<b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">In...<b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">In this retrospective observational study, we evaluated patients who underwent elective lumbar stenosis surgery between February 1, 2019, and April 1, 2019. Patients who underwent surgery for lumbar spinal stenosis under general anesthesia alone were compared with those who underwent general anesthesia combined with erector spinae plane block.</span><span style="font-family:Verdana;"> </span><b><span style="font-family:Verdana;">Aims:</span></b><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">We aimed to retrospectively evaluate whether erector spinae plane block reduced opioid consumption following surgery for spinal stenosis.</span><