Опубликована: Янв. 1, 2024
Язык: Английский
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
6
BMC Anesthesiology, Год журнала: 2023, Номер 23(1)
Опубликована: Июль 13, 2023
Abstract Background Serratus anterior plane block (SAPB) is a promising regional technique for analgesia in thoracic surgery. Till now, several randomized controlled trials (RCTs) have explored the effectiveness of SAPB postoperative pain control patients undergoing video-assisted thoracoscopic surgery (VATS), but sample sizes were small and conclusions remained controversy. Therefore, we conducted present systematic review meta-analysis. Methods RCTs evaluating analgesic performance SAPB, comparing to methods (no block, placebo or local infiltration anesthesia), VATS searched PubMed, EMBASE, Web Science Cochrane Library from inception December 31, 2022. Mean difference (MD) corresponding 95% confidence interval (95%CI) calculated scores at various time points, opioid consumption length hospital stay. Pooled relative risk (RR) with 95%CI nausea vomiting (PONV) dizziness. A random-effect model was applied. Results total 12 (837 participants) finally included. Compared group, had significant reductions 2 h (MD = -1.58, 95%CI: -1.86 -1.31, P < 0.001), 6 -2.06, -2.74 -1.38, -1.72, -2.30 -1.14, 0.001) 24 -1.03, -1.55 -0.52, respectively. Moreover, conferred fewer -7.3 mg intravenous morphine equivalent, -10.16 -4.44, lower incidence PONV (RR 0.56, 0.41 0.77, 0.001). There no between both groups regarding stay Conclusion shows an excellent management by reducing pains scores, PONV. However, due huge heterogeneity, more well-designed, large-scale are needed verify these findings future.
Язык: Английский
Процитировано
9
Journal of Cardiothoracic Surgery, Год журнала: 2024, Номер 19(1)
Опубликована: Янв. 30, 2024
Abstract Background This study aimed to compare the analgesic efficacy of transthoracic intercostal nerve block (TINB) and percutaneous (PINB) for video-assisted thoracic surgery (VATS) using a retrospective analysis. Methods A total 336 patients who underwent VATS between January 2021 June 2022 were reviewed retrospectively. Of participants, 194 received TINB assigned T group, while 142 PINB P group. Both groups 25 ml ropivacaine via or at end surgery. The measured opioid consumption, pain scores, satisfaction, safety. Propensity score matching (PSM) analysis was performed minimize selection bias due nonrandom assignment. Results After propensity matching, 86 from each group selected had significantly lower cumulative consumption than ( p < 0.01). Visual Analogue Scale (VAS) scores 6 12 h post-surgery 0.01); however, there no significant difference in two 3, 24, 48 > 0.05). satisfaction higher incidence back pain, nausea vomiting, pruritus, dizziness, skin numbness statistically insignificant Conclusion suggests that provides superior analgesia undergoing compared without any extra adverse effects.
Язык: Английский
Процитировано
3
Journal of Clinical Anesthesia, Год журнала: 2024, Номер 95, С. 111448 - 111448
Опубликована: Март 14, 2024
This study aimed to compare the analgesic effects of anesthesiologist-administrated erector spinae plane block (ESPB) and surgeon-administrated intercostal nerve (ICNB) following video-assisted thoracoscopic surgery (VATS). Randomized, controlled, double-blinded study. Operating room, postoperative recovery room ward in two centers. One hundred patients, ASA I-III scheduled for elective VATS. The ESPB under ultrasound guidance or ICNB thoracoscopy was randomly provided during Regular oral non-opioid combined with intravenous rescue morphine were prescribed multimodal analgesia after surgery. primary outcomes pain score consumption 48 h Postoperative intensity assessed using 10-cm visual analogue scale at 1 h, 24 Morphine these time points compared between groups. Furthermore, weak opioid also quality QoR-15 questionnaire, along duration chest tube drainage hospital stay as secondary outcomes. Patients groups had comparable baseline characteristics, surgical types similar. VAS changes Both low median scores (<4.0) all (all p > 0.05). group required statistically non-significant higher 48-h [3 (0–6) vs. 0 mg respectively; = 0.135] lower numbers (0.4 ± 1.2 1.0 1.8 0.059). Additionally, patients similar QoR15 lengths stay. anesthesiologist-administered ultrasound-guided surgeon-administered VATS effective techniques undergoing tumor resection.
Язык: Английский
Процитировано
3
International Journal of Surgery, Год журнала: 2024, Номер unknown
Опубликована: Март 11, 2024
Fascial plane blocks (FPBs) are gaining popularity in clinical settings owing to their improved analgesia when combined with either traditional regional anesthesia or general during the perioperative phase. The scope of study on FPBs has substantially increased over past 20 years, yet exact mechanism, issues linked approaches, and direction future research still up for debate. Given that it can be performed at all levels spine provides most areas body, erector spinae block (ESPB), one FPBs, been extensively studied chronic rational pain, visceral abdominal surgical analgesia, imaging, anatomical mechanisms. This led contention ESPB is ultimate Plan A block. Yet even though promising, unstable effect, probability local anesthetic poisoning, lack consensus definition assessment FPB’s success major concerns. In order precisely administer patients who require this condition, an algorithm uses artificial intelligence required. will assist healthcare professionals practicing precision medicine.
