勃起器脊柱平面阻塞对手术辅助腹腔镜供体切除术患者的阿片类药物消费的影响:随机对照试验
Özlem Özkalayci1, Muhammet A Karakaya2, Yılmaz Yenigün3
1Department of Anesthesiology and Reanimation, Koç University Hospital, Istanbul, Türkiye - ozlem.ozkalayci@gmail.com.
勃起器脊柱平面阻塞在腹腔镜切除术后的脏捐赠者中没有减少术后的阿片类药物使用或疼痛. 建议对这种手术进行更多关于替代疼痛管理策略的研究.
科学领域:
- 区域麻醉地区麻醉
- 疼痛管理 疼痛管理
- 移植手术 移植手术
背景情况:
- 勃起器脊柱平面块是一种新的区域麻醉技术.
- 它对术后止痛的疗效正在研究中.
- 这项研究评估了它对接受手术辅助腹腔镜捐赠切除术的捐赠者的影响.
研究的目的:
- 评估勃起器脊柱平面块在减少术后阿片类药物消费方面的有效性.
- 为了评估阻断对疼痛评分和脏捐赠者的停留时间的影响.
- 为了确定这种阻断是否是一个可行的策略,在腹腔镜供体切除术后的疼痛管理.
主要方法:
- 一项随机对照试验,涉及52名脏捐赠者接受手术辅助腹腔镜捐赠者脏切除术.
- 干预组接受了超声导向勃起器脊柱平面阻塞与布皮瓦卡因.
- 对照组没有接受任何阻断. 通过患者控制的止痛药的术后芬太尼消费是主要结局.
主要成果:
- 区块和对照组之间的24小时术后阿片类药物消费 (PCA芬太尼或吗啡等效) 没有显著差异.
- 类似的停留时间在麻醉后护理单位和阿片类药物消费在PACU.
- 捐赠者报告的术后疼痛得分没有显著差异.
结论:
- 手术前的勃起器脊柱平面阻塞在手术后疼痛或手术辅助腹腔镜供体腎切除术后的阿片类药物消耗减少方面并不有效.
- 替代性或联合区域麻醉技术可能是必要的,以实现这些患者的最佳疼痛控制.
- 需要进一步的研究,以建立有效的疼痛管理协议,以腹腔镜供体切除术.
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