Anesthesia and pain medicine最新文献_第10页

Two cases of late-onset cardiovascular toxicities after a single injection of local anesthetics during supraclavicular brachial plexus block - A report of two cases. 锁骨上臂丛神经阻滞时单次注射局麻药后迟发性心血管毒性2例报告。

Anesthesia and pain medicine Pub Date : 2022-04-01 Epub Date: 2021-12-28 DOI: 10.17085/apm.21093

Ji Yeon Kim, Beom Il Park, Min Hee Heo, Kyoung Woo Kim, Sang-Il Lee, Kyung-Tae Kim, Won Joo Choe, Jang Su Park, Jun Hyun Kim

{"title":"Two cases of late-onset cardiovascular toxicities after a single injection of local anesthetics during supraclavicular brachial plexus block - A report of two cases.","authors":"Ji Yeon Kim, Beom Il Park, Min Hee Heo, Kyoung Woo Kim, Sang-Il Lee, Kyung-Tae Kim, Won Joo Choe, Jang Su Park, Jun Hyun Kim","doi":"10.17085/apm.21093","DOIUrl":"https://doi.org/10.17085/apm.21093","url":null,"abstract":"Background: Local anesthetics systemic toxicity (LAST) is a grave complication of regional anesthesia that usually occurs immediately after local anesthetics injection. Here, we report on rare late-onset toxicity cases after supraclavicular brachial plexus blocks.Case: Two patients underwent surgery for radius fractures. We used lidocaine 100 mg and ropivacaine 150 mg for blocking and infused dexmedetomidine for intraoperative sedation. The 63-year-old male patient's blood pressure dropped to 87/60 mmHg after 3 h 15 min after blocking. Ventricular fibrillation occurred 10 min later. After five defibrillations, electrocardiography showed ventricular tachycardia that was normalized through one cardioversion. The 54-year-old female patient's heart rate decreased to 35 beats/min 2 h 30 min after blocking. Her vital signs returned to normal after administering atropine, ephedrine, epinephrine, and lipid emulsion.Conclusions: Physicians should remember that LAST may occur long after local anesthetic injection and be aware of factors that may adversely affect the course of LAST.","PeriodicalId":7801,"journal":{"name":"Anesthesia and pain medicine","volume":" ","pages":"228-234"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cd/24/apm-21093.PMC9091664.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39777669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An anesthetic experience of hereditary angioedema type I patient undertook total laparoscopic hysterectomy - A case report. 遗传性血管性水肿I型患者行腹腔镜全子宫切除术的麻醉体会1例。

Anesthesia and pain medicine Pub Date : 2022-04-01 Epub Date: 2022-01-07 DOI: 10.17085/apm.21088

Yun-Sic Bang, Jaeho Cho, Chunghyun Park

{"title":"An anesthetic experience of hereditary angioedema type I patient undertook total laparoscopic hysterectomy - A case report.","authors":"Yun-Sic Bang, Jaeho Cho, Chunghyun Park","doi":"10.17085/apm.21088","DOIUrl":"https://doi.org/10.17085/apm.21088","url":null,"abstract":"Background: Hereditary angioedema (HAE) is an autosomal dominant disorder. The characteristic of HAE is recurrent angioedema episodes due to low C1 esterase inhibitor (C1-INH) level. HAE symptoms, especially those affecting oropharynx or larynx may develop respiratory distress syndrome due to impaired airway, which can be potentially fatal.Case: We report a clinical case of a 57 year-old woman, with type I HAE, scheduled for total laparoscopic hysterectomy under general endotracheal anesthesia, which was done successfully without inducing airway edema. Danazol, which increases liver synthesis of C1-INH, was administered and fresh frozen plasma (FFP), which contained C1-INH, was transfused after induction.Conclusions: For HAE patients, the greatest concern is that general anesthesia can induces upper airway edema by direct mucosal irritation by the endotracheal tube. The perioperative management should include both prophylactic increase of C1-INH production and on-demand administration of C1-INH or FFP.","PeriodicalId":7801,"journal":{"name":"Anesthesia and pain medicine","volume":" ","pages":"235-238"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2f/f8/apm-21088.PMC9091676.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39903384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Management of renin-angiotensin-aldosterone inhibitors and other antihypertensives and their clinical effects on pre-anesthesia blood pressure. 肾素-血管紧张素-醛固酮抑制剂和其他降压药的管理及其对麻醉前血压的临床影响。

