Display options
Cite
Jung J, Park SY, Haam S. Efficacy of subpleural continuous infusion of local anesthetics after thoracoscopic pulmonary resection for primary lung cancer compared to intravenous patient-controlled analgesia. J Thorac Dis. 2016;8(7):1814-9doi: 10.21037/jtd.2016.06.16.
Jung, J., Park, S. Y., & Haam, S. (2016). Efficacy of subpleural continuous infusion of local anesthetics after thoracoscopic pulmonary resection for primary lung cancer compared to intravenous patient-controlled analgesia. Journal of thoracic disease, 8(7), 1814-9. https://doi.org/10.21037/jtd.2016.06.16
Jung, Joonho, et al. "Efficacy of subpleural continuous infusion of local anesthetics after thoracoscopic pulmonary resection for primary lung cancer compared to intravenous patient-controlled analgesia." Journal of thoracic disease vol. 8,7 (2016): 1814-9. doi: https://doi.org/10.21037/jtd.2016.06.16
Jung J, Park SY, Haam S. Efficacy of subpleural continuous infusion of local anesthetics after thoracoscopic pulmonary resection for primary lung cancer compared to intravenous patient-controlled analgesia. J Thorac Dis. 2016 Jul;8(7):1814-9. doi: 10.21037/jtd.2016.06.16. PMID: 27499973; PMCID: PMC4958826.
Copy Download .nbib Format: NLM
Share it on

J Thorac Dis. 2016 Jul;8(7):1814-9. doi: 10.21037/jtd.2016.06.16.

Efficacy of subpleural continuous infusion of local anesthetics after thoracoscopic pulmonary resection for primary lung cancer compared to intravenous patient-controlled analgesia.

Journal of thoracic disease

Joonho Jung, Seong Yong Park, Seokjin Haam

Affiliations

  1. Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine, Suwon, Republic of Korea.

PMID: 27499973 PMCID: PMC4958826 DOI: 10.21037/jtd.2016.06.16

Abstract

BACKGROUND: This study compared the efficacy and side effects of intravenous patient-controlled analgesia (IV-PCA) with those of a subpleural continuous infusion of local anesthetic (ON-Q system) in patients undergoing thoracoscopic pulmonary resection for primary lung cancer.

METHODS: We retrospectively reviewed 66 patients who underwent thoracoscopic pulmonary resection for primary lung cancer from January 2014 to August 2015 (36 in the IV-PCA group and 30 in the ON-Q group). The numeric pain intensity scale (NPIS), additional IV injections for pain control, side effects, and early discontinuation of the pain control device were compared.

RESULTS: There were no differences in the general characteristics of the two groups. The NPIS scores gradually decreased with time (P<0.001), but the two groups had differences in pattern of NPIS scores (P=0.111). There were no differences in the highest NPIS score during admission (4.75±2.35 vs. 5.27±1.87, P=0.334) or the number of additional IV injections for pain control in the same period (0.72±0.94 for IV-PCA vs. 0.83±0.65 for ON-Q; P=0.575). Side effects such as nausea, dizziness, and drowsiness were significantly more frequent with IV-PCA (36.1% vs. 10.0%, P=0.014), and early discontinuation of the pain control device was more frequent in the IV-PCA group (33.3% vs. 6.7%, P=0.008).

CONCLUSIONS: The ON-Q system was equivalent to the IV-PCA for postoperative pain control after thoracoscopic pulmonary resection for primary lung cancer, and it also had fewer effects and early discontinuations.

Keywords: ON-Q; intravenous patient-controlled analgesia (IV-PCA); pain control; video-assisted thoracic surgery (VATS)

References

  1. Eur J Cardiothorac Surg. 2011 Oct;40(4):902-6 - PubMed
  2. Eur J Cardiothorac Surg. 2012 Jan;41(1):10-3 - PubMed
  3. Ann Thorac Surg. 2001 Aug;72(2):362-5 - PubMed
  4. Eur J Anaesthesiol. 2012 Apr;29(4):186-91 - PubMed
  5. J Cardiothorac Vasc Anesth. 2014 Aug;28(4):973-8 - PubMed
  6. J Korean Med Sci. 2009 Oct;24(5):930-5 - PubMed
  7. J Thorac Cardiovasc Surg. 2005 Aug;130(2):464-8 - PubMed
  8. J Thorac Dis. 2015 Feb;7(Suppl 1):S62-72 - PubMed
  9. J Cardiothorac Vasc Anesth. 2013 Jun;27(3):423-6 - PubMed
  10. Br J Anaesth. 1999 Feb;82(2):221-7 - PubMed
  11. Acta Anaesthesiol Taiwan. 2012 Sep;50(3):92-5 - PubMed
  12. Ann Thorac Surg. 1993 Feb;55(2):381-5 - PubMed
  13. Eur J Cardiothorac Surg. 2009 Jul;36(1):170-80 - PubMed

Publication Types