title: A spray catheter technique for pleural anesthesia: a novel method for pain control before talc poudrage.
abstract: BACKGROUND
  Chemical pleurodesis causes severe pain, prompting physicians to perform thoracoscopic talc poudrage under general or neuroleptanalgesia. We describe a novel method for pain control in five patients with pneumothoraces and severe chronic obstructive pulmonary disease.
  
  
  METHODS
  Patients were premedicated with IM pethidine and IV midazolam. The pleural space was examined with the flex-rigid pleuroscope. Before talc poudrage, 250 mg lidocaine was administered via spray catheter, and pain scores measured immediately after the procedure and on postoperative days 1 and 2 were 3, 2, and 2, respectively.
  
  
  RESULTS
  No complications were noted, and 30-day mortality was 0%.
  
  
  CONCLUSIONS
  Lidocaine via spray catheter is effective for pain control before pleurodesis.
authors.affiliation: Department of Respiratory and Critical Care Medicine, Singapore General Hospital, Singapore. lee.pyng@sgh.com.sg
authors.forename: Pyng
authors.initials: P
authors.lastname: Lee
authors.forename: Henri G
authors.initials: HG
authors.lastname: Colt
mesh_terms: D000368:Aged; D000765:Anesthesia, Conduction / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000517:prevention & control*; D016066:Pleural Effusion, Malignant / Q000517:prevention & control*; D018700:Pleurodesis / Q000009:adverse effects*; D011030:Pneumothorax / Q000628:therapy*; D029424:Pulmonary Disease, Chronic Obstructive / Q000628:therapy*; D013627:Talc / Q000008:administration & dosage*
chemical_list: D013627:Talc