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Continuing Education in Anaesthesia, Critical Care & Pain 2005 5(2):56-60; doi:10.1093/bjaceaccp/mki014
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Continuing Education in Anaesthesia, Critical Care & Pain | Volume 5 Number 2 2005 © The Board of Management and Trustees of the British Journal of Anaesthesia [2005]. All rights reserved. For Permissions, please email: journals.permissions{at}oupjournals.org

Pain control for thoracotomy

Richard Hughes, MB ChB, FRCA, Research Fellow in Anaesthesia
Birmingham Heartlands Hospital, Birmingham, B5 9SS

Fang Gao, FRCA MPhil, Consultant Anaesthetist
Department of Anaesthesia and Intensive Care Medicine, Birmingham Heartlands Hospital, Bordesley Green East, Birmingham, B5 9SS
Tel: 01214 243438, Fax: 01214 451346, E-mail: fang.smith{at}heartsol.wmids.nhs.uk (for correspondence)

Thoracotomy is widely recognized as being one of the most painful surgical procedures. Acute post-thoracotomy pain is aggravated by the constant movement of breathing. However, vigorous physiotherapy and incentive spirometry are encouraged to prevent atelectasis and secretion retention. Pain relief is, therefore, essential to facilitate coughing and deep breathing and to promote early mobilization.


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