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
- 저널정보
- 대한마취통증의학회(구 대한마취과학회) Korean Journal of Anesthesiology Korean Journal of Anesthesiology Vol.74 No.5
- 발행연도
- 2021.10
- 수록면
- 449 - 458 (10page)
- DOI
- 10.4097/kja.21133
이용수
초록· 키워드
오류제보하기
Background: Postoperative pain control after the minimally invasive repair of pectus excavatum (MIRPE) is essential, but there is a controversy about a better analgesic method between epidural and intravenous (IV) analgesia. This systematic review and meta-analysis aimed to compare the effect of epidural versus IV analgesia following MIRPE.
Methods: We searched PubMed, MEDLINE, Embase, Cochrane Central Register, and ClinicalTrials.gov for randomized controlled trials (RCTs) dated up to 31st May 2021. The primary outcome was the area under the curve (AUC) of the weighted mean visual analog scale (VAS) after MIRPE. The secondary outcomes were postoperative nausea, operation time, total operating room time, and postoperative length of hospital stay.
Results: Four RCTs involving 243 patients were finally included in this meta-analysis. The AUC of the weighted mean VAS was 343.62 in the epidural group and 375.24 in the IV group. The epidural group showed lower VAS than the IV group at 12 to 48 h after the surgery.
Postoperative nausea, operation time and length of hospital stay was not different between two groups. The epidural group had a significantly longer total operating room time due to epidural catheter insertion time.
Conclusions: Epidural analgesia after the MIRPE had a better analgesic effect than IV analgesia.
However, IV analgesia may also be a viable option, and physicians should wisely choose analgesic modalities after MIRPE.
목차
등록된 정보가 없습니다.
참고문헌 (29)
참고문헌 신청
Goretsky MJ / 2004 / Chest wall anomalies : pectus excavatum and pectus carinatum / Adolesc Med Clin 15:455~471
Nuss D / 1998 / A 10-year review of a minimally invasive technique for the correction of pectus excavatum / J Pediatr Surg 33:545~552
Densmore JC / 2010 / Initial surgical and pain management outcomes after Nuss procedure / J Pediatr Surg 45:1767~1771
Mavi J / 2014 / Anesthesia and analgesia for pectus excavatum surgery / Anesthesiol Clin 32:175~184
St Peter SD / 2008 / Is epidural anesthesia truly the best pain management strategy after minimally invasive pectus excavatum repair? / J Pediatr Surg 43:79~82
Nuss D / 1998 / A 10-year review of a minimally invasive technique for the correction of pectus excavatum / J Pediatr Surg 33:545~552
Densmore JC / 2010 / Initial surgical and pain management outcomes after Nuss procedure / J Pediatr Surg 45:1767~1771
Mavi J / 2014 / Anesthesia and analgesia for pectus excavatum surgery / Anesthesiol Clin 32:175~184
St Peter SD / 2008 / Is epidural anesthesia truly the best pain management strategy after minimally invasive pectus excavatum repair? / J Pediatr Surg 43:79~82
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