Intrapleural marcaine for postoperative analgesia
Landesberg, G.; Meretyk, S.; Lankovsky, Z.; Shapiro, A.; Magora, F.
Harefuah 116(6): 313-314
1989
ISSN/ISBN: 0017-7768 PMID: 2731796 Document Number: 341143
Intrapleural marcaine has been described as an effective method of analgesia following upper abdominal and thoracic operations and is no longer regarded as experimental. We have shown that the same quality of analgesia can be achieved by injecting the drug through a catheter inserted intraoperatively through the surgical incision. In our method, applied in 9 cases, there is no risk of pneumothorax as a result of piercing the chest wall, since intraoperative placement of the intrapleural catheter is very easy. We therefore suggest it as the method of choice for postoperative analgesia in kidney operations. It is especially recommended in elderly patients with chronic pulmonary disease who do not tolerate narcotics well.