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J Thorac Cardiovasc Surg 2004;128:155
© 2004 The American Association for Thoracic Surgery

Letter to the editor

Reply to the Editor

Robert D. Dowling, MD

Professor of Surgery, University of Louisville, Louisville, KY 40202, USA

The first 20% of the full text of this article appears below.

We are responding to the letter of Racigno and Carnelos. As they described, we performed a double-blind randomized controlled trial in which patients undergoing elective bypass surgery received either bilateral intercostal nerve block with ropivacaine or a saline placebo. At wound closure, two catheters with multiple side openings were inserted percutaneously and placed directly over the sternum. The same agent (ropivacaine or saline solution) was then administered as a continuous regional infusion for 48 hours through an elastomeric pump. The main findings of our study were that patients in the ropivacaine group had improved postoperative pain control and required less narcotic analgesia. . . . [Full Text of this Article]




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