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Bilateral interpleural injection of local anesthetics
J L Aguilar1, A Montero, F Vidal Lopez
1Hospital de Badalona Germans Trias i Pujol, Servicio de Anestesiologia y Reanimacion Universidad Autonoma, Barcelona, Spain.
Regional Anesthesia
|March 1, 1989
Summary
Bilateral interpleural analgesia with bupivacaine offers an alternative when thoracic epidural analgesia is contraindicated. Careful safety measures are crucial to prevent severe complications with this bilateral technique.
Area of Science:
- Anesthesiology
- Pain Management
Background:
- Continuous thoracic epidural analgesia is a standard for thoracic procedures.
- Alternative analgesia techniques are needed when epidural approaches are contraindicated.
Observation:
- Two cases utilizing bilateral interpleural analgesia with bupivacaine are presented.
- This technique was chosen due to contraindications for continuous thoracic epidural analgesia.
Findings:
- Bilateral interpleural analgesia can be a viable option in specific patient populations.
- Successful implementation requires meticulous attention to safety protocols.
Implications:
- Highlights the importance of alternative analgesic strategies in thoracic surgery.
- Underscores the need for rigorous safety measures to mitigate risks associated with bilateral interpleural blocks.