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Annals of The Royal College of Surgeons of England logoLink to Annals of The Royal College of Surgeons of England
. 1983 Nov;65(6):366–369.

Post-thoracotomy pain relief: combined use of cryoprobe and morphine infusion techniques.

I A Orr, D J Keenan, J W Dundee, C C Patterson, A A Greenfield
PMCID: PMC2494419  PMID: 6638849

Abstract

In a reported study we found that freezing of the intercostal nerves under direct vision at thoracotomy provided better postoperative analgesia than im morphine on demand. Infusions of morphine were also more effective than when used by the intramuscular route. The benefit on the eighth postoperative day was greatest following the use of the cryoprobe. Further studies were carried out to evaluate the benefit of combining 'cryoprobe' analgesia with infusions of morphine. The combined use of morphine infusion and a cryoprobe did not produce greater postoperative pain relief than the use of the cryoprobe alone with im morphine on demand.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Catling J. A., Pinto D. M., Jordan C., Jones J. G. Respiratory effects of analgesia after cholecystectomy: comparison of continuous and intermittent papaveretum. Br Med J. 1980 Aug 16;281(6238):478–480. doi: 10.1136/bmj.281.6238.478. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Cory P. C., Mulroy M. F. Postoperative respiratory failure following intercostal block. Anesthesiology. 1981 May;54(5):418–419. doi: 10.1097/00000542-198105000-00013. [DOI] [PubMed] [Google Scholar]
  3. Huskisson E. C. Measurement of pain. Lancet. 1974 Nov 9;2(7889):1127–1131. doi: 10.1016/s0140-6736(74)90884-8. [DOI] [PubMed] [Google Scholar]
  4. Morrison J. D., Loan W. B., Dundee J. W. Controlled comparison of the efficacy of fourteen preparations in the relief of postoperative pain. Br Med J. 1971 Jul 31;3(5769):287–290. doi: 10.1136/bmj.3.5769.287. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Orr I. A., Keenan D. J., Dundee J. W. Improved pain relief after thoracotomy: use of cryoprobe and morphine infusion. Br Med J (Clin Res Ed) 1981 Oct 10;283(6297):945–948. doi: 10.1136/bmj.283.6297.945. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Robinson J. O., Rosen M., Evans J. M., Revill S. I., David H., Rees G. A. Self-administered intravenous and intramuscular pethidine. A controlled trial in labour. Anaesthesia. 1980 Aug;35(8):763–770. doi: 10.1111/j.1365-2044.1980.tb03916.x. [DOI] [PubMed] [Google Scholar]
  7. Rutter P. C., Murphy F., Dudley H. A. Morphine: controlled trial of different methods of administration for postoperative pain relief. Br Med J. 1980 Jan 5;280(6206):12–13. doi: 10.1136/bmj.280.6206.12. [DOI] [PMC free article] [PubMed] [Google Scholar]

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