Journal of Cardiothoracic and Vascular Anesthesia
Volume 20, Issue 5 , Pages 648-651 , October 2006

Hemodynamic Effects of Lidocaine in the Thoracic Paravertebral Space During One-Lung Ventilation for Thoracic Surgery

  • Ignacio Garutti, PhD, MD

      Affiliations

    • Department of Anesthesiology, Reanimation and Intensive Care, Hospital General Universitario “Gregorio Marañon,” Madrid, Spain
    • Corresponding Author InformationAddress reprint requests to Ignacio Garutti, PhD, MD, Departmento de Anestesia y Reanimación, Hospital General Universitario Gregorio Marañon, Calle Doctor Esquerdo 46, 28009 Madrid, Spain.
    • ,
  • Luis Olmedilla, PhD, MD

      Affiliations

    • Department of Anesthesiology, Reanimation and Intensive Care, Hospital General Universitario “Gregorio Marañon,” Madrid, Spain
    • ,
  • Jose María Pérez-Peña, MD

      Affiliations

    • Department of Anesthesiology, Reanimation and Intensive Care, Hospital General Universitario “Gregorio Marañon,” Madrid, Spain
    • ,
  • Daniel Arnal, MD

      Affiliations

    • Department of Anesthesiology, Reanimation and Intensive Care, Hospital General Universitario “Gregorio Marañon,” Madrid, Spain
    • ,
  • Patricia Piñeiro, MD

      Affiliations

    • Department of Anesthesiology, Reanimation and Intensive Care, Hospital General Universitario “Gregorio Marañon,” Madrid, Spain
    • ,
  • Santos Barrigon, PhD, MD

      Affiliations

    • Departamento de Farmacología, Ftad de Medicina, Universidad Complutense, Madrid, Spain.
    • ,
  • Juan Navia, PhD, MD

      Affiliations

    • Department of Anesthesiology, Reanimation and Intensive Care, Hospital General Universitario “Gregorio Marañon,” Madrid, Spain

References 

  1. Richardson J, Sabanathan S, Jones J, et al. A prospective, randomized comparison of preoperative and continuous balanced epidural or paravertebral bupivacaine on post-thoracotomy pain, pulmonary function and stress responses. Br J Anaesth. 1999;83:387–392
  2. Ballantyne JC, Carr DB, deFerranti S, et al. The comparative effects of postoperative analgesic therapies on pulmonary outcome: Cumulative meta-analyses of randomized, controlled trials. Anesth Analg. 1998;86:598–612
  3. Rodgers A, Walker N, Schug S, et al. Reduction of postoperative mortality and morbidity with epidural or spinal anesthesia: Results from overview of randomised trials. BMJ. 2000;321:1493–1497
  4. Eason MJ, Wyatt R. Paravertebral thoracic block: A reappraisal. Anesthesia. 1979;34:638–642
  5. Richardson J, Jones J, Atkinson R. The effect of thoracic paravertebral blockade on intercostal somatosensory evoked potentials. Anesth Analg. 1998;87:373–376
  6. Lonnqvist PA, MacKenzie J, Soni AK, et al. Paravertebral blockade: Failure rate and complications. Anesthesia. 1995;50:813–815
  7. Canto M, Sanchez MJ, Casas MA, et al. Bilateral paravertebral blockade for conventional cardiac surgery. Anesthesia. 2003;58:365–370
  8. Huter L, Schwarzkopf K, Preussler NP, et al. Measuring cardiac output in one-lung ventilation: A comparison of pulmonary artery and transpulmonary aortic measurements in pigs. J Cardiothorac Vasc Anesth. 2004;18:190–193
  9. Della Rocca G, Gabriella Costa M, Coccia C, et al. Cardiac output monitoring: Aortic transpulmonary thermodilution and pulse contour analysis agree with standard thermodilution methods in patients undergoing lung transplantation. Can J Anesth. 2003;50:707–711
  10. Della Rocca G, Gabriella Costa M. Preload indexes in thoracic anesthesia. Curr Opin Anaesthesiol. 2003;16:69–73
  11. Weisenack C, Prasser C, Keyl C, et al. Assessment of intrathoracic blood volume as an indicator of cardiac preload:single transpulmonary thermodilution technique versus assessment of preload parameters derived from a pulmonary artery catheter. J Cardiothorac Vasc Anesth. 2001;15:584–588
  12. Combes A, Berneau JB, Luyt CE, et al. Estimation of left ventricular systolic function by single transpulmonary thermodilution. Intensive Care Med. 2004;30:1377–1383
  13. Lemay E, Guay J, Cote C, et al. The number of injections does not influence local anesthetic absorption after paravertebral blockade. Can J Anaesth. 2003;50:562–567
  14. Edouard A, Berdeaux A, Langloys J, et al. Effects of lidocaine on myocardial contractility and baroreflex control of heart rate in conscious dogs. Anesthesiology. 1986;64:316–321
  15. Leone BJ, Lehot JJ, Runciman WB, et al. Effects of lignocaine and bupivacaine on regional myocardial function and coronary blood flow in anaesthetized dogs. Br J Anaesth. 1988;60:671–679
  16. Goertz AW, Seeling W, Heinrich H, et al. Influence of high thoracic epidural anesthesia on left ventricular contractility assessed using the end-systolic pressure-length relationship. Acta Anaesthesiol Scand. 1993;37:38–44
  17. Wattwil M, Sundberg A, Arvill A, et al. Circulatory changes during high thoracic epidural anesthesia—Influence of sympathetic block and of systemic effect of the local anesthetic. Acta Anaesthesiol Scand. 1985;29:849–855

PII: S1053-0770(06)00097-8

doi: 10.1053/j.jvca.2006.02.033

Journal of Cardiothoracic and Vascular Anesthesia
Volume 20, Issue 5 , Pages 648-651 , October 2006

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