Coulson
Dameron Hospital, Stockton, CA, USA; Dameron Hospital Heart Institute, Dameron Hospital, Stockton, CA, USA

Minimally invasive direct coronary artery bypass grafting (MIDCAB) is becoming a popular adjunct to standard cardiac bypass surgery in selected patients with accessible single or double vessel disease. However, the limited anterior thoracotomy used to access the heart involves trauma to the muscle tissue during removal of the fourth costal cartilage and a small piece of connected rib, perhaps leading to more severe postoperative pain compared with patients undergoing routine sternotomy. Intrathecal opioids can be used but have limited therapeutic duration and there is concern regarding anticoagulation. We present a case where soft tissue catheters were placed into the depths of the surgical wounds and pain was diminished greatly by intermittent regular infiltration with bupivacaine.
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 J. Thorac. Cardiovasc. Surg.Home page
K.-M. Chiu, C.-C. Wu, M.-J. Wang, C.-W. Lu, J.-S. Shieh, T.-Y. Lin, and S.-H. Chu
Local infusion of bupivacaine combined with intravenous patient-controlled analgesia provides better pain relief than intravenous patient-controlled analgesia alone in patients undergoing minimally invasive cardiac surgery.
J. Thorac. Cardiovasc. Surg., June 1, 2008; 135(6): 1348 - 1352.
[Abstract] [Full Text] [PDF]

Home page
 Am J Crit CareHome page
W. J. Fox and T. A. Hughes
Use of Intercostal Bupivacaine With Epinephrine After Surgery to Decrease Use of Narcotics and Duration of Intubation
Am. J. Crit. Care., September 1, 2002; 11(5): 433 - 435.
[Abstract] [Full Text] [PDF]

Home page
 SEMIN CARDIOTHORAC VASC ANESTHHome page
S. Ganapathy, W. Dobkowski, J. M. Murkin, and W. D. Boyd
Anesthesia and Regional Anesthetic Techniques for Minimally Invasive Direct Coronary Artery Bypass Surgery
Seminars in Cardiothoracic and Vascular Anesthesia, July 1, 2000; 4(2): 92 - 102.
[Abstract] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.