A study evaluated the effect on postoperative pain and pulmonary complications of a lidocaine injection in thoracic epidural anesthesia before surgical incision in patients with suspected lung cancer resected by thoracotomy. With authors’ peroperative anesthetic management, postoperative acute pain is very low. Nevertheless, good care did not lead to a decrease in pulmonary complications. Authors conclude that thoracic epidural anesthesia should be induced before incision, to decrease acute post-thoracotomy pain.
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