手术前的勃起器脊柱平面块应该被认为是腹腔镜切除术的可行选择
Fang-Ting Wan1, Shuen-Ern Chin1, Ryan Gwee1
1Lee Kong Chian School of Medicine, 11 Mandalay Road, Singapore, 308232, Singapore.
Surgical endoscopy
|June 15, 2023
概括
勃起器脊柱平面 (ESP) 阻断有效地减少了腹腔镜结直肠手术中的阿片类药物使用. 这种区域麻醉方法提供了令人满意的疼痛控制,是患者的安全替代方案.
科学领域:
- 区域麻醉地区麻醉
- 手术瘤学手术瘤学
- 疼痛管理 疼痛管理
背景情况:
- 勃起脊柱平面 (ESP) 阻断是一种新的区域麻醉技术.
- 它越来越多地用于腹部手术,以减少阿片类药物消耗和增强疼痛控制.
- 新加坡的结肠直肠癌手术需要有效的疼痛管理策略.
研究的目的:
- 评估ESP阻塞在腹腔镜结直肠手术中的安全性和有效性.
- 评估ESP阻断对阿片类药物使用和疼痛控制在该患者群体中的影响.
主要方法:
- 前性,双臂干预队列研究.
- 比较T8-T10ESP阻塞与传统的多模式静脉注射止痛药.
- 结果包括手术期间和手术后的阿片类药物消费,疼痛评分和骨髓发病率.
主要成果:
- 在ESP阻断组显示显着较低的手术内和手术后阿片类药物使用 (p=0.031).
- 在ESP组中,需要患者控制或救援止痛的患者较少 (p<0.001).
- 疼痛得分相似,在两组中都没有术后子.
结论:
- 阻断ESP是一种有效的区域麻醉,用于结直肠手术.
- 它成功地减少了手术期间和手术后的阿片类药物需求.
- 通过ESP阻断技术实现了令人满意的疼痛控制.
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