Annali Italiani di Chirurgia, Год журнала: 2024, Номер 95(6), С. 1026 - 1047
Опубликована: Дек. 20, 2024
Язык: Английский
Journal of Cardiothoracic and Vascular Anesthesia, Год журнала: 2025, Номер unknown
Опубликована: Фев. 1, 2025
Язык: Английский
Процитировано
1
Journal of Anesthesia Analgesia and Critical Care, Год журнала: 2024, Номер 4(1)
Опубликована: Янв. 12, 2024
Abstract Background Erector spinae plane block (ESPB) and serratus anterior (SAPB) are regional anesthesia techniques that have shown favorable results in pain management following thoracic surgeries; however, their relative superiority is unclear. This review (PROSPERO: CRD42023443018) aims to compare the analgesic efficacy of ESPB SAPB patients undergoing surgeries through pooled analysis co-primary outcomes: postoperative oral-morphine-equivalent (mg) consumption 24 h scores (static) at h. Methods A literature search was conducted across PubMed, Cochrane Library, Google Scholar identify randomized controlled trials (RCTs) from inception May 2023, comparing surgeries. Statistical pooling done using Review Manager 5.4.1. Bias assessment employed Collaboration Risk-of-Bias 2.0 tool. The strength evidence assessed guidelines GRADE working group. Results Nine RCTs (485 patients) were included study. Postoperative (mean difference (MD) = − 0.31 [− 0.57, 0.05], p 0.02) (MD 19.73 25.65, 13.80], < 0.00001) significantly lower ESBP However, MDs did not exceed set threshold for clinical importance. No significant differences observed opioid-related adverse effects block-related complications. Conclusion Our statistically imply has superior compared SAPB; this clinically unimportant. safety profile two blocks comparable; hence, current cannot define one over other. findings warrant further research with standardized methodologies a longer duration yield robust better applications.
Язык: Английский
Процитировано
6
Journal of Clinical Medicine, Год журнала: 2024, Номер 13(2), С. 606 - 606
Опубликована: Янв. 21, 2024
To evaluate the analgesic efficacy of continuous erector spinae plane block(c-ESPB) and serratus anterior block(c-SAPB) versus intercostal nerve block (ICNB) in Uniportal-VATS terms pain control, drug consumption, complications.
Язык: Английский
Процитировано
5
Journal of Pain Research, Год журнала: 2024, Номер Volume 17, С. 3047 - 3062
Опубликована: Сен. 1, 2024
Now, the erector spinae plane block (ESPB) is widely used in various thoracolumbar surgeries. It has unique advantages: simple and convenient operation, low safety risks, reduced opioid use. The ESPB thoracic surgery, abdominal spinal surgery. There are also relevant research reports on postoperative analgesia during general anesthesia This article searches PubMed Web of Science databases to find screen studies since 2019 retrospectively summarizes current indications ESPB. methodological quality included was assessed using Cochrane bias risk tool. results showed that generally provides low-level clinical evidence. complex anatomy muscles both responsible for its advantages restricts development. Few anatomical have clearly completely demonstrated diffusion relationship local anesthetics among structures muscles. uncontrollability prevents from being applied a wider scale with high level To further clarify scope application achieve best analgesic effect, future, we should focus course distribution their fascia nerves. necessary combine anatomical, imaging, histological methods obtain high-quality evidence guide application.
Язык: Английский
Процитировано
4
British Journal of Anaesthesia, Год журнала: 2025, Номер unknown
Опубликована: Янв. 1, 2025
Язык: Английский
Процитировано
0
BMC Anesthesiology, Год журнала: 2025, Номер 25(1)
Опубликована: Март 12, 2025
Pain caused by chest tube placed after uniportal video-assisted thoracoscopic surgery (UVATS) is often neglected. Ropivacaine can be used to alleviate pain related the tube, but current lowest effective concentration of ropivacaine remains unclear. To investigate analgesic effect administering two different concentrations into pleural cavity via drainage bypass UVATS. Ninety patients were randomly divided three groups: Control group (PCIA only), Low-dose combined with intrathoracic infusion 200 ml 0.25% ropivacaine), Medium-dose 0.5% ropivacaine). The analysis included Visual Analogue Scale (VAS) scores for tube-related and surgical incision at 6 h, 12 24 48 h post-operation each group. Compare incidence adverse reactions (respiratory depression, hypotension, nausea/vomiting, arrhythmia, dizziness) within h. Compared control group, both 0.50% effectively reduced (P < 0.001) postoperatively. However, no significant differences observed between in alleviating rest cough > 0.05) or Adverse reaction rates similar among groups postoperatively = 0.383). administered pumps UVATS showed difference, superior sole use PCIA. Chinese Clinical Trial Registry ChiCTR2200065184.
Язык: Английский
Процитировано
0
BMC Anesthesiology, Год журнала: 2025, Номер 25(1)
Опубликована: Апрель 10, 2025
Acute pain after thoracoscopic surgery is very noticeable and often requires additional techniques or adjunctive medications to reduce it. We investigated whether intravenous dexamethasone with dexmedetomidine erector spinae plane block serratus anterior could further decrease the incidence of moderate-to-severe pain. A total 81 patients were randomly assigned group C (20 mL normal saline), S (10 mg + saline 20 mL), SM 1 µg/kg mL). All underwent 30 min before anesthesia induction all drugs infused intravenously general induction. The primary outcome was at 24 h on movement postoperatively. Secondary outcomes included rest throughout first two postoperative days, score, opioid consumption, quality recovery adverse effects. Group lowered postoperatively than (11.1% vs. 48.0%; RR 0.231; 95% CI, 0.074 0.725) 38.5%; 0.289; 0.089 0.933). reduced NRS score (3.0 [3.0] 3.0 [2.0] 3.0[1.0]; P < 0.001) consumption (26.0 [6.0] 32.0 [9.0] 28.0 [2.5]; = 0.004) within surgery, fewer required rescue analgesia 48.0% 0.009). also nausea vomiting (7.4% 32.0% 30.8%; 0.047) had a higher QoR-15 (132.0 [10.0] 123.0 [8.0] 127.5 [10.8]; 0.001). Intravenous administration decreased It scores making control better for surgery. study registered Chictr.org.cn number ChiCTR2400084435 05/16/2024.
Язык: Английский
Процитировано
0
Journal of Cardiothoracic Surgery, Год журнала: 2024, Номер 19(1)
Опубликована: Окт. 1, 2024
The purpose of this study was to compare the analgesic effects intercostal nerve block (ICNB) and local anesthetic infiltration (LAI) on postoperative pain recovery following thoracoscopic resection pulmonary bullae.
Язык: Английский
Процитировано
0
Annali Italiani di Chirurgia, Год журнала: 2024, Номер 95(6), С. 1026 - 1047
Опубликована: Дек. 20, 2024
Язык: Английский
Процитировано
0