Serratus intercostal interfascial plane block in supraumbilical surgery: a prospective randomized comparison
Autor: | Judith Andrés, José Aguirre, Maria Teresa Fernandez, Esperanza Ortigosa, Servando Lopez |
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Přispěvatelé: | University of Zurich, Fernández, Maria T |
Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Opioid consumption Block (permutation group theory) 610 Medicine & health law.invention Abdominal wall 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Pain control 030202 anesthesiology law medicine Humans In patient Prospective Studies Lead (electronics) Pain Postoperative Morphine business.industry Nerve Block 030208 emergency & critical care medicine Surgery Analgesics Opioid Anesthesiology and Pain Medicine medicine.anatomical_structure 10046 Balgrist University Hospital Swiss Spinal Cord Injury Center 2703 Anesthesiology and Pain Medicine business medicine.drug |
Popis: | BACKGROUND Upper abdominal wall surgical incisions may lead to a severe postoperative pain. Therefore, adequate analgesia is important. Here we investigate whether the low serratus-intercostal interfascial plane block (SIPB) achieves an effective analgesia, considering opioids consumption, pain control and recovery quality in upper abdominal surgeries. METHODS This blinded, randomized controlled study was conducted on 102 patients undergoing open upper abdominal wall surgery under general anesthesia. All patients who received serratus-intercostal plane block at the eighth rib as analgesic technique were included in SIPB group and in control group those who received continuous intravenous morphine analgesia. Pain scores in numeric verbal scale (NVS) and opioids consumption at 0, 6, 12, 24 and 48 hours postoperatively were assessed. The quality of the postoperative recovery was evaluated using the QoR-15 questionnaire at 24 hours. RESULTS This study showed lower postoperative opioid consumption at 24 hours (P |
Databáze: | OpenAIRE |
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