系统性镇痛与持续勃起器脊柱平面阻塞 (ESPB) 输液在儿科切除术期间:一个随机的,受控的试验
Suzan Adlan1, Ahmad Abd El-Rahman2, Sahar Abdel-Baky Mohamed2
1National Cancer Institute, Cairo University, Cairo, Egypt.
Local and regional anesthesia
|June 12, 2023
概括
与传统的特拉马多尔相比,持续超声波引导的勃起器脊柱平面阻塞 (ESPB) 为接受开放激进切除术的儿科患者提供了优越的疼痛管理. 这种方法显著减少了止痛药的消耗和手术后的疼痛得分.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 区域麻醉 区域麻醉
- 瘤外科手术 瘤外科手术
背景情况:
- 开放激进切除术需要在儿科癌症患者中进行显著的术后疼痛管理.
- 勃起器脊柱平面块 (ESPB) 是一种新兴的区域麻醉技术,在儿科护理中越来越受欢迎.
- 优化止痛是重症儿科手术后恢复和福祉的关键.
研究的目的:
- 为了比较持续的超声波导向勃起器脊柱平面阻塞 (ESPB) 与全身特拉马多尔治疗术后疼痛的疗效.
- 评估接受开放激进切除术的儿童的止痛药消耗,疼痛评分和患者报告的结果.
主要方法:
- 一项前性,随机化,受控研究,涉及60名接受开放激进切除术的儿科患者 (2-7岁).
- 组E接受了持续的超声波引导ESPB与布皮瓦卡因,而组T接受了静脉注射的特拉马多尔.
- 疼痛评估包括FLACC评分,救援止痛要求,镇静评分和48小时的血液动力学监测.
主要成果:
- 与T组 (11.97 ± 1.13 mg/kg) (p < 0.001) 相比,E组 (ESPB) 的特拉马多尔总消费量 (2.07 ± 1.54 mg/kg) 显着较低 (p < 0.001).
- 在E组的患者中,需要救援止痛的患者较少 (46.7%),而不是T组 (100%) (p < 0.001).
- 在手术后2至48小时内,ESPB组的FLACC疼痛评分明显较低 (p≤0.006).
结论:
- 持续的超声波引导ESPB在接受切除术的儿科癌症患者中提供卓越的术后疼痛缓解.
- ESPB显著降低了对特拉马多尔等全身止痛药的需求,并降低了疼痛评分.
- 这种区域麻醉技术在儿童开放激进切除术后的疼痛管理方面取得了宝贵的进展.
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