Continuous Analgesia with Intercostal Catheterization after Thoracoscopy.


Journal

The Thoracic and cardiovascular surgeon
ISSN: 1439-1902
Titre abrégé: Thorac Cardiovasc Surg
Pays: Germany
ID NLM: 7903387

Informations de publication

Date de publication:
17 Oct 2023
Historique:
pubmed: 7 9 2023
medline: 7 9 2023
entrez: 6 9 2023
Statut: aheadofprint

Résumé

 There are few studies on continuous intercostal nerve block after single operation hole thoracoscopic surgery, that is, two-port thoracoscopic surgery.  To evaluate the analgesic effect of continuous intercostal nerve block after thoracoscopic surgery.  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,  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,  Multimodal analgesia is ideal for early pain control after thoracotomy. A continuous intercostal nerve block can effectively reduce postoperative pain in patients.

Sections du résumé

BACKGROUND BACKGROUND
 There are few studies on continuous intercostal nerve block after single operation hole thoracoscopic surgery, that is, two-port thoracoscopic surgery.
OBJECTIVE OBJECTIVE
 To evaluate the analgesic effect of continuous intercostal nerve block after thoracoscopic surgery.
METHODS 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,
RESULTS 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,
CONCLUSION CONCLUSIONS
 Multimodal analgesia is ideal for early pain control after thoracotomy. A continuous intercostal nerve block can effectively reduce postoperative pain in patients.

Identifiants

pubmed: 37673104
doi: 10.1055/a-2168-9081
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Hongkou District Health and Family Planning Commission
ID : 2103-06

Informations de copyright

Thieme. All rights reserved.

Déclaration de conflit d'intérêts

None declared.

Auteurs

Yifei Wang (Y)

Department of Thoracic Surgery, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai, China.

Qi Sun (Q)

Department of Thoracic Surgery, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai, China.

Yiling Huang (Y)

Department of Nursing, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai, China.

Qinghua Yang (Q)

Department of Cardiovascular Surgery, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai, China.

Rong Chen (R)

Department of Nursing, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai, China.

Xianwei Zhang (X)

Department of Thoracic Surgery, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai, China.

Xuewei Zhao (X)

Department of Thoracic Surgery, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai, China.

Mingdong Wang (M)

Department of Thoracic Surgery, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai, China.

Classifications MeSH