Three versus five lumbar paravertebral injections for inguinal hernia repair in the elderly: a randomized double-blind clinical trial
| Autor: | Zoher Naja, Rakan Nasreddine, Saleh Kanawati, Ziad El Khatib, Fouad Ziade, Ahmad Salah Naja |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Hernia Inguinal 010501 environmental sciences Anesthesia General Placebo 01 natural sciences Fentanyl 03 medical and health sciences 0302 clinical medicine Lumbar Double-Blind Method 030202 anesthesiology Anesthesiology medicine Humans Prospective Studies Geriatric anesthesia Propofol Herniorrhaphy 0105 earth and related environmental sciences Aged Anesthetics Pain Postoperative business.industry Nerve Block Middle Aged medicine.disease Inguinal hernia Anesthesiology and Pain Medicine Anesthesia Nerve block Female business medicine.drug |
| Zdroj: | Journal of anesthesia. 33(1) |
| ISSN: | 1438-8359 |
| Popis: | The objective of the study was to compare three nerve stimulator-guided paravertebral injections versus five injections for elderly patients undergoing inguinal hernia repair in terms of the amount of intraoperative fentanyl and propofol consumption and conversion to general anesthesia. The secondary objective was postoperative pain. A prospective, randomized, double-blind clinical trial was performed. 200 elderly patients undergoing unilateral herniorrhaphy were randomized into two groups. Group III received three PVB injections from T12 to L2 and placebo at T11 and L3. Group V received five PVB injections from T11 to L3. The mean intraoperative fentanyl and propofol consumption were significantly lower in group V (4.9 ± 7.2 µg versus 20.0 ± 12.9 µg and 5.7 ± 11.6 mg versus 34.6 ± 22.9 mg, respectively, p value |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink