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Intercostal Nerve Blockade for Fractured Ribs and Postoperative Analgesia Description of a New Technique
  1. Dermot F. Murphy, MB, BCh, BAO, FFARCSI
  1. From Dr. Steeven's Hospital, Steeven's Lane, Dublin, Ireland


A technique is described for continuous intercostal analgesia wherein an epidural catheter is inserted into a single intercostal space and “topped-up” with bupivacaine as required. Analgesia using this technique spreads over a large number of dermatomes and the author describes its successful use in patients with multiple fractured ribs and in patients after gallbladder and kidney surgery.

  • Analgesics
  • local
  • Bupivacaine
  • Anesthetic techniques
  • regional
  • intercostal.

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  • Address reprint requests to Dr. Murphy: Our Lady's Hospital for Sick Children, Crumlin, Dublin 12, Ireland.