Язык: Английский
Процитировано
3
Russian Journal of Anesthesiology and Reanimatology, Год журнала: 2025, Номер 1, С. 44 - 44
Опубликована: Фев. 14, 2025
Background. Early recovery of external respiratory function and gavorable postoperative period are essential after VTS anatomical lung resections. High-quality pain relief is important in rehabilitation surgery, but the effect analgesia on complications unclear. Objective. To determine influence regional methods multimodal complication rate video-assisted thoracoscopic resection. Material methods. A prospective randomized study included 84 patients who were into 3 groups depending relief: group 1 — 28 with prolonged paravertebral block (PVB), 2 29 intercostal (ICB), 27 without relief. In all groups, systemic was carried out according to same scheme using narcotic analgesics, NSAIDs paracetamol. Results. VAS score first hours surgery significantly lower 2, where used (p>0.001). Subsequently, minimum values remained PVB smaller amount administered promedol (p=0.002). The number 28% (8/28) (34% (10/29) ICB group, 52% (14/27) anesthesia group) (p=0.047). most common air release, hyperexudation pleuritis that increased duration pleural drainage. However, management morbidity did not have a significant hospital-stay (p=0.255). Conclusion. Extended promotes more effective pulmonary resections leads fewer reduces
Язык: Английский
Процитировано
0
Drug Design Development and Therapy, Год журнала: 2025, Номер Volume 19, С. 1825 - 1838
Опубликована: Март 1, 2025
Purpose: This study compares the analgesic effects of Thoracoscopic Direct-view Thoracic Paravertebral Nerve Block (DTPVB) with those Ultrasound-guided (UTPVB), providing a clinical reference. Patients and Methods: Sixty-eight patients undergoing three-port video-assisted thoracic surgery (VATS) general anesthesia were randomly assigned to either DTPVB group (Group D, n = 34) or UTPVB U, 34). Both groups received 10 mL injection 0.75% ropivacaine at T4 T7 interspaces. Primary outcomes cumulative sufentanil equivalents from start lung manipulation 24 hours postoperatively, differences assessed against non-inferiority margin 5 μg (Δ). Secondary include postoperative pain scores, consumption, patient satisfaction, adverse effects, other related indicators. Results: The use postoperatively was 35.0 ± 6.1 in Group D 33.2 5.6 no significant difference (P 0.217). minus U) 1.8 (95% CI − 1.07, 4.65), within Postoperative complications similar between groups. However, associated lower anxiety higher satisfaction (P< 0.001). At 15 minutes post-block, plasma concentrations (P=0.024). Conclusion: DTPVB, via transmural pleural puncture, non-inferior efficacy beginning lungs operation 24h postoperatively. provides good alternative, especially for who are anxious before surgery, have difficulty cooperating UTPVB, cases where puncture fails. when using high ropivacaine, greater vigilance toxicity is required. Keywords: paravertebral block, TPVB, thoracoscopic VATS, management
Язык: Английский
Процитировано
0
Therapeutics and Clinical Risk Management, Год журнала: 2025, Номер Volume 21, С. 691 - 703
Опубликована: Май 1, 2025
TPVB can provide effective postoperative analgesia in lung cancer patients undergoing video-assisted thoracoscopic surgery (VATS), which may enhance respiratory mechanics and expectoration, as well relieve inflammation stress. These mechanisms reduce the incidence of pulmonary complications (PPCs). This study explored whether reduces risk PPCs VATS for cancer. In this dual-center trial, who underwent were randomly divided into PV group (n = 151, general anesthesia [GA] TPVB) C GA only). The primary outcome was a composite within seven days postoperatively. postoperatively lower (37.7%, 57/151) compared to (49.0%, 74/151), with ratio 1.59 (95% CI: 1.00 2.50, P=0.048). And 8-30 postoperatively, that (33.1%, 50/151), (22.5%, 34/151), 1.70 CI, 1.02 2.84, P=0.040). There significant difference pneumonia between (11/151, 7.3%) (35/151, 23.3%; P < 0.001), pneumothorax (27/151, 17.9%) (45/151, 29.8%; 0.015). Compared alone, combined cancer, beneficial effect last up 30 after surgery. A possible mechanism is acute pain patients.
Язык: Английский
Процитировано
0
BMC Anesthesiology, Год журнала: 2025, Номер 25(1)
Опубликована: Май 17, 2025
Язык: Английский
Процитировано
0
Current Pain and Headache Reports, Год журнала: 2023, Номер 27(10), С. 587 - 600
Опубликована: Авг. 25, 2023
Язык: Английский
Процитировано
7