Journal of Thoracic Disease, Год журнала: 2023, Номер 15(5), С. 2359 - 2362
Опубликована: Май 1, 2023
Язык: Английский
Regional Anesthesia & Pain Medicine, Год журнала: 2024, Номер unknown, С. rapm - 105047
Опубликована: Янв. 11, 2024
Background and objectives The evolving surgical techniques in thoracoscopic surgery necessitate the exploration of anesthesiological techniques. This study aimed to investigate whether incorporating a continuous erector spinae plane (ESP) block into multimodal analgesia regimen is non-inferior thoracic epidural (TEA) terms quality postoperative recovery for patients undergoing elective unilateral video-assisted surgery. Methods We conducted multicenter, prospective, randomized, open-label non-inferiority trial between July 2020 December 2022. Ninety were randomly assigned receive either ESP or TEA. primary outcome parameter was Quality Recovery-15 (QoR-15) score, measured before as baseline on days 0, 1, 2. Secondary parameters included pain scores, length hospital stay, morphine consumption, nausea vomiting, itching, speed mobilization, urinary catheterization. Results Analysis showed mean QoR-15 difference groups versus TEA 1 (95% CI −9 –12, p=0.79) day –1 −11 –8, p=0.81) −2 −14 –11, Conclusions Trial registration number Dutch Register (NL6433).
Язык: Английский
Процитировано
8
Asia-Pacific Journal of Oncology Nursing, Год журнала: 2025, Номер unknown, С. 100693 - 100693
Опубликована: Март 1, 2025
Язык: Английский
Процитировано
0
Drug Design Development and Therapy, Год журнала: 2024, Номер Volume 18, С. 463 - 473
Опубликована: Фев. 1, 2024
Purpose: Investigating the efficacy of intraoperative fractionated intravenous esketamine in prevention rebound pain after cessation thoracic paravertebral nerve blockade.Methods: One hundred and twenty patients who underwent elective thoracoscopic lobectomy were selected for study randomly divided into two groups, group was given 0.5 mg/kg 0.3 at induction anaesthesia 30 minutes before end operation, respectively, control an equal amount saline.The incidence (RP) 7 days surgery postoperative recovery compared between groups.Results: The NRS scores 24 48 hours postoperatively significantly lower than those (P < 0.05).The consumption sufentanil less 0.05).Postoperative groups difference not statistically significant.Conclusion: Intravenous reduces scores, decreases block, opioid consumption.
Язык: Английский
Процитировано
3
Journal of Minimal Access Surgery, Год журнала: 2024, Номер unknown
Опубликована: Июль 30, 2024
Abstract Introduction: The ‘surgically performed’ continuous superficial serratus anterior plane block (continuous s-SAPB) was never described before in uniportal video-assisted thoracic surgery (uniportal VATS) surgery. aim of the study to evaluate safety and efficacy technique. Patients Methods: Between March 2022 April 2023, 50 patients, undergone VATS at our department, were scheduled for a surgically performed s-SAPB as post-operative analgesia protocol. Results: mean execution time 3.92 ± 2.56 min. Ten patients (20%) required morphine visual analogue scale (VAS) score >4 immediately after recorded VAS chest tube removal 1.87 1.41, whereas 2 h manoeuvre 0.42 0.72. No complication related insertion recorded. onset chronic pain observed total (4%). Conclusions: seems be safe easy perform, it provides satisfactory analgesic effect.
Язык: Английский
Процитировано
1
Acta Anaesthesiologica Scandinavica, Год журнала: 2024, Номер 69(1)
Опубликована: Ноя. 7, 2024
Abstract Background Postoperative pain following video‐assisted thoracoscopic surgery (VATS) remains a significant challenge. While epidural analgesia is still the gold standard, other types of regional are gaining popularity because perceived less risk complications. The efficacy systemic opioids as an alternative to has not been thoroughly explored. This systematic review and meta‐analysis aims evaluate compare versus in managing postoperative after VATS. Methods We will conduct accordance with Cochrane Handbook Preferred Reporting Items for Systematic Meta‐Analysis Protocols (PRISMA‐P) checklist. A comprehensive search be conducted MEDLINE, EMBASE, Library supplemented Scopus citation searches, gray literature using Google Scholar ongoing studies. include studies based on PICO methodology without restrictions regarding study type. Two independent reviewers screen studies, extract data, assess quality Risk Bias tools. primary outcomes intensity at rest during activity 24, 48, 72 h. Secondary use “rescue” opioids, hospital length stay, adverse events. If feasible, done, otherwise we perform descriptive analysis. Results results provide comparative analysis effectiveness VATS patients. Data synthesis pooled estimates scores, opioid consumption, events, possibly subgroup sensitivity analyses explore heterogeneity across Conclusions offer valuable insights into optimal management strategy patients undergoing findings may guide clinical practice selecting most effective safe analgesic approach, improving recovery, patient outcomes.
Язык: Английский
Процитировано
0
Опубликована: Янв. 1, 2024
versus thoracic epidural analgesia in video-assisted thoracoscopic surgery: a prospective randomized open label noninferiority trial.
Язык: Английский
Процитировано
0
Minimally Invasive Therapy & Allied Technologies, Год журнала: 2024, Номер unknown, С. 1 - 11
Опубликована: Дек. 24, 2024
This review aimed to provide evidence on the efficacy of liposomal bupivacaine as compared standard for intercostal nerve blocks (ICB) in patients undergoing minimally invasive thoracic surgery.
Язык: Английский
Процитировано
0
Acta Anaesthesiologica Belgica, Год журнала: 2024, Номер 75(Supplement 1), С. 125 - 136
Опубликована: Дек. 1, 2024
Non-intubated video-assisted thoracoscopic surgery (NIVATS) is an emerging technique in thoracic that avoids the use of general anaesthesia and mechanical ventilation. The evolution from traditional VATS to NIVATS has shown significant potential reducing postoperative complications, shortening hospital stays, improving patient satisfaction. By allowing spontaneous breathing, minimizes invasiveness procedures reduces risks associated with tracheal intubation anaesthesia. A comprehensive literature search was conducted across multiple databases, including Cochrane Library, Embase, Medline (Ovid), PubMed, Scopus, focusing on studies published between 2013 2023. Keywords included terms related NIVATS, one-lung yielded 56 relevant selected for inclusion our review. This narrative review explores physiological aspects clinical implications induced by respiratory management surgery. It also examines equipment techniques lung isolation, emphasizing importance optimizing perioperative management. In conclusion, both offer advantages over open thoracotomy. particular, shows promise enhancing outcomes through reduced complications faster recovery. We present current protocol at University Hospitals Leuven, although further areneeded confirm these benefits refine protocols broader adoption.
Язык: Английский
Процитировано
0
Interdisciplinary CardioVascular and Thoracic Surgery, Год журнала: 2023, Номер 36(1)
Опубликована: Янв. 1, 2023
Язык: Английский
Процитировано
1
Journal of Thoracic Disease, Год журнала: 2023, Номер 15(5), С. 2359 - 2362
Опубликована: Май 1, 2023
Язык: Английский
Процитировано
1