Abstract
Interpleural analgesia has recently been shown to be effective in the management of various chronic pain syndromes. We have used interpleural analgesia successfully in 11 patients with severe chronic pancreatitis of 24–38 months duration. Daily injections of 30 ml of 0.5 per cent bupivacaine with epinephrine 5 μ· ml−1, were given through a percutaneously inserted pleural catheter over a five-to ten-day period. Patients have remained painfree during follow up which ranges from 24 to 40 weeks. This method of providing analgesia for the patient suffering from the pain of chronic pancreatitis is simple, safe, effective and can be provided on an outpatient basis.
Résumé
L’analgésie intrapleurale peut soulager efficacement plusieurs types de douleurs chroniques. Pendant cinq à dix jours, nous avons injecté quotidiennement 30 ml de bupivacaïne 0.5 pour cent avec adrénaline (5 μg · ml−1) dans un cathéter pleural percutané à 11 patients souffrant de pancréatite chronique depuis 24 à 38 mois. Us sont alors demeurés asymptomatiques pendant une piriode de 24 à 40 semaines. C’est un type d’analgésie sûr, simple et efficace qu’on peut l’utiliser en externe.
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Reiestad, F., Mcllvaine, W.B., Kvalheim, L. et al. Successful treatment of chronic pancreatitis pain with interpleural analgesia. Can J Anaesth 36, 713–716 (1989). https://doi.org/10.1007/BF03005428
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DOI: https://doi.org/10.1007/BF03005428