The analgesic efficacy of subcostal transversus abdominis plane block with Mercedes incision
| Autor: | Qing-qing Pei, Zhiying Feng, Jianguo Guo, Huiling Li |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Transverses abdominis plane block Nausea medicine.medical_treatment Analgesic Sufentanil lcsh:RD78.3-87.3 Postoperative pain 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Transversus Abdominis Plane Block Parecoxib medicine Humans Ropivacaine Single-Blind Method Prospective Studies Anesthetics Local Saline Ultrasonography Interventional Abdominal Muscles Pain Postoperative Liver resection business.industry 030208 emergency & critical care medicine Nerve Block Perioperative Middle Aged Anesthesiology and Pain Medicine Treatment Outcome Liver lcsh:Anesthesiology Anesthesia Female Saline Solution medicine.symptom Analgesia business medicine.drug Research Article |
| Zdroj: | BMC Anesthesiology BMC Anesthesiology, Vol 18, Iss 1, Pp 1-11 (2018) |
| ISSN: | 1471-2253 |
| Popis: | Background Conventional perioperative analgesic modalities (e.g. opioids, epidural analgesia) have their own drawbacks, which limit their clinical application. This study investigated the opioid-sparing effectsof the oblique subcostal transversus abdominis plane (OSTAP) blockade with ropivacaine for the patients undergoing open liver resection with a Mercedes incision. Methods 126 patients who were scheduled for open liver resection were enrolled in this study. Patients were randomly assigned to receive bilateral ultrasound-guided OSTAPblocks with either 0.375% ropivacaine (groupT) or 0.9% isotonic saline (group C). Both groups also received intravenous patient-controlled analgesia and intravenous 40 mg parecoxib every 12 h for a total of 3 days. Preoperative and intraoperative parameters, plus intraoperative and postoperative cumulative sufentanil consumption, were recorded. Results 70 patients were enrolled in the study finally. There were no significant differences between the two groups with respect to preoperative parameters, and surgical and anesthetic characteristics. The intraoperative sufentanil use, cumulative sufentanil consumption at 5 min after extubation, 2 h, 4 h,12 h and 24 h after operation in group T was significantly less than that in group C (P = 0.001, 0.001, 0.000, 0.000, 0.001 and 0.044, respectively). Compared with group C, postoperative NRS pain scores at rest were significantly lower at 2 h and 4 h postoperatively in group T (P = 0.04and 0.02, respectively); NRS scores at the time of coughing were also significantly lower in group T than in group C at all time points except 5 min after extubation (all P |
| Databáze: | OpenAIRE |
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