Long thoracic nerve block in video-assisted thoracoscopic wedge resection for pneumothorax

We hypothesised that relaxation of the serratus anterior muscle by long thoracic nerve (LTN) block could help pain relief after video-assisted thoracoscopic surgery. Patients undergoing thoracoscopic wedge resection for pneumothorax were randomly assigned to control or LTN block. LTN block was perfo...

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Bibliographic Details
Published in:Anaesthesia and intensive care 2012-09, Vol.40 (5), p.773-779
Main Authors: KWON, W. K, CHOI, J. W, KING, J. E, KANG, W. S, LIM, J. A, WOO, N. S, LEE, S. A, KIM, S. H
Format: Article
Language:English
Subjects:
Adolescent
Adult
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Female
Humans
Male
Medical sciences
Nerve Block - methods
Pain management
Pain Measurement
Pneumothorax
Pneumothorax - surgery
Surgery
Thoracic Surgery, Video-Assisted - methods
Thoracoscopy - methods
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Summary:We hypothesised that relaxation of the serratus anterior muscle by long thoracic nerve (LTN) block could help pain relief after video-assisted thoracoscopic surgery. Patients undergoing thoracoscopic wedge resection for pneumothorax were randomly assigned to control or LTN block. LTN block was performed before induction of general anaesthesia. Pain was evaluated using a visual analogue scale before anaesthesia induction (T0), on arrival to the post-anaesthetic care unit (PACU) (T1), every ten minutes after arrival in the PACU for 30 minutes (T2, T3 and T4) and one hour and 24 hours after discharge from the PACU (T5 and T6). Visual analogue scale scores from T1 to T5 in the block group were lower than the control group (T1: 36±11 vs 48±14 [P=0001], T2: 36±11 vs 51±15 [P
ISSN:0310-057X
1448-0271
DOI:10.1177/0310057X1204000504