지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 234 - 240 (7page)
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초록· 키워드
오류제보하기
Background: Various truncal block techniques with ultrasonography (USG) are becoming widespread to reduce postoperative pain and opioid requirements in video-assisted thoracoscopic surgery (VATS). The primary aim of our study was to determine whether the USG-guided serratus anterior plane block (SAPB) is as effective as the thoracic paravertebral block (TPVB) in VATS. Our secondary aim was to evaluate patient and surgeon satisfaction, block application time, first analgesic time, and length of hospital stay. Methods: Patients in Group SAPB received 0.4 mL/kg bupivacaine with a USG-guided SAPB, and patients in Group TPVB received 0.4 mL/kg bupivacaine with a USGguided TPVB. We recorded the pain scores, the timing of the first analgesic requirement, the amount of tramadol consumption, and postoperative complications for 24 hours. We also recorded the block application time and length of hospital stay. Results: A total of 62 patients, with 31 in each group (Group SAPB and Group TPVB) completed the study. Between the two groups, there were no significant differences in rest and dynamic pain visual analog scale scores at 0, 1, 6, 12, and 24 hours after surgery. The total consumption of tramadol was significantly lower in the TPVB group (P = 0.026). The block application time was significantly shorter in Group SAPB (P < 0.001). Conclusions: An SAPB that is applied safely and rapidly as a part of multimodal analgesia in patients who undergo VATS is not inferior to the TPVB and can be an alternative to it.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Kaya FN / 2012 / Thoracic paravertebral block for video-assisted thoracoscopic surgery : single injection versus multiple injections / J Cardiothorac Vasc Anesth 26:90~94
De Cassai A / 2021 / Serratus anterior plane block for video-assisted thoracoscopic surgery : a meta-analysis of randomised controlled trials / Eur J Anaesthesiol 38:106~114
Ng SC / Ultrasound-guided paravertebral block
Yeung JH / 2016 / Paravertebral block versus thoracic epidural for patients undergoing thoracotomy / Cochrane Database Syst Rev 2:CD009121
Piraccini E / 2011 / Analgesia for thoracic surgery : the role of paravertebral block / HSR Proc Intensive Care Cardiovasc Anesth 3:157~160
De Cassai A / 2021 / Serratus anterior plane block for video-assisted thoracoscopic surgery : a meta-analysis of randomised controlled trials / Eur J Anaesthesiol 38:106~114
Ng SC / Ultrasound-guided paravertebral block
Yeung JH / 2016 / Paravertebral block versus thoracic epidural for patients undergoing thoracotomy / Cochrane Database Syst Rev 2:CD009121
Piraccini E / 2011 / Analgesia for thoracic surgery : the role of paravertebral block / HSR Proc Intensive Care Cardiovasc Anesth 3:157~160
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