Anesthesia and pain medicine Pub Date : 2022-01-01 Epub Date: 2022-01-05 DOI: 10.17085/apm.21050

Eda Balcı, Zeliha Aslı Demir, Melike Bahçecitapar

{"title":"Management of renin-angiotensin-aldosterone inhibitors and other antihypertensives and their clinical effects on pre-anesthesia blood pressure.","authors":"Eda Balcı, Zeliha Aslı Demir, Melike Bahçecitapar","doi":"10.17085/apm.21050","DOIUrl":"https://doi.org/10.17085/apm.21050","url":null,"abstract":"Background: Blood pressure fluctuations appear more significant in patients with poorly controlled hypertension and are known to be associated with adverse perioperative morbidity. In the present study, we aimed to determine the effects of antihypertensive drug treatment strategies on preanesthetic operating room blood pressure measurements.Methods: A total of 717 patients participated in our study; 383 patients who were normotensive based on baseline measurements and not under antihypertensive therapy were excluded from the analysis. The remaining 334 patients were divided into six groups according to the antihypertensive drug treatment. These six groups were examined in terms of preoperative baseline and pre-anesthesia blood pressure measurements.Results: As a result of the study, it was observed that 24% of patients had high blood pressure precluding surgery, and patients using renin-angiotensin-aldosterone system inhibitors (RAASI) had higher pre-anesthesia systolic blood pressure than patients using other antihypertensive drugs. Patients who received beta-blockers were also observed to have the lowest pre-anesthesia systolic blood pressure, diastolic blood pressure, and mean blood pressure, compared to others.Conclusions: Recently, whether RAASI should be continued preoperatively remains controversial. Our study shows that RAASI cannot provide optimal pre-anesthesia blood pressure and lead to an increase in the number of postponed surgeries, probably due to withdrawal of medication before the operation. Therefore, the preoperative discontinuation of RAASI should be reevaluated in future studies.","PeriodicalId":7801,"journal":{"name":"Anesthesia and pain medicine","volume":"17 1","pages":"112-119"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d5/e0/apm-21050.PMC8841255.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39903385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Serious acid-base disorder or life-threatening arrhythmia in patients with ABO-incompatible liver transplantation who received therapeutic plasma exchange - A report of two cases. abo血型不相容肝移植患者接受治疗性血浆置换后出现严重酸碱失调或危及生命的心律失常2例报告

Anesthesia and pain medicine Pub Date : 2022-01-01 Epub Date: 2021-12-30 DOI: 10.17085/apm.21045

Sangho Lee, Kyoung-Sun Kim, Bo-Hyun Sang, Gyu-Sam Hwang

{"title":"Serious acid-base disorder or life-threatening arrhythmia in patients with ABO-incompatible liver transplantation who received therapeutic plasma exchange - A report of two cases.","authors":"Sangho Lee, Kyoung-Sun Kim, Bo-Hyun Sang, Gyu-Sam Hwang","doi":"10.17085/apm.21045","DOIUrl":"https://doi.org/10.17085/apm.21045","url":null,"abstract":"Background: Excessive citrate load during therapeutic plasma exchange (TPE) can cause metabolic alkalosis with compensatory hypercarbia and electrolyte disturbances. If TPE is required immediately before ABO-incompatible (ABOi) liver transplant (LT) surgery, metabolic derangement and severe electrolyte disturbance could worsen during LT anesthesia.Case: We report two ABOi LT cases who received TPE on the day of surgery because isoagglutinin titers did not be dropped below 1:8. One case had a surprisingly high metabolic alkalosis with a pH of 7.73 immediately after tracheal intubation because of hyperventilation during mask bagging. The other experienced sudden ventricular tachycardia and blood pressure drop after surgical incision accompanied with severe hypokalemia of 1.8 mmol/L despite supplementation with potassium.Conclusions: Special attention should be paid to patients who just completed TPE the operative day morning as they are vulnerable to severe acid-base disturbances and life-threatening ventricular arrhythmias in ABOi LT.","PeriodicalId":7801,"journal":{"name":"Anesthesia and pain medicine","volume":"17 1","pages":"57-61"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6f/94/apm-21045.PMC8841252.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39777668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Greater occipital nerve blockade using ultrasound guidance for the headache of spontaneous intracranial hypotension - A case report. 超声引导枕大神经阻滞治疗自发性颅内低血压头痛1例。

Anesthesia and pain medicine Pub Date : 2022-01-01 Epub Date: 2021-12-30 DOI: 10.17085/apm.21082

