التفاصيل البيبلوغرافية
| العنوان: |
Is a Combination of the Serratus Intercostal Plane Block and Rectus Sheath Block Superior to the Bilateral Oblique Subcostal Transversus Abdominis Plane Block in Laparoscopic Cholecystectomy? |
| المؤلفون: |
Selvi, Onur, Tulgar, Serkan, Senturk, Ozgur, Serifsoy, Talat Ercan, Thomas, David Terence, Deveci, Ugur, Ozer, Zeliha |
| المصدر: |
Eurasian Journal of Medicine; Feb2020, Vol. 52 Issue 1, p34-37, 4p |
| مصطلحات موضوعية: |
ANESTHESIOLOGY, CHOLECYSTECTOMY, COMBINED modality therapy, LAPAROSCOPIC surgery, NERVE block, POSTOPERATIVE pain, PAIN management, PAIN measurement, TREATMENT effectiveness, RETROSPECTIVE studies, TRAMADOL, RECTUS abdominis muscles, SERRATUS anterior muscles |
| مستخلص: |
Objective: The serratus intercostal plane block (SIPB) is a recently defined interfascial plane block. The oblique subcostal transversus abdominis plane block (OSTAP) is another type of interfascial plane block, and it is also used as a part of multimodal analgesia in patients undergoing laparoscopic cholecystectomy (LC). In this retrospective study, we evaluated the effects of the bilateral OSTAP and a combination of the right SIPB and bilateral rectus sheath block (RSB) on the postoperative pain and analgesia requirement in patients undergoing LC. Materials and Methods: Data of the patients who underwent LC between May 2018 and November 2018 were evaluated retrospectively. Postoperative pain was evaluated using the numeric rating scale (NRS), and 24-hour tramadol consumption and rescue analgesia requirements were compared. Results: Bilateral OSTAP was applied to 47 patients, and SIPB+RSB was applied to 25 patients. Postoperative pain scores were similar between the two groups. In the first 24 hours, tramadol requirement in the SIPB+RSB group was significantly lower than in the OSTAP block group (p<0.001). There was no statistically significant difference between the NRS averages at different time frames between the two block groups. Conclusion: We found that when SIPB is used as a part of multimodal analgesia in a combination with RSB in LS, it improves the quality of analgesia and decreases the analgesic requirement compared to patients undergoing a bilateral OSTAP block. Randomized controlled trials are necessary to compare the effects of SIPB alone and in a combination with other blocks in LC. [ABSTRACT FROM AUTHOR] |
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