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[Continuous intercostal nerve block for chronic pain].

Y Shir, S Shapira, F Magora

    Harefuah
    |May 1, 1989
    PubMed
    Summary
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    Continuous intercostal nerve blocks offer effective pain relief for chest pain patients. This outpatient treatment provided significant pain reduction and lasting comfort for many, showcasing its potential as a novel pain management tool.

    Area of Science:

    • Pain Management
    • Anesthesiology
    • Neurology

    Context:

    • Chest pain management presents challenges in outpatient settings.
    • Effective pain relief is crucial for patient recovery and quality of life.

    Purpose:

    • To evaluate the efficacy and safety of continuous intercostal nerve blocks for treating acute and chronic chest pain in ambulatory patients.

    Summary:

    • Twenty-one ambulatory patients received continuous intercostal blocks using 0.5% marcaine via an intercostal catheter.
    • The treatment, initiated in an outpatient clinic and continued at home for 5-6 days, provided substantial pain relief in 76% of patients.
    • Follow-up showed up to 65% remained pain-free for 3 months, though results were less favorable for malignancy and long-standing neuralgia.

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    Impact:

    • Continuous intercostal blocks represent a significant advancement in pain management strategies.
    • This technique offers a viable, low-side-effect option for managing various types of chest pain.
    • Further research may expand the application of this interventional pain therapy.