Journal of Pain Research,
Год журнала:
2024,
Номер
Volume 17, С. 1183 - 1196
Опубликована: Март 1, 2024
Objective:
To
evaluate
whether
using
a
cocktail
of
intercostal
nerve
blocks
(TINB)
during
thoracoscopic
surgery
results
in
better
clinical
outcomes
than
patient-controlled
analgesia
(PCIA).Methods:
Patients
two
medical
groups
undergoing
video-assisted
(VATS)
for
pulmonary
nodules
West
China
Hospital
Sichuan
University
were
collected
consecutively
between
March
2022
and
December
2022.The
divided
into
subgroups
based
on
their
analgesic
program,
which
TINB
group
PCIA
group.The
primary
outcome
was
the
visual
analogue
scale
(VAS)
at
different
stage
after
discharge.Any
related
adverse
events
(ARAEs)
also
recorded.Results:
A
total
230
patients
who
underwent
VATS
enrolled,
113
(49.1%)
received
surgery,
117
(50.9%)
PCIA.After
PSM,
62
each
selected.The
difference
resting
VAS
(RVAS)
active
(AVAS)
hospitalization
only
to
change
period
(p
<
0.05,
p
0.05),
showed
no
significant
differences
RVAS
or
AVAS
=
0.271,
0.915).However,
rates
dizziness
(4.84%
vs
25.81%,
0.002),
nausea
vomiting
(0
22.58%,
fatigue
(14.52%
34.87%,
0.012),
insomnia
58.06%,
0.05)
lower
that
group.Besides,
7,
14,
30
days
discharge
both
significantly
0.05).Conclusion:
Cocktail
provided
reduced
incidence
ARAEs
VATS.
Journal of Clinical Anesthesia,
Год журнала:
2024,
Номер
97, С. 111550 - 111550
Опубликована: Июль 18, 2024
Minimally
invasive
thoracic
surgery
is
associated
with
substantial
pain
that
can
impair
pulmonary
function.
Fascial
plane
blocks
may
offer
a
favorable
alternative
to
opioids,
but
conventional
local
anesthetics
provide
limited
duration
of
analgesia.
We
therefore
tested
the
primary
hypothesis
mixture
liposomal
bupivacaine
and
plain
improves
overall
benefit
analgesia
score
(OBAS)
during
first
three
postoperative
days
compared
alone.
Secondarily,
we
hypotheses
respiratory
mechanics,
decreases
opioid
consumption.
Adults
scheduled
for
robotically
or
video-assisted
combined
ultrasound-guided
pectoralis
II
serratus
anterior
block
were
randomized
bupivacaine.
OBAS
was
measured
on
1–3
analyzed
linear
mixed
regression
model.
Postoperative
mechanics
estimated
using
Total
consumption
simple
189
patients,
whom
95
treatment
group
94
control
group.
There
no
significant
effect
total
initial
days,
an
geometric
mean
ratio
0.93
(95%
CI:
0.76,
1.14;
p
=
0.485).
observed
consumption,
scores.
Average
scores
low
in
both
groups.
Liposomal
did
not
improve
following
minimally
procedures.
Furthermore,
there
improvement
reduction
decrease
Thus,
data
presented
here
does
support
use
over
standard
enhance
after
surgery.
For
procedures,
addition
fascial
OBAS,
reduce
requirements,
Current anesthesiology reports,
Год журнала:
2023,
Номер
14(1), С. 63 - 74
Опубликована: Сен. 13, 2023
Abstract
Purpose
of
Review
This
article
aims
to
review
the
anatomy
and
ultrasound
techniques
common
interfascial
plane
blocks
used
for
cardiac
surgeries
along
with
current
available
evidence
regional
analgesia.
Recent
Findings
Thoracic
erector
spinae
block
(ESPB)
has
a
beneficial
role
in
studies
when
compared
intravenous
pain
medications
or
control
groups
without
surgeries.
Some
retrospective
showed
variable
analgesic
benefits
ESPB,
recent
meta-analysis
did
not
show
promising
over
thoracic
epidural
Serratus
anterior
(SAPB)
is
minithoractomy
incisions
minimally
invasive
surgeries,
while
para
sternal
(PSB)
parasternal
intercostal
(PIP)
are
useful
sternotomy
incisions.
Pectolaris
nerve
(PECS)
have
also
been
various
pacemaker
ICD
Summary
There
an
increasing
trend
usage
fascial
Most
can
be
as
components
multimodal
analgesia
play
key
enhanced
recovery
after
surgery
(ERACS)
programs.
The
choice
these
opioid-sparing
depends
on
incision
type
surgery.
A
combination
increase
efficacy
blocks,
but
caution
should
exercised
limiting
total
quantity
local
anesthetic
administered.
