A Randomized Controlled Trial Comparing Analgesic Efficacies of an Ultrasound-Guided Approach with and without a Combined Pressure Measurement Technique for Thoracic Paravertebral Blocks After Open Thoracotomy

Eun Kyung Choi, Ji-il Kim, Sang-Jin Park Department of Anesthesiology and Pain Medicine, Yeungnam University College of Medicine, Daegu, Republic of KoreaCorrespondence: Sang-Jin ParkDepartment of Anesthesiology and Pain Medicine, Yeungnam University College of Medicine, Hyeonchung-ro, Nam-gu, Daegu...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Choi EK, Kim J, Park SJ
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	postoperative analgesia pressure measurement thoracic surgery ultrasound-guided visual analogue scale Therapeutics. Pharmacology RM1-950
Acceso en línea:	https://doaj.org/article/3784b27b9be44c54927bc956900efefd
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:3784b27b9be44c54927bc956900efefd
record_format	dspace
spelling	oai:doaj.org-article:3784b27b9be44c54927bc956900efefd2021-12-02T11:27:04ZA Randomized Controlled Trial Comparing Analgesic Efficacies of an Ultrasound-Guided Approach with and without a Combined Pressure Measurement Technique for Thoracic Paravertebral Blocks After Open Thoracotomy1178-203Xhttps://doaj.org/article/3784b27b9be44c54927bc956900efefd2020-08-01T00:00:00Zhttps://www.dovepress.com/a-randomized-controlled-trial-comparing-analgesic-efficacies-of-an-ult-peer-reviewed-article-TCRMhttps://doaj.org/toc/1178-203XEun Kyung Choi, Ji-il Kim, Sang-Jin Park Department of Anesthesiology and Pain Medicine, Yeungnam University College of Medicine, Daegu, Republic of KoreaCorrespondence: Sang-Jin ParkDepartment of Anesthesiology and Pain Medicine, Yeungnam University College of Medicine, Hyeonchung-ro, Nam-gu, Daegu, Republic of KoreaTel +82-53-620-3366Fax +82-53-626-5275Email apsj0718@naver.comPurpose: Ultrasound-guided thoracic paravertebral block (TPVB) is an established means for providing postoperative analgesia in thoracic surgery. However, there are conflicting results regarding the efficacy of post-thoracotomy pain management of ultrasound-guided TPVB when compared with that using traditional landmark approach. We therefore conducted a comparative study to evaluate the analgesic efficacy of TPVB when pressure measurement during needle advancement is combined with an ultrasound-guided approach.Patients and Methods: The patients scheduled for lobectomy through thoracotomy were randomly allocated to receive either the ultrasound-guided approach only group (U group) or the ultrasound-guided approach combined with pressure measurement group (UP group) (n = 36 per group). Before thoracic muscle closure, 0.375% ropivacaine (20 mL) was administered as a bolus, followed by a continuous infusion of 0.2% ropivacaine (0.1 mL/kg/hr) in both groups. Postoperative pain was assessed using the visual analogue scale (VAS) pain score while resting and coughing. Local anesthetics and pethidine usage and sensory block area were also evaluated.Results: The UP group showed significantly lower VAS scores, local anesthetics and pethidine usage, and a wider sensory block area than the U group.Conclusion: A combined technique with ultrasound guidance and pressure measurement provided a superior analgesic effect over that of an ultrasound-guided approach alone for the management of post-thoracotomy pain.Keywords: postoperative analgesia, pressure measurement, thoracic surgery, ultrasound-guided, visual analogue scaleChoi EKKim JPark SJDove Medical Pressarticlepostoperative analgesiapressure measurementthoracic surgeryultrasound-guidedvisual analogue scaleTherapeutics. PharmacologyRM1-950ENTherapeutics and Clinical Risk Management, Vol Volume 16, Pp 727-734 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	postoperative analgesia pressure measurement thoracic surgery ultrasound-guided visual analogue scale Therapeutics. Pharmacology RM1-950
spellingShingle	postoperative analgesia pressure measurement thoracic surgery ultrasound-guided visual analogue scale Therapeutics. Pharmacology RM1-950 Choi EK Kim J Park SJ A Randomized Controlled Trial Comparing Analgesic Efficacies of an Ultrasound-Guided Approach with and without a Combined Pressure Measurement Technique for Thoracic Paravertebral Blocks After Open Thoracotomy
