Single-injection thoracic paravertebral block and postoperative analgesia after mastectomy: a retrospective cohort study
| Autor: | Sarah J. Madison, Anne M. Wallace, Anya C. Morgan, Brian M. Ilfeld, Edward J. Mascha, Rishi R. Agarwal |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty Time Factors medicine.medical_treatment Postoperative pain Clinical Sciences Pain Regional anesthesia Breast Neoplasms Cohort Studies Breast cancer Anesthesiology Postoperative analgesia Regional analgesia medicine Humans In patient Paravertebral Block Anesthetics Local Postoperative Mastectomy Anesthetics Pain Measurement Retrospective Studies Aged Pain Postoperative business.industry Retrospective cohort study Nerve Block Single injection Length of Stay Middle Aged medicine.disease Confidence interval Surgery Peripheral nerve block Anesthesiology and Pain Medicine Local Anesthesia Female business |
| Zdroj: | Journal of clinical anesthesia, vol 27, iss 5 Agarwal, RR; Wallace, AM; Madison, SJ; Morgan, AC; Mascha, EJ; & Ilfeld, BM. (2015). Single-injection thoracic paravertebral block and postoperative analgesia after mastectomy: A retrospective cohort study. Journal of Clinical Anesthesia, 27(5), 371-374. doi: 10.1016/j.jclinane.2015.04.003. UC San Diego: Retrieved from: http://www.escholarship.org/uc/item/9v89c4tn |
| DOI: | 10.1016/j.jclinane.2015.04.003. |
| Popis: | © 2015 Elsevier Inc. All rights reserved. Background The treatment of postoperative pain after mastectomy is an area of increasing interest, as this treatment option is now considered a standard of care for those affected by breast cancer. Thoracic paravertebral nerve block (tPVB) using local anesthetics administered before mastectomy can theoretically provide postoperative analgesia, thereby facilitating a more comfortable and shorter hospitalization. Methods In this retrospective cohort study, we aimed to determine the duration and degree to which tPVB provides postoperative analgesia in patients who underwent either unilateral or bilateral mastectomy (n = 182). We retrospectively examined the numeric rating scale (NRS) for pain scores recorded by nursing staff throughout individual patient hospitalizations, looking specifically at the following time points: arrival from the postanesthesia care unit to the surgical wards, noon on postoperative day 1 (POD1), and discharge. We also examined the number of days until patients were discharged from the hospital. Results Our results revealed a statistically significant decrease in NRS in pain scores for patients who had received a tPVB (n = 92) on arrival from the postanesthesia care unit to the surgical wards (mean NRS decrease of 1.9 points; 99% confidence interval [CI], - 3.0 to - 0.8; P |
| Databáze: | OpenAIRE |
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