Analgesic Effectiveness of Dinalbuphine Sebacate in Video-Assisted Thoracoscopic Wedge Resection and Its Effect on Reducing Postoperative Pulmonary Complications: A Retrospective Cohort Study
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View abstract on PubMed
Summary
This summary is machine-generated.A single preoperative injection of dinalbuphine sebacate (DS) effectively relieved pain in patients undergoing video-assisted thoracoscopic wedge resection. This approach reduced analgesic needs and oxygen therapy without increasing postoperative pulmonary complications.
Area Of Science
- Anesthesiology
- Thoracic Surgery
- Pain Management
Background
- Inadequate pain relief post-surgery can lead to complications like pulmonary issues.
- Video-assisted thoracoscopic wedge resection is a common thoracic surgical procedure.
Purpose Of The Study
- To evaluate the effectiveness of a single preoperative dinalbuphine sebacate (DS) injection for pain management.
- To determine if DS reduces postoperative pulmonary complications (PPCs) after thoracoscopic surgery.
Main Methods
- Retrospective review of 757 patients undergoing VATS wedge resection.
- Comparison between a dinalbuphine sebacate (DS) group and a conventional analgesia (CA) group.
- Analysis of analgesic consumption, PPC incidence, and oxygen therapy use.
Main Results
- The DS group showed reduced consumption of several analgesics but higher morphine and ketorolac use.
- Fewer patients in the DS group requested pain relief.
- No significant difference in PPC incidence, but DS group had less need for oxygen therapy, earlier chest tube removal, and shorter hospital stays.
Conclusions
- Preoperative DS injection provides effective pain relief and reduces the need for additional analgesics post-surgery.
- DS did not increase the incidence of PPCs.
- DS may improve patient prognosis by reducing oxygen therapy requirements and facilitating recovery.
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