Skip Navigation

This Article
Right arrow Full Text
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 (14)
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Boisseau, N.
Right arrow Articles by Raucoules-Aimé, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Boisseau, N.
Right arrow Articles by Raucoules-Aimé, M.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

British Journal of Anaesthesia, 2001, Vol. 87, No. 4 564-569
© 2001 The Board of Management and Trustees of the British Journal of Anaesthesia

Clinical Investigations

Improvement of ‘dynamic analgesia’ does not decrease atelectasis after thoracotomy

N. Boisseau1, O. Rabary1, B. Padovani2, P. Staccini3, J. Mouroux4, D. Grimaud1 and M. Raucoules-Aimé1

1Department of Anesthesiology, 2Department of Radiology, 3Department of Clinical Statistics, and 4Department of Thoracic Surgery, Nice School of Medecine, University of Nice-Sophia Antipolis, Hôpital Pasteur, Avenue de la voie romaine, F-06000 Nice, CHU de Nice, France*Corresponding author

There is still controversy concerning the beneficial aspects of ‘dynamic analgesia’ (i.e. pain while coughing or moving) on the reduction of postoperative atelectasis. In this study, we tested the hypothesis that thoracic epidural analgesia (TEA) prevents these abnormalities as opposed to multimodal analgesia with i.v. patient controlled analgesia (i.v. PCA) after thoracotomy. Fifty-four patients undergoing thoracotomy (lung cancer) were randomly assigned to one of the two groups. Clinical respiratory characteristics, arterial blood gas, and pulmonary function tests (forced vital capacity and forced expiratory volume in 1 s) were obtained before surgery and on the next 3 postoperative days. Atelectasis was compared between the two groups by performing computed tomography (CT) scan of the chest at day 3. Postoperative respiratory function and arterial blood gas values were reduced compared with preoperative values (mean (SD) FEV1 day 0: 1.1 (0.3) litre; 1.3 (0.4) litre) but there was no significant difference between groups at any time. PCA and TEA provided a good level of analgesia at rest (VAS day 0: 21 (15/100); 8 (9/100)), but TEA was more effective for analgesia during mobilization (VAS day 0: 52 (3/100); 25 (17/100)). CT scans revealed comparable amounts of atelectasis (expressed as a percentage of total lung volume) in the TEA (7.1 (2.8)%) and in the i.v. PCA group (6.71 (3.2)%). There was no statistical difference in the number of patients presenting with at least one atelectasis of various types (lamellar, plate, segmental, lobar).

Br J Anaesth 2001; 87: 564–9


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
 Arch SurgHome page
D. M. Popping, N. Elia, E. Marret, C. Remy, and M. R. Tramer
Protective Effects of Epidural Analgesia on Pulmonary Complications After Abdominal and Thoracic Surgery: A Meta-Analysis
Arch Surg, October 1, 2008; 143(10): 990 - 999.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
G. P. Joshi, F. Bonnet, R. Shah, R. C. Wilkinson, F. Camu, B. Fischer, E. A. M. Neugebauer, N. Rawal, S. A. Schug, C. Simanski, et al.
A Systematic Review of Randomized Trials Evaluating Regional Techniques for Postthoracotomy Analgesia
Anesth. Analg., September 1, 2008; 107(3): 1026 - 1040.
[Abstract] [Full Text] [PDF]

Home page
 Br J AnaesthHome page
P. Michelet, C. Guervilly, A. Helaine, J. P. Avaro, D. Blayac, F. Gaillat, T. Dantin, P. Thomas, and F. Kerbaul
Adding ketamine to morphine for patient-controlled analgesia after thoracic surgery: influence on morphine consumption, respiratory function, and nocturnal desaturation
Br. J. Anaesth., September 1, 2007; 99(3): 396 - 403.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
C. Bauer, J.-G. Hentz, X. Ducrocq, M. Nicolas, M. Oswald-Mammosser, A. Steib, and J.-P. Dupeyron
Lung Function After Lobectomy: A Randomized, Double-Blinded Trial Comparing Thoracic Epidural Ropivacaine/Sufentanil and Intravenous Morphine for Patient-Controlled Analgesia
Anesth. Analg., July 1, 2007; 105(1): 238 - 244.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
S. S. Liu and C. L. Wu
Effect of Postoperative Analgesia on Major Postoperative Complications: A Systematic Update of the Evidence
Anesth. Analg., March 1, 2007; 104(3): 689 - 702.
[Abstract] [Full Text] [PDF]

Home page
 Br J AnaesthHome page
A. Vogt, D. S. Stieger, C. Theurillat, and M. Curatolo
Single-injection thoracic paravertebral block for postoperative pain treatment after thoracoscopic surgery
Br. J. Anaesth., December 1, 2005; 95(6): 816 - 821.
[Abstract] [Full Text] [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.