Intraoperative Multimodal Approach for Pain After Thoracoscopic Pulmonary Resection
| Autor: | Aiko Nakai, Takeo Nakada, Yusuke Takahashi, Takashi Ohtsuka, Noriaki Sakakura, Hiroaki Kuroda |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Pain Postoperative Receiver operating characteristic business.industry Thoracic cavity Analgesic Multimodal therapy General Medicine Intercostal nerves Perioperative Confidence interval Surgery Acetaminophen medicine.anatomical_structure Medicine Humans business medicine.drug Retrospective Studies |
| Zdroj: | Asian journal of endoscopic surgeryREFERENCES. 15(1) |
| ISSN: | 1758-5910 |
| Popis: | BACKGROUND The optimal preemptive analgesia for thoracoscopic surgery remains unclear. We evaluated the utility of intraoperative intravenous analgesia on postoperative pain and the postoperative course in patients who underwent thoracoscopic lobectomy. METHODS We retrospectively reviewed 228 consecutive patients who underwent single-lobe thoracoscopic lobectomy for malignant pulmonary tumors between October 2017 and December 2019. Instead of epidural anesthesia, intercostal nerve blocks were performed from the thoracic cavity. We assessed the differences in the clinical and perioperative parameters including postoperative pain among the following: (1) N group (nonintraoperative intravenous analgesia), (2) A group (1000 mg acetaminophen), and (3) AF group (1000 mg acetaminophen with 50 mg flurbiprofen axetil). The numerical rating scale (NRS) was used to assess pain. RESULTS Receiver operating characteristic curve analysis revealed that the optimal cutoff pain score for the additional analgesic within 12 h postsurgery was 3.5 (area under the curve = 0.771; sensitivity = 63%; specificity = 19.4%; 95% confidence interval [CI] = 0.703-0.839; p |
| Databáze: | OpenAIRE |
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