Ji Hee Hong, Ho Woo Lee, Yong Ho Lee

{"title":"Greater occipital nerve blockade using ultrasound guidance for the headache of spontaneous intracranial hypotension - A case report.","authors":"Ji Hee Hong, Ho Woo Lee, Yong Ho Lee","doi":"10.17085/apm.21082","DOIUrl":"https://doi.org/10.17085/apm.21082","url":null,"abstract":"Background: Spontaneous intracranial hypotension occurs due to cerebrospinal fluid leakage from the spinal column, and orthostatic headache is the most common clinical presentation. Recent studies showed that bilateral greater occipital nerve blockade demonstrated clinical efficacy in relieving post-dural puncture headache after caesarean section.Case: A 40-year-old male who presented severe orthostatic headache was consulted to our pain clinic from neurology department. He initially felt a dull nature pain over the whole occipital area which then spread over the frontal and parietal areas. His headache was combined with nausea and vomiting. An epidural blood patch was delayed until final cisternography, and bilateral greater occipital nerve blockade using ultrasound guidance was performed instead. After the blockade, the previously existing headache around the occipital and parietal areas disappeared completely, but mild headache persisted around the frontal area.Conclusions: Greater occipital nerve blockade could be a good therapeutic alternative to improve headache resulting from spontaneous intracranial hypotension.","PeriodicalId":7801,"journal":{"name":"Anesthesia and pain medicine","volume":"17 1","pages":"62-66"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/dc/a1/apm-21082.PMC8841260.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39780047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Comparison of bolus administration effects of lidocaine on preventing tourniquet-induced hypertension in patients undergoing general anesthesia: a randomized controlled trial. 一项随机对照试验:利多卡因预防全身麻醉患者止血带性高血压的效果比较。

Anesthesia and pain medicine Pub Date : 2022-01-01 Epub Date: 2021-10-14 DOI: 10.17085/apm.21055

Ji WooK Kim, A Ran Lee, Eun Sun Park, Min Su Yun, Sung Won Ryu, Uk Gwan Kim, Dong Hee Kang, Ju Deok Kim

{"title":"Comparison of bolus administration effects of lidocaine on preventing tourniquet-induced hypertension in patients undergoing general anesthesia: a randomized controlled trial.","authors":"Ji WooK Kim, A Ran Lee, Eun Sun Park, Min Su Yun, Sung Won Ryu, Uk Gwan Kim, Dong Hee Kang, Ju Deok Kim","doi":"10.17085/apm.21055","DOIUrl":"https://doi.org/10.17085/apm.21055","url":null,"abstract":"Background: This study assessed the effect of a single bolus administration of lidocaine on the prevention of tourniquet-induced hypertension (TIH) and compared the effect of lidocaine to that of ketamine in patients undergoing general anesthesia.Methods: This randomized, controlled, double-blind study included 75 patients who underwent lower limb surgery using a tourniquet. The patients were administered lidocaine (1.5 mg/kg, n = 25), ketamine (0.2 mg/kg, n = 25) or placebo (n = 25). The study drugs were administered intravenously 10 min before tourniquet inflation. Systolic blood pressure (SBP), diastolic blood pressure (DBP), and heart rate (HR) were measured before tourniquet inflation, after tourniquet inflation for 60 min at 10 min intervals, and immediately after tourniquet deflation. The incidence of TIH, defined as an increase of 30% or more in SBP or DBP during tourniquet inflation, was also recorded.Results: SBP, DBP, and HR increased significantly over time in the control group compared to those in the lidocaine and ketamine groups for 60 min after tourniquet inflation (P < 0.001, P < 0.001, and P = 0.007, respectively). The incidence of TIH was significantly lower in the lidocaine (n = 4, 16%) and ketamine (n = 3, 12%) group than in the control group (n = 14, 56%) (P = 0.001).Conclusion: Single-bolus lidocaine effectively attenuated blood pressure increase due to tourniquet inflation, with an effect comparable to that of bolus ketamine.","PeriodicalId":7801,"journal":{"name":"Anesthesia and pain medicine","volume":"17 1","pages":"35-43"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d2/49/apm-21055.PMC8841261.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39882265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Approaching trauma analgesia using prolonged and novel continuous peripheral nerve blocks - A case report. 延长和新型连续周围神经阻滞治疗创伤镇痛- 1例报告。

