Comprehensive Pain Control Strategy in Minimally Invasive Mitral Valve Repair.

IF 1.1 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Mitsuharu Hosono, Hiroshi Yasumoto, Shintaro Kuwauchi, Yoshino Mitsunaga, Uetsuki Tomohiko, Naoki Minato, Kohei Kawazoe
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引用次数: 1

Abstract

Purpose: The effect of our comprehensive strategy to reduce pain after minimally invasive mitral valve repair through a right mini-thoracotomy was assessed retrospectively.

Methods: Our comprehensive strategy constituted the following: planned rib cutting to avoid rib injury, sufficient intercostal muscle division to mobilize the cut rib, limiting the number of intercostal ports, avoiding nerve entrapment, continuous extra-pleural intercostal nerve block, and regular use of oral non-steroidal anti-inflammatory drugs. We compared patients treated with this comprehensive strategy (Group S, n = 13) and patients before this strategy was implemented (Group C, n = 13). We used a numerical rating scale (NRS) as a pain scale during the first 3 days postoperatively.

Results: The average NRS was significantly lower in Group S (0.82 ± 0.49) than in Group C (2.40 ± 1.46) (P <0.01). The maximum NRS was also significantly lower in Group S (3.23 ± 1.17) than in Group C (5.69 ± 2.43) (P <0.01). The number of patients using additional single-dose analgesic were significantly less in Group S (23.1%) than in Group C (84.6%) (P <0.01).

Conclusion: Our comprehensive pain control strategy effectively reduced postoperative pain in minimally invasive mitral valve repair.

Abstract Image

Abstract Image

微创二尖瓣修复的综合疼痛控制策略。
目的:回顾性评价经右小开胸微创二尖瓣修复术后综合治疗方案的效果。方法:我们的综合策略是:有计划的肋骨切割以避免肋骨损伤,充分的肋间肌分隔以调动被切割的肋骨,限制肋间端口的数量,避免神经卡压,持续的胸膜外肋间神经阻滞,定期使用口服非甾体类抗炎药。我们比较采用该综合策略治疗的患者(S组,n = 13)和未采用该策略的患者(C组,n = 13)。我们使用数值评定量表(NRS)作为术后前3天的疼痛量表。结果:S组的平均NRS(0.82±0.49)明显低于C组(2.40±1.46)(P)。结论:综合疼痛控制策略可有效减轻微创二尖瓣修复术后的疼痛。
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来源期刊
Annals of Thoracic and Cardiovascular Surgery
Annals of Thoracic and Cardiovascular Surgery CARDIAC & CARDIOVASCULAR SYSTEMS-SURGERY
CiteScore
2.80
自引率
0.00%
发文量
56
审稿时长
4-8 weeks
期刊介绍: Information not localized
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