Continuous Analgesia with Intercostal Catheterization after Thoracoscopy.

IF 1.3 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Thoracic and Cardiovascular Surgeon Pub Date : 2024-09-01 Epub Date: 2023-09-06 DOI:10.1055/a-2168-9081

Yifei Wang, Qi Sun, Yiling Huang, Qinghua Yang, Rong Chen, Xianwei Zhang, Xuewei Zhao, Mingdong Wang

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引用次数: 0

Abstract

Background: There are few studies on continuous intercostal nerve block after single operation hole thoracoscopic surgery, that is, two-port thoracoscopic surgery.

Objective: To evaluate the analgesic effect of continuous intercostal nerve block after thoracoscopic surgery.

Methods: A total of 80 patients who underwent single operation hole thoracoscopic surgery in our hospital between September 2020 and June 2021 were enrolled and divided into two groups. Based on basic analgesia, an intercostal catheter was placed during the operation for continuous intercostal block analgesia after the operation in the experimental group (group A, n = 40). The control group (group B, n = 40) was treated with sufentanil intravenous analgesia after surgery, which is namely "basic analgesia." The postoperative pain scores, restlessness during the recovery period, effect on reducing opioid use, postoperative chest complications, patient satisfaction, etc., were compared between the two groups.

Results: The pain scores of patients in group A were significantly lower compared with those in group B at 12, 24, 36, and 48 hours after surgery (3.325 ± 1.163 vs. 4.550 ± 1.176, 2.650 ± 1.001 vs. 4.000 ± 1.038, 2.325 ± 0.917 vs. 3.700 ± 0.966, and 1.775 ± 1.050 vs. 3.150 ± 1.075, p < 0.001, respectively). Sufentanil consumption in group A was significantly lower than in group B at 48 hours after surgery (98.625 ± 4.158 vs. 106.000 ± 7.228, p < 0.001).

Conclusion: Multimodal analgesia is ideal for early pain control after thoracotomy. A continuous intercostal nerve block can effectively reduce postoperative pain in patients.

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胸腔镜检查后肋间置管持续镇痛。

背景：关于单孔胸腔镜手术后连续肋间神经阻滞的研究较少，即两口胸腔镜手术。目标：评价胸腔镜手术后肋间神经连续阻滞的镇痛效果。方法：在2020年9月至2021年6月期间，共有80名患者在我院接受了单孔胸腔镜手术，并将其分为两组。实验组在基础镇痛的基础上，术中放置肋间导管，术后持续肋间阻滞镇痛（A组，n = 40）。对照组（B组，n = 40）术后应用舒芬太尼静脉镇痛，即“基础镇痛”。比较两组术后疼痛评分、恢复期躁动、减少阿片类药物使用的效果、术后胸部并发症、患者满意度等。结果： A组患者在12、24、36和48岁时的疼痛评分明显低于B组手术后数小时（3.325 ± 1.163对4.550 ± 1.176、2.650 ± 1.001对4.000 ± 1.038、2.325 ± 0.917对3.700 ± 0.966和1.775 ± 1.050对3.150 ± 1.075，p p 结论：多模式镇痛是开胸术后早期疼痛控制的理想方法。持续的肋间神经阻滞可以有效地减轻患者的术后疼痛。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Thoracic and Cardiovascular Surgeon 医学-呼吸系统

CiteScore

3.40

自引率

6.70%

发文量

365

审稿时长

3 months

期刊介绍： The Thoracic and Cardiovascular Surgeon publishes articles of the highest standard from internationally recognized thoracic and cardiovascular surgeons, cardiologists, anesthesiologists, physiologists, and pathologists. This journal is an essential resource for anyone working in this field. Original articles, short communications, reviews and important meeting announcements keep you abreast of key clinical advances, as well as providing the theoretical background of cardiovascular and thoracic surgery. Case reports are published in our Open Access companion journal The Thoracic and Cardiovascular Surgeon Reports.