Save
CONTINUOUS LOCAL ANAESTHETIC WOUND CATHETER INFILTRATION POST CLAMSHELL THORACOTOMY
Author(s): ,
Lan-Pak-Kee, V.
Affiliations:
Barts Health NHS Trust, Anaesthetics, London, United Kingdom
,
Tarrell, T.
Affiliations:
Barts NHS Trust, Anaesthetics, London, United Kingdom
,
Egan, T.*
Affiliations:
Barts Health NHS Trust, Anaesthetics, London, United Kingdom
Konig, T.
Affiliations:
Barts Health NHS Trust, Surgery, London, United Kingdom
ESRA Academy. Egan T. Sep 13, 2017; 190695
Topic: Thoracic Surgery - Analgesia after Thoracotomy - Cardiac Surgery- Vascular Surgery
Dr. Timothy Egan
Dr. Timothy Egan

Access to Premium content is currently a membership benefit.


Click here to join ESRA or renew your membership.

Abstract
Discussion Forum (0)
Rate & Comment (0)
Background and Aims:

Emergency clamshell thoracotomy for a variety of indications in major trauma is an increasingly commonly performed procedure. Survivors present an analgesic challenge as the gold standard of thoracic epidural is rarely suitable in this patient group. Pain related morbidity is high, potentially delaying discharge from intensive care and from hospital. Local anaesthetic wound infusions via elastomeric pumps have been shown to be a useful adjunct to a multimodal analgesic strategy for many types of surgery, avoiding many of the problems associated with neuraxial blockade and systemic opiates. 

Methods:

We report on the novel and successful use of local anaesthetic infusion via elastomeric pump in a 17-year-old man who underwent emergent clamshell thoracotomy after sustaining a stab wound to the flank. 

Results:

-

Conclusions:

Continuous local anaesthetic infusion via wound catheter has been shown to significantly reduce post-operative patient pain scores and decrease length of hospital stay, whilst sparing opioid use. It is technically simpler and avoids many potentially serious side effects associated with other regional analgesia techniques. 

This is the first reported case of its application post clamshell thoracotomy for trauma. We believe that this technique could significantly reduce pain-related morbidity and improve the patient experience in those undergoing clamshell thoracotomy following trauma.

Code of conduct/disclaimer available in General Terms & Conditions
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.


Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.



Google Analytics is used for user behavior tracking/reporting. Google Analytics works in parallel and independently from MLG’s features. Google Analytics relies on cookies and these cookies can be used by Google to track users across different platforms/services.


Save Settings