| Autor: |
Mohammed, Heba Abdelhamid, Belal, Aliaa Muhammad, Elkalla, Rehab Said, Soliman, Sohair Mostafa |
| Zdroj: |
Egyptian Journal of Anaesthesia; Dec2023, Vol. 39 Issue 1, p538-545, 8p |
| Abstrakt: |
Background: For anesthesiologists, managing pain during and after thoracic surgery remains a significant challenge. This research aims to assess the safety and efficacy of ultrasound (US)-guided pre-emptive mid-point transverse process to pleura (MTP) block for posterolateral thoracotomy. Methods: This prospective randomized, double-blind clinical trial was conducted on 70 patients scheduled for a posterolateral thoracotomy operation under general anesthesia (GA). Patients were classified randomly and equally into Group I (MTP group) received MTP blocks, and Group II (sham block) received 2 ml of saline solution. The blocks were done after induction of GA but before the skin incision. Results: Numerical rating scale (NRS) at rest and cough, total morphine consumption, the incidence of chronic pain at 3 months, and undesirable side effects (nausea, vomiting, respiratory depression) were significantly lower in MTP block than in sham block. Oxygen saturation and SpO2/FiO2 raised significantly in the MTP block than in the sham block (P < 0.001). Conclusions: The US-guided MTP block provided effective analgesia with a lower pain score, lesser rescue analgesics consumption, and reduced risk of developing chronic pain posterolateral thoracotomy. [ABSTRACT FROM AUTHOR] |
| Databáze: |
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