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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 201 - 209 (9page)
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초록· 키워드
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Background: Inguinal hernia repair is one of the most commonly performed surgical procedures. Regional blocks might provide excellent analgesia and reduce complications in the postoperative period. We aimed to compare the postoperative analgesic effect of the ultrasound-guided transversalis fascia (TF) plane block versus the transmuscular quadratus lumborum (QL) block in patients undergoing unilateral inguinal hernia repair. Methods: Fifty patients enrolled in this comparative study and were randomly assigned into two equal groups. One group received an ultrasound-guided QL block. In comparison, the other group received an ultrasound-guided TF plane block. The primary outcome was the patient-assessed resting, and movement-induced pain on the numeric pain rating scale (NRS) measured at 30 minutes postoperatively. Secondary outcomes included the percentage of patients receiving rescue analgesia in the first postoperative day, ease of performance of the technique, and incidence of adverse effects. Results: There were no statistically significant differences in NRS at rest and with movement between the groups over the first 24 hours postoperatively. The proportion of patients that received postoperative rescue analgesics during the first 30 minutes postoperatively was 4% (n = 1) in the QL group compared to 12% (n = 3) in the TF group. However, the mean performance time of the TF block was shorter than that of the QL block, and the performance of the TF block appeared easier technically. Conclusions: The ultrasound-guided TF plane block could be as effective as the QL block in lowering pain scores and decreasing opioid consumption following nonrecurrent inguinal herniorrhaphy.
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등록된 정보가 없습니다.
참고문헌 (20)
참고문헌 신청
Aasvang E / 2005 / Surgical management of chronic pain after inguinal hernia repair / Br J Surg 92:795~801
Chou R / 2016 / Management of postoperative pain : a clinical practice guideline from the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists’ Committee on Regional Anesthesia, Executive Committee, and Administrative Council / J Pain 17:131~157
Bulka CM / 2014 / Regional anesthesia, time to hospital discharge, and inhospital mortality : a propensity score matched analysis / Reg Anesth Pain Med 39:381~386
Hebbard PD / 2009 / Transversalis fascia plane block, a novel ultrasound-guided abdominal wall nerve block / Can J Anaesth 56:618~620
Chakraborty A / 2015 / Ultrasound-guided continuous quadratus lumborum block for postoperative analgesia in a pediatric patient / A A Case Rep 4:34~36
Chou R / 2016 / Management of postoperative pain : a clinical practice guideline from the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists’ Committee on Regional Anesthesia, Executive Committee, and Administrative Council / J Pain 17:131~157
Bulka CM / 2014 / Regional anesthesia, time to hospital discharge, and inhospital mortality : a propensity score matched analysis / Reg Anesth Pain Med 39:381~386
Hebbard PD / 2009 / Transversalis fascia plane block, a novel ultrasound-guided abdominal wall nerve block / Can J Anaesth 56:618~620
Chakraborty A / 2015 / Ultrasound-guided continuous quadratus lumborum block for postoperative analgesia in a pediatric patient / A A Case Rep 4:34~36
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