用于心脏外科手术的副侧肋间平面阻塞导管:一个回顾性,倾向性加权的队列研究
Loren Francis1, Jackson Condrey1, Christopher Wolla1
1Medical University of South Carolina, 25 Courtenay Drive, Suite 4200 MSC 420 Charleston, SC 29525, USA.
Pain management
|August 24, 2023
概括
在心脏外科手术患者中,横侧肋间平面阻塞并没有减少术后疼痛或阿片类药物的使用. 然而,这些阻塞降低了手术期间的阿片类药物需求,缩短了住院时间.
科学领域:
- 麻醉学 麻醉学
- 心脏外科手术 心脏外科手术
- 区域麻醉地区麻醉
背景情况:
- 在心脏外科手术中,快速恢复强调非阿片类药物止痛药和区域麻醉.
- 横侧肋间平面 (PIP) 块是一种区域麻醉技术.
研究的目的:
- 评估术前PIP阻塞导管与术后罗皮瓦卡因输注对心脏手术患者阿片类药物消耗,疼痛评分和停留时间的影响.
主要方法:
- 追溯队列研究比较了接受PIP阻塞的患者和没有接受PIP阻塞的患者.
- 收集了关于阿片类药物消费,疼痛评分和经过中枢骨髓切割心脏手术后停留时间的数据.
主要成果:
- 两组之间在术后阿片类药物消费或疼痛评分上没有显著差异.
- 接受PIP阻塞的患者显示,手术内阿片类药物需求减少.
- 在PIP区组中观察到重症监护病房和整体住院时间的减少.
结论:
- 术前PIP阻塞导管与罗皮瓦卡因输注并没有减少术后阿片类药物消耗或疼痛.
- PIP阻断与手术内阿片类药物使用减少和住院时间缩短有关,支持它们在优化康复途径方面的作用.
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