Interpleural, intercostal and thoracic epidural analgesia

Abstract

Indications for and mechanisms of the action of interpleural analgesia are discussed and technical points that make this technique safer are considered in this review. Continuous intercostal nerve block, an alternative to the interpleural technique, is described. Finally, new data suggesting beneficial effects of thoracic epidural anaesthesia (TEA) in patients with coronary artery disease are reported.