Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Continuous intercostal blockade after cardiac surgery.

A D Baxter, F O Jennings, R S Harris

    British Journal of Anaesthesia
    |February 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    First Report of Fusarium Wilt of Canary Island Date Palm Caused by Fusarium oxysporum f. sp. canariensis in Louisiana.

    Plant disease·2019
    Same author

    A panel of eGFP reporters for single base editing by APOBEC-Cas9 editosome complexes.

    Scientific reports·2019
    Same author

    Perspective: APOBEC mutagenesis in drug resistance and immune escape in HIV and cancer evolution.

    Annals of oncology : official journal of the European Society for Medical Oncology·2018
    Same author

    Stress concentration around an atelectatic region: a finite element model.

    Respiratory physiology & neurobiology·2014
    Same author

    Peripheral resistance: a link between global airflow obstruction and regional ventilation distribution.

    Journal of applied physiology (Bethesda, Md. : 1985)·2012
    Same author

    Heterotopic pregnancy in non-communicating horn of bicornuate uterus: a novel management approach.

    Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology·2011
    Same journal

    Audit of procedural sedation complications using a novel digital application.

    British journal of anaesthesia·2026
    Same journal

    Social deprivation and morbidity and mortality after surgery. Comment on Br J Anaesth 2025; 135: 1193-1202.

    British journal of anaesthesia·2026
    Same journal

    Single-dose intraoperative methadone and QTc interval: a prospective observational cohort investigation.

    British journal of anaesthesia·2026
    Same journal

    Postoperative outcomes in older patients with postoperative delirium in the UK: timing of postoperative delirium screening in the SNAP-3 study. Comment on Br J Anaesth 2026; 136: 1578-87.

    British journal of anaesthesia·2026
    Same journal

    Population pharmacokinetic-pharmacodynamic analysis and dose optimisation of ciprofol in paediatric anaesthesia.

    British journal of anaesthesia·2026
    Same journal

    Global environmental and geo-economic impact of conservative versus liberal oxygen strategies in mechanically ventilated critically ill adults: an ecological country-level analysis.

    British journal of anaesthesia·2026
    See all related articles

    Continuous bilateral intercostal blockade offered superior pain relief after cardiac surgery compared to IV narcotics. However, it did not improve lung function or reduce complications, making it difficult to recommend.

    Area of Science:

    • Anesthesiology
    • Thoracic Surgery
    • Pain Management

    Background:

    • Effective pain management after cardiac surgery is crucial for patient recovery.
    • Conventional intravenous (IV) narcotics are commonly used but can have side effects.
    • Regional analgesia techniques are explored as alternatives for improved pain control.

    Purpose of the Study:

    • To compare the efficacy and safety of continuous bilateral intercostal blockade versus conventional IV narcotics for post-cardiac surgery analgesia.
    • To assess the impact of regional analgesia on subjective pain scores and pulmonary complications.

    Main Methods:

    • A comparative study involving patients undergoing cardiac surgery.
    • Administration of continuous bilateral intercostal blockade for regional analgesia.

    Related Experiment Videos

  • Administration of conventional IV narcotics for control analgesia.
  • Assessment of subjective pain quality and pulmonary function over the first 48 hours post-surgery.

    • Main Results:

    • Subjective quality of analgesia was significantly superior with continuous bilateral intercostal blockade.
    • No significant improvement was observed in pulmonary function tests, gas exchange, or lung volumes.
    • Radiological and clinical evidence of pulmonary complications did not differ between the groups.
    • Potential complications associated with regional techniques, such as pneumothorax, were noted.

    Conclusions:

    • While continuous bilateral intercostal blockade provides better subjective pain relief after cardiac surgery, it does not offer advantages in terms of pulmonary outcomes.
    • The lack of demonstrated morbidity reduction and the risk of complications limit the recommendation of this regional technique in this specific clinical setting.