description	Eun Kyung Choi, Ji-il Kim, Sang-Jin Park Department of Anesthesiology and Pain Medicine, Yeungnam University College of Medicine, Daegu, Republic of KoreaCorrespondence: Sang-Jin ParkDepartment of Anesthesiology and Pain Medicine, Yeungnam University College of Medicine, Hyeonchung-ro, Nam-gu, Daegu, Republic of KoreaTel +82-53-620-3366Fax +82-53-626-5275Email apsj0718@naver.comPurpose: Ultrasound-guided thoracic paravertebral block (TPVB) is an established means for providing postoperative analgesia in thoracic surgery. However, there are conflicting results regarding the efficacy of post-thoracotomy pain management of ultrasound-guided TPVB when compared with that using traditional landmark approach. We therefore conducted a comparative study to evaluate the analgesic efficacy of TPVB when pressure measurement during needle advancement is combined with an ultrasound-guided approach.Patients and Methods: The patients scheduled for lobectomy through thoracotomy were randomly allocated to receive either the ultrasound-guided approach only group (U group) or the ultrasound-guided approach combined with pressure measurement group (UP group) (n = 36 per group). Before thoracic muscle closure, 0.375% ropivacaine (20 mL) was administered as a bolus, followed by a continuous infusion of 0.2% ropivacaine (0.1 mL/kg/hr) in both groups. Postoperative pain was assessed using the visual analogue scale (VAS) pain score while resting and coughing. Local anesthetics and pethidine usage and sensory block area were also evaluated.Results: The UP group showed significantly lower VAS scores, local anesthetics and pethidine usage, and a wider sensory block area than the U group.Conclusion: A combined technique with ultrasound guidance and pressure measurement provided a superior analgesic effect over that of an ultrasound-guided approach alone for the management of post-thoracotomy pain.Keywords: postoperative analgesia, pressure measurement, thoracic surgery, ultrasound-guided, visual analogue scale
format	article
author	Choi EK Kim J Park SJ
author_facet	Choi EK Kim J Park SJ
author_sort	Choi EK
title	A Randomized Controlled Trial Comparing Analgesic Efficacies of an Ultrasound-Guided Approach with and without a Combined Pressure Measurement Technique for Thoracic Paravertebral Blocks After Open Thoracotomy
title_short	A Randomized Controlled Trial Comparing Analgesic Efficacies of an Ultrasound-Guided Approach with and without a Combined Pressure Measurement Technique for Thoracic Paravertebral Blocks After Open Thoracotomy
title_full	A Randomized Controlled Trial Comparing Analgesic Efficacies of an Ultrasound-Guided Approach with and without a Combined Pressure Measurement Technique for Thoracic Paravertebral Blocks After Open Thoracotomy
title_fullStr	A Randomized Controlled Trial Comparing Analgesic Efficacies of an Ultrasound-Guided Approach with and without a Combined Pressure Measurement Technique for Thoracic Paravertebral Blocks After Open Thoracotomy
title_full_unstemmed	A Randomized Controlled Trial Comparing Analgesic Efficacies of an Ultrasound-Guided Approach with and without a Combined Pressure Measurement Technique for Thoracic Paravertebral Blocks After Open Thoracotomy
title_sort	randomized controlled trial comparing analgesic efficacies of an ultrasound-guided approach with and without a combined pressure measurement technique for thoracic paravertebral blocks after open thoracotomy
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/3784b27b9be44c54927bc956900efefd
work_keys_str_mv	AT choiek arandomizedcontrolledtrialcomparinganalgesicefficaciesofanultrasoundguidedapproachwithandwithoutacombinedpressuremeasurementtechniqueforthoracicparavertebralblocksafteropenthoracotomy AT kimj arandomizedcontrolledtrialcomparinganalgesicefficaciesofanultrasoundguidedapproachwithandwithoutacombinedpressuremeasurementtechniqueforthoracicparavertebralblocksafteropenthoracotomy AT parksj arandomizedcontrolledtrialcomparinganalgesicefficaciesofanultrasoundguidedapproachwithandwithoutacombinedpressuremeasurementtechniqueforthoracicparavertebralblocksafteropenthoracotomy AT choiek randomizedcontrolledtrialcomparinganalgesicefficaciesofanultrasoundguidedapproachwithandwithoutacombinedpressuremeasurementtechniqueforthoracicparavertebralblocksafteropenthoracotomy AT kimj randomizedcontrolledtrialcomparinganalgesicefficaciesofanultrasoundguidedapproachwithandwithoutacombinedpressuremeasurementtechniqueforthoracicparavertebralblocksafteropenthoracotomy AT parksj randomizedcontrolledtrialcomparinganalgesicefficaciesofanultrasoundguidedapproachwithandwithoutacombinedpressuremeasurementtechniqueforthoracicparavertebralblocksafteropenthoracotomy
_version_	1718395932119138304

A Randomized Controlled Trial Comparing Analgesic Efficacies of an Ultrasound-Guided Approach with and without a Combined Pressure Measurement Technique for Thoracic Paravertebral Blocks After Open Thoracotomy

Ejemplares similares