Effective pain relief with intrapleural analgesia
Article Abstract:
Health professionals do not often use intrapleural catheters for pain relief, yet it can be an effective technique. It involves continuous or patient-managed infusion of a local anaesthetic through a catheter sited in the pleural space. The anesthetic travels to the intercostal nerves and it can block other regions including the lower brachial plexus. Case studies illustrate the successful use of intrapleural analgesia following rib fracture and following open cholecystectomy.
Publication Name: Nursing Times
Subject: Health
ISSN: 0954-7762
Year: 1999
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Keeping body and soul together
Article Abstract:
An accident victim emphasises the need for psychological care during recovery from spinal injury. A horse-riding accident resulted in paralysis and wheel-chair dependency in 1983. The standard of physical nursing was high but there was little psychological support. Patient and family received no information on the extent of physical damage or the limit of recovery. Group therapy and the use of relaxation in pain relief was not explored. Keeping a diary proved most helpful.
Publication Name: Nursing Times
Subject: Health
ISSN: 0954-7762
Year: 1992
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Making sense of the principles of patient-controlled analgesia
Article Abstract:
Patient-controlled analgesia (PCA) allows individual control of intravenous pain relief in the immediate post-operative period. It allows predictable, controlled and rapid drug delivery at the time of most need. A lock-out period prevents overdose. PCA facilitates recovery and saves nursing time. However, pumps are expensive, intravenous access may cause complications and not all patients are able or willing to administer the treatment.
Publication Name: Nursing Times
Subject: Health
ISSN: 0954-7762
Year: 1992
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