The analgesic efficacy of a single injection of ultrasound-guided retrolaminar paravertebral block for breast surgery: a prospective, randomized, double-blinded study

Boo-Young Hwang; Eunsoo Kim; Jae-young Kwon; Ji-youn Lee; Dowon Lee; Eun Ji Park; Taewoo Kang

추천

검색

자료유형: 학술저널

저자정보: Boo-Young Hwang (Department of Anesthesia and Pain Medicine Pusan National University School of Medicine Yangsan Kor) Eunsoo Kim (Department of Anesthesia and Pain Medicine Pusan National University School of Medicine Yangsan Kor) Jae-young Kwon (Department of Anesthesia and Pain Medicine Pusan National University School of Medicine Yangsan Kor) Ji-youn Lee (Department of Anesthesia and Pain Medicine Pusan National University School of Medicine Yangsan Kor) Dowon Lee (Department of Anesthesia and Pain Medicine Pusan National University School of Medicine Yangsan Kor) Eun Ji Park (Department of Anesthesia and Pain Medicine Pusan National University School of Medicine Yangsan Kor) Taewoo Kang (Department of Busan Cancer Center (Breast Cancer Clinic) Pusan National University Hospital Busan K)

저널정보: 대한통증학회 The Korean Journal of Pain The Korean Journal of Pain 제33권 제4호

발행연도: 2020.1

수록면: 378 - 385 (8page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Background: The thoracic paravertebral block is an effective analgesic technique for postoperative pain management after breast surgery. The ultrasound-guided retrolaminar block (RLB) is a safer alternative to conventional paravertebral block. Thus, we assessed the analgesic efficacy of ultrasound-guided RLB for postoperative pain management after breast surgery. Methods: Patients requiring breast surgery were randomly allocated to group C (retrolaminar injection with saline) and group R (RLB with local anesthetic mixture). The RLB was performed at the level of T3 with local anesthetic mixture (0.75% ropivacaine 20 mL + 2% lidocaine 10 mL) under general anesthesia before the skin incision. The primary outcome was cumulative morphine consumption using intravenous patient-controlled analgesia (IV-PCA) at 24 hour postoperatively. The secondary outcomes were the visual analogue scale (VAS) scores at 1, 6, 24, and 48 hour postoperatively and the occurrence of adverse events and patient satisfaction after the surgery. Results: Forty-six patients were included, 24 in group C and 22 in group R. The cumulative morphine consumption using IV-PCA did not differ between the two groups (P = 0.631). The intraoperative use of remifentanil was higher in group C than in group R (P = 0.025). The resting and coughing VAS scores at 1 hour postoperatively were higher in group R than in group C (P = 0.011, P = 0.004). The incidence of adverse events and patient satisfaction was not significantly different between the two groups. Conclusions: A single injection of ultrasound-guided RLB did not reduce postoperative analgesic requirements following breast surgery.

#Analgesics #Opioid #Anesthetics #Local #Breast Neoplasms #Injections #Spinal #Nerve Block #Pain #Postoperative #Ropivacaine #Ultrasonography #Interventional #Visual Analog Scale.

참고문헌 (30)

참고문헌 신청

Harris E / 2013 / Meta-analysis to determine if surgical resection of the primary tumour in the setting of stage IV breast cancer impacts on survival / Ann Surg Oncol 20:2828~2834

Alves Nogueira Fabro E / 2012 / Post-mastectomy pain syndrome: incidence and risks / Breast 21:321~325

Chiu C / 2018 / Improved analgesia and reduced postoperative nausea and vomiting after implementation of an enhanced recovery after surgery(ERAS)pathway for total mastectomy / BMC Anesthesiol 18:41

Hickey OT / 2010 / Severity of acute pain after breast surgery is associated with the likelihood of subsequently developing persistent pain / Clin J Pain 26:556~560

Terkawi AS / 2015 / Improving analgesic efficacy and safety of thoracic paravertebral block for breast surgery : a mixedeffects meta-analysis / Pain Physician 18:E757~80

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!