Abstract
Interpleural block was used in four patients undergoing percutaneous nephrostomy, one of whom also underwent percutaneous nephrolithotomy. Interpleural block was achieved with the standard technique using 30 ml of 0.5 per cent bupivacaine. All patients tolerated the procedure well and remained haemodynamically stable during the operative procedure. Mean pain relief from initiation of interpleural block was ten hours (SD = 4.32). Interpleural block was an effective method of obtaining anaesthesia for percutaneous nephrostomy and nephrolithotomy in these four patients.
Résumé
Un bloc interpleural a été utilisé chez quatre patients devant subir une néphrostomie percutanée dont un a aussi subi une néphrolithotomie percutanée. Le bloc interpleural a été acquis avec une technique standard utilisant 30 ml de 0,5 pour cent de bupivacaïne. Tons les patients ont toléré la procedure et sont restés stables hémodynamiquement durant la procédure opératoire. En moyenne le soulagement de la douleur à partir du début du bloc interpleural était de dix heures (SD = 4.32). Le bloc interpleural était une méthode efficace d’obtenir l’anesthésie pour une néphrostomie percutanée et une néphrolithotomie chez ces quatre patients.
Article PDF
Similar content being viewed by others
References
Reistad F, Stromskag KE. Intrapleural catheter in the management of post-op pain. Regional Anesthesia 1986; 11: 89–91.
Seltzer JL, Larijani GE. Intrapleural bupivacaine: a kinetic and dynamic evaluation. Anesthesiology: 1987; 67: 798–800.
Jorfeldt L, Lofstrom B. The effects of local anesthetics on the central circulation and respiration in man and dogs. Acta Anaesthesiol Scand 1968; 12: 153–69.
Covino BG. Interpleural regional analgesia. Anesth Analg 1988; 67: 427–9.
Rocco A, Reistad F, Gudman J, McKay W. Intrapleural administration of local anesthetic for pain relief in patients with multiple rib fractures (preliminary report). Regional Anesthesia 1987; 12, 10–4.
Durrani Z, Winnie AP, Ikuta P. Interpleural catheter analgesia for pancreatic pain. Anesth Analg 1988; 67: 479–81.
Kambam JR, Handte RE, Flanagan J et al. Intrapleural anesthesia for post thoracotomy pain relief. Anesth Analg 1987; 66: S90.
Schlesinger TM, Laurito CE, Baughman VL, Carranza CJ. Interpleural bupivacaine for mammography during needle localization and breast biopsy. Anesth Analg 1989; 68: 394–5.
Stromskag KE, Steen PA. Comparison of interpleural and epidural anesthesia for extracorporeal shock wave lithotripsy. Anesth Analg 1988; 67, 1181–3.
Rosenblatt M, Robalino J, Bergman A, Shevde K. Pleural block: a new technique for regional anesthesia during percutaneous hepatobiliary drainage. Regional Anesthesia 1989; 14 (Supplement): 57.
Vade Boncouer TR, Pelligrino DA, Riegler FX, Albrecht RF. Interpleural bupivacaine in the dog: distribution of effect and influence of injectate volume. Anesth Analg 1989;68: S301.
Riegler FX, Pelligrino DA, Vade Boncouer TR. An animal model of intrapleural analgesia. Anesthesiology 1988; 69: A365.
Rosenberg PH, Scheinin BMA, Lepantalo MJ, Lindfors 0. Continuous intrapleural infusion of bupivacaine for analgesia after thoracotomy. Anesthesiology 1987; 67: 811–3.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Trivedi, N.S., Robalino, J. & Shevde, K. Interpleural block: a new technique for regional anaesthesia during percutaneous nephrostomy and nephrolithotomy. Can J Anaesth 37, 479–481 (1990). https://doi.org/10.1007/BF03005632
Issue Date:
DOI: https://doi.org/10.1007/BF03005632