دورية أكاديمية
A comparison of paravertebral block, erector spinae plane block and the combination of erector spinae plane block and paravertebral block for post-operative analgesia after video-assisted thoracoscopic surgery: A randomised controlled trial
| العنوان: | A comparison of paravertebral block, erector spinae plane block and the combination of erector spinae plane block and paravertebral block for post-operative analgesia after video-assisted thoracoscopic surgery: A randomised controlled trial |
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| المؤلفون: | Ze Fu, Yi Zhang, Yongjian Zhou, Zhe Li, Kexin Wang, Hongqing Li, Wenwen Jiang, Zimeng Liu, Xuezhao Cao |
| المصدر: | Journal of Minimal Access Surgery, Vol 18, Iss 2, Pp 241-247 (2022) |
| بيانات النشر: | Wolters Kluwer Medknow Publications, 2022. |
| سنة النشر: | 2022 |
| المجموعة: | LCC:Surgery LCC:Diseases of the digestive system. Gastroenterology |
| مصطلحات موضوعية: | erector spinae plane block, paravertebral block, post-operative pain, thoracoscopic surgery, Surgery, RD1-811, Diseases of the digestive system. Gastroenterology, RC799-869 |
| الوصف: | Background: This study was to determine the analgesic effect of ultrasound-guided erector spinae plane block (ESPB) and paravertebral block (PVB) as well as the combination of PVB and ESPB (P + E) after video-assisted thoracoscopic surgery (VATS). Patients and Methods: Patients were randomly assigned to receive ESPB, PVB or PVB combined with ESPB with 0.5% ropivacaine (20 ml). The primary outcomes were cumulative hydromorphone consumption and Visual Analogue Scale (VAS) scores at rest and while coughing at 0 h, 12 h, 24 h, 48 h and 72 h postoperatively. The secondary outcomes were effective PCA usage count and rescue analgesia requirement at the same time points. Results: The median (interquartile range) hydromorphone consumption, including converted oxycodone, was significantly different at 48 h postoperatively among the three groups (ESPB, 10.24 [9.53–11.71] mg; PVB, 9.94 [9.19–10.75] mg; P + E, 9.44 [8.96–9.97] mg; P = 0.011). Hydromorphone consumption in P + E group was lower compared with that in ESPB group at 12 h, 24 h and 48 h (P < 0.001, P = 0.004 and P = 0.003, respectively). VAS scores at rest were significantly higher for ESPB group compared to P + E group at 0 h postoperatively (P = 0.009). VAS scores while coughing were significantly higher for ESPB group compared to P + E group at 0 h and 12 h postoperatively (P = 0.015 and P < 0.001) and to the PVB group at 12 h postoperatively (P = 0.002). The effective PCA usage count in P + E group was lower than in ESPB group in 0–12 h (P < 0.001). More patients needed rescue analgesia in ESPB group compared to those in P + E group in 0–12 h, 0–24 h and 0–48 h (P = 0.022, 0.035 and 0.035, respectively). Conclusions: Ultrasound-guided PVB combined with ESPB provided superior analgesia to ESPB for VATS. The combination of PVB and ESPB had a similar analgesic effect compared with PVB alone. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 0972-9941 1998-3921 |
| Relation: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2022;volume=18;issue=2;spage=241;epage=247;aulast=; https://doaj.org/toc/0972-9941; https://doaj.org/toc/1998-3921 |
| DOI: | 10.4103/jmas.JMAS_277_20 |
| URL الوصول: | https://doaj.org/article/19ad62f107bc454295972bffa5b993b3 |
| رقم الأكسشن: | edsdoj.19ad62f107bc454295972bffa5b993b3 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 09729941 19983921 |
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| DOI: | 10.4103/jmas.JMAS_277_20 |