疼痛管理和阿片类药物使用与长效外围神经阻断手术:一项描述性研究
Brandon W Knopp1, Emma Eng2, Ehsan Esmaeili3
1Medical Student, Department of Anesthesiology, Charles E. Schmidt College of Medicine at Florida Atlantic University, Boca Raton, Florida, United States.
Anesthesiology and pain medicine
|April 8, 2024
概括
长期起作用的脂质体布皮瓦卡因臂神经块显著减少手术后的疼痛. 患者报告高满意度和低需要阿片类止痛药.
科学领域:
- 麻醉学 麻醉学
- 区域麻醉地区麻醉
- 疼痛管理 疼痛管理
背景情况:
- 外围神经阻塞 (PNBs) 提供区域性疼痛缓解,副作用较少.
- 短效PNBs可以在不到24小时的时间内缓解疼痛.
- 脂质体布皮瓦卡因提供延长PNB持续时间长达72小时,可能减少阿片类药物使用.
研究的目的:
- 为了调查手术前疼痛和阿片类药物消耗在手术的患者长期起作用的臂PNBs.
- 为了评估患者对脂质体布皮瓦卡因PNBs后的疼痛管理的满意度.
主要方法:
- 对103名接受脂质体bupivacaine臂PNB手术手术的患者的回顾性审查 (2020年7月 - 2023年5月).
- 患者完成了一项关于疼痛,症状,满意度和止痛药使用的10个问题调查.
- 分析了减少疼痛,阻断持续时间,满意度得分和阿片类药物/NSAID使用的数据.
主要成果:
- 报告的显著疼痛减轻:从7.9/10前阻塞到1.6/10外科手术期间和4.3/10和3.8/10在早期和后期的术后期.
- 平均神经阻塞持续时间为2.2天.
- 患者满意度高 (9.4/10),有20.4%的患者处方阿片类药物,41.7%的患者在术后使用NSAID.
结论:
- 脂质体布皮瓦卡因PNBs在手术中提供有效的,持久的疼痛缓解.
- 这些阻断剂显著提高了患者的满意度,并减少了对术后阿片类药物的需求.
- 长期作用的PNB在增强康复和减少对阿片类止痛药的依赖方面表现有前途.
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