超声引导下建立胸二段导管置入技术:一项随机对照试验。

IF 1.5 Q3 ANESTHESIOLOGY
Local and Regional Anesthesia Pub Date : 2020-08-11 eCollection Date: 2020-01-01 DOI:10.2147/LRA.S262138
Mohamed A Mansour, Ahmed Z Fouad, Sarah M Amin, Nasser M Dobal
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引用次数: 1

摘要

目的:评价超声引导下改良胸ⅱ阻滞技术用于乳房切除术后疼痛控制的有效性和安全性。方法:采用随机对照试验,将患者随机分为两组,每组40例。I组患者在尝试插入导管前行超声引导下的胸ⅱ阻滞,注射1%利多卡因10 mL作为夹层液,II组患者采用标准程序,不使用夹层液。测量结果包括导管可视性、疼痛、患者满意度、操作时间和并发症。结果:与II组相比,I组的中位导管可视性评分显著降低,阻滞执行时间缩短,插入次数减少。I组并发症发生率较II组无显著性增高。结论:改进后的技术操作方便,缩短了置管时间,患者满意度较高。然而,它与超声检查导管可视性较低有关。需要进一步的研究来证实目前的发现并评估改进技术的安全性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Establishing a Technique for Pectoral II-Block Catheter Insertion with Ultrasound Guidance: A Randomized Controlled Trial.

Establishing a Technique for Pectoral II-Block Catheter Insertion with Ultrasound Guidance: A Randomized Controlled Trial.

Establishing a Technique for Pectoral II-Block Catheter Insertion with Ultrasound Guidance: A Randomized Controlled Trial.

Establishing a Technique for Pectoral II-Block Catheter Insertion with Ultrasound Guidance: A Randomized Controlled Trial.

Purpose: To assess the efficacy and safety of a modified technique for ultrasound-guided pectoral II block for postoperative pain control after mastectomy.

Methods: In this randomized controlled trial, patients were randomly allocated into two groups (40 patients each). Group I patients were subjected to ultrasound-guided pectoral II block with injection of 10 mL lidocaine 1% as a dissecting solution before attempting catheter insertion, while group II patients underwent the standard procedure without a dissecting solution. Measured outcomes included catheter visibility, pain, patient satisfaction, performance time, and complications.

Results: Compared with group II, group I had significantly lower median catheter-visibility scores, shorter block performance time, and fewer insertion attempts. Group I had a nonsignificantly higher rate of complications than group II.

Conclusion: The modified technique facilitated the procedure, shortened the catheter-insertion time, and showed higher patient satisfaction. However, it was associated with lower catheter visibility on ultrasonography. Further studies are required to confirm the present findings and assess the safety of the modified technique.

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来源期刊
CiteScore
6.30
自引率
0.00%
发文量
12
审稿时长
16 weeks
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