Anesthesia and pain medicine Pub Date : 2022-01-01 Epub Date: 2021-07-22 DOI: 10.17085/apm.21029

Eric Ly, Sai Velamuri, William Hickerson, David M Hill, Jay Desai, Ban Tsui, Michael Herr, Jerry Jones

{"title":"Approaching trauma analgesia using prolonged and novel continuous peripheral nerve blocks - A case report.","authors":"Eric Ly, Sai Velamuri, William Hickerson, David M Hill, Jay Desai, Ban Tsui, Michael Herr, Jerry Jones","doi":"10.17085/apm.21029","DOIUrl":"https://doi.org/10.17085/apm.21029","url":null,"abstract":"Background: A supraclavicular brachial plexus nerve block provides analgesia for the shoulder, arm, and hand; however, the maximum safe duration for a continuous infusion remains controversial. A novel continuous peripheral nerve block (CPNB) technique combining the Lateral, Intermediate, and Medial femoral cutaneous nerves (termed the 'LIM' block) to provide analgesia to the lateral, anterior, and medial cutaneous areas of the thigh while preserving quadriceps strength will also be described in detail here.Case: We present a complex case in which simultaneous utilization of an unilateral supraclavicular CPNB (5 weeks) and bilateral LIM CPNB (5 days) are successfully performed to provide analgesia for a traumatic degloving injury resulting in multiple surgeries.Conclusions: The analgesic plan in this case study eliminated previous episodes of opioid-induced delirium, facilitated participation in recovery, and removed concerns for respiratory depression and chronic opioid use in a patient at particular risk for both issues.","PeriodicalId":7801,"journal":{"name":"Anesthesia and pain medicine","volume":"17 1","pages":"87-92"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c4/8b/apm-21029.PMC8841258.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39882266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Remimazolam: pharmacological characteristics and clinical applications in anesthesiology. 雷马唑仑:麻醉学的药理特性和临床应用。

Anesthesia and pain medicine Pub Date : 2022-01-01 Epub Date: 2022-01-20 DOI: 10.17085/apm.21115

Kyung Mi Kim

{"title":"Remimazolam: pharmacological characteristics and clinical applications in anesthesiology.","authors":"Kyung Mi Kim","doi":"10.17085/apm.21115","DOIUrl":"https://doi.org/10.17085/apm.21115","url":null,"abstract":"A novel ultra-short-acting benzodiazepine (BDZ), remimazolam (CNS 7056), has been designed by 'soft drug' development to achieve a better sedative profile than that of the current drugs. Notably, the esterase linkage in remimazolam permits rapid hydrolysis to inactivate metabolites by non-specific tissue esterase and induces a unique and favorable pharmacological profile, including rapid onset and offset of sedation and a predictable duration of action. Similar to other BDZs, its sedative effects can be reversed using flumazenil, a BDZ antagonist. The pharmacokinetics and pharmacodynamics of remimazolam are characterized by relatively high clearance, small steady-state volume of distribution, short elimination half-life, short context-sensitive half-life, and fast onset and recovery, indicating rapid elimination, minimal tissue accumulation, and good control. In addition, remimazolam possesses a superior safety profile, including low liability for cardiorespiratory depression and injection pain, making it a preferred hypnotic agent in various clinical settings. Early clinical investigations suggest that remimazolam is well tolerated and effective for procedural sedation and for induction and maintenance of general anesthesia. To date, however, the clinical use of remimazolam has been confined to a few volunteer studies and a limited number of clinical investigations. Therefore, further studies regarding its recovery issues or postoperative complications, characteristics of electroencephalogram changes, and cost-benefit analyses are required to facilitate its widespread use.","PeriodicalId":7801,"journal":{"name":"Anesthesia and pain medicine","volume":"17 1","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/bc/d3/apm-21115.PMC8841266.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39779946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 51

Comparison between GlideRite® rigid stylet and Parker Flex-It™ stylet to facilitate GlideScope intubation in simulated difficult intubation: a randomized controlled study. GlideRite®刚性导管与Parker Flex-It™导管在模拟困难插管中的比较:一项随机对照研究。

Anesthesia and pain medicine Pub Date : 2022-01-01 Epub Date: 2021-12-30 DOI: 10.17085/apm.21095

Ji Won Bak, Yeonji Noh, Juyoun Kim, Byeongmun Hwang, Seongsik Kang, Heejeong Son, Minsoo Kim

