Efficacy of Unilateral External Oblique Intercostal Fascial Plane Block Versus Subcostal TAP Block in Laparoscopic Cholecystectomy: Randomized, Prospective Study.

IF 1.2 4区 医学 Q3 SURGERY
Surgical Innovation Pub Date : 2024-08-01 Epub Date: 2024-05-23 DOI:10.1177/15533506241256529
Çömez Mehmet Selim, Sağlambilen Halide, Çelik Erkan Cem, Koyuncu Onur, Hakimoğlu Sedat, Urfalı Senem
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引用次数: 0

Abstract

Background: This study aimed to evaluate the effectiveness of unilateral external oblique intercostal nerve block (EOIB) in laparoscopic cholecystectomy surgery.

Material and methods: After ethics committee approval, ASA I-II patients aged 18-70 who would undergo laparoscopic cholecystectomy surgery were included in the study. The patients were divided into two groups, external oblique intercostal nerve block (Group EOIB) and oblique subcostal transversus abdominis plane block (Group OSTAP). After surgery, EOIB or OSTAP block was administered with 20 mL of .25% bupivacaine then routine analgesia protocol was applied with iv paracetamol, and tramadol. Visual analog scale (VAS) scores and patient-controlled analgesia (PCA) consumption were monitored 24 hours after the operation. It was administered 25 mg pethidine as a rescue analgesic to patients with VAS ≥4.

Results: Thirty six patients for Group EOIB and thirty four patients for Group OSTAP were included in the study. Lower VAS scores were observed in all groups. When PCA consumption, side effects, rescue analgesia consumption, and patient satisfaction were evaluated, there was no statistically significant difference between the groups (P > .05).

Conclusion: It was observed that EOIB showed similar analgesic activity to the OSTAP block. EOIB may also be a part of postoperative multimodal analgesia by reducing postoperative opioid consumption in LC.

腹腔镜胆囊切除术中单侧外斜肋间筋膜平面阻滞与肋下 TAP 阻滞的疗效:随机前瞻性研究
背景本研究旨在评估单侧肋间外斜神经阻滞(EOIB)在腹腔镜胆囊切除术中的有效性:经伦理委员会批准后,将年龄在 18-70 岁、将接受腹腔镜胆囊切除术的 ASA I-II 级患者纳入研究。患者被分为两组,即肋间外斜神经阻滞组(EOIB)和腹横肌平面斜下神经阻滞组(OSTAP)。手术后,用 20 mL .25% 布比卡因进行 EOIB 或 OSTAP 阻滞,然后用扑热息痛和曲马多进行常规镇痛。术后 24 小时对视觉模拟量表(VAS)评分和患者自控镇痛(PCA)用量进行监测。对 VAS ≥4 的患者使用 25 毫克哌替啶作为镇痛抢救药:研究共纳入了 36 名 EOIB 组患者和 34 名 OSTAP 组患者。所有组的 VAS 评分均较低。在评估 PCA 消耗量、副作用、镇痛抢救消耗量和患者满意度时,两组间无统计学差异(P > .05):结论:据观察,EOIB 的镇痛活性与 OSTAP 阻滞相似。EOIB 也可作为术后多模式镇痛的一部分,减少 LC 术后阿片类药物的用量。
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来源期刊
Surgical Innovation
Surgical Innovation 医学-外科
CiteScore
2.90
自引率
0.00%
发文量
72
审稿时长
6-12 weeks
期刊介绍: Surgical Innovation (SRI) is a peer-reviewed bi-monthly journal focusing on minimally invasive surgical techniques, new instruments such as laparoscopes and endoscopes, and new technologies. SRI prepares surgeons to think and work in "the operating room of the future" through learning new techniques, understanding and adapting to new technologies, maintaining surgical competencies, and applying surgical outcomes data to their practices. This journal is a member of the Committee on Publication Ethics (COPE).
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