{"title":"Comparison between GlideRite® rigid stylet and Parker Flex-It™ stylet to facilitate GlideScope intubation in simulated difficult intubation: a randomized controlled study.","authors":"Ji Won Bak, Yeonji Noh, Juyoun Kim, Byeongmun Hwang, Seongsik Kang, Heejeong Son, Minsoo Kim","doi":"10.17085/apm.21095","DOIUrl":"https://doi.org/10.17085/apm.21095","url":null,"abstract":"Background: The GlideScope® videolaryngoscope (GVL) is widely used in patients with difficult airways and provides a good glottic view. However, the acute angle of the blade can make insertion and advancement of an endotracheal tube (ETT) more difficult than direct laryngoscopy, and the use of a stylet is recommended. This randomized controlled trial compared Parker Flex-It™ stylet (PFS) with GlideRite® rigid stylet (GRS) to facilitate intubation with the GVL in simulated difficult intubations.Methods: Fifty-four patients were randomly allocated to undergo GVL intubation using either GRS (GRS group) or PFS (PFS group). The total intubation time (TIT), 100-mm visual analog scale (VAS) for ease of intubation, success rate at the first attempt, use of laryngeal manipulation, tube advancement rate by assistant, and complications were recorded.Results: There was no significant difference between the GRS and PFS groups regarding TIT (50.3 ± 12.0 s in the GRS group and 57.8 ± 18.8 s in the PFS group, P = 0.108). However, intubation was more difficult in the PFS group than in the GRS group according to VAS score (P = 0.011). Cases in which the ETT was advanced from the stylet by an assistant, were more frequent in the GRS group than in the PFS group (P = 0.002). The overall incidence of possible complications was not significantly different.Conclusions: In patients with a simulated difficult airway, there was no difference in TIT using either the PFS or GRS. However, endotracheal intubation with PFS is more difficult to perform than GRS.","PeriodicalId":7801,"journal":{"name":"Anesthesia and pain medicine","volume":"17 1","pages":"104-111"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e2/5a/apm-21095.PMC8841254.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39777670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Analgesic efficacy of ultrasound-guided transversus abdominis plane block for laparoscopic gynecological surgery: a randomized controlled trial. 超声引导下经腹平面阻滞用于腹腔镜妇科手术的镇痛效果:一项随机对照试验。

Anesthesia and pain medicine Pub Date : 2022-01-01 Epub Date: 2022-01-07 DOI: 10.17085/apm.21030

Divya Sethi, Garima Garg

{"title":"Analgesic efficacy of ultrasound-guided transversus abdominis plane block for laparoscopic gynecological surgery: a randomized controlled trial.","authors":"Divya Sethi, Garima Garg","doi":"10.17085/apm.21030","DOIUrl":"https://doi.org/10.17085/apm.21030","url":null,"abstract":"Background: This study aimed to determine whether ultrasound-guided transversus abdominis plane (TAP) block is more effective in reducing postoperative pain and analgesic consumption than local anesthetic infiltration (LAI) at the port site for elective laparoscopic gynecological surgeries.Methods: Eighty patients with the American Society of Anesthesiologists status I/II undergoing laparoscopic gynecology surgery were enrolled for this randomized control trial. After general anesthesia was administered, patients in group C received LAI at each port site, and patients in group T received bilateral ultrasound-guided TAP. Postoperative pain was assessed at time intervals of 1/2, 2, 4, 6, 8, and 24 h using the numeric pain scale (NPS). Clinical metrics such as postoperative analgesic diclofenac consumption, need for rescue fentanyl, nausea-vomiting scores, and antiemetic requirements were also recorded.Results: Seventy-four patients were included in the final analysis. Postoperatively, patients in group T had significantly lower NPS than those in group C (P < 0.05). The highest difference in the postoperative NPS was observed at 2 h (median [1Q, 3Q]; group C = 3 [2, 4]; group T = 1 [0, 2]; P < 0.001). A statistically significant difference was observed in the frequency of diclofenac (75 mg intravenous) requirement between the groups (P = 0.010). No significant difference was observed between the groups in need of rescue fentanyl or antiemetic and the nausea-vomiting scores.Conclusions: In patients undergoing laparoscopic gynecological surgery, ultrasound-guided TAP block provided greater postoperative analgesic benefits in terms of lower NPS and reduced analgesic requirements than port site LAI.","PeriodicalId":7801,"journal":{"name":"Anesthesia and pain medicine","volume":"17 1","pages":"67-74"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/76/09/apm-21030.PMC8841257.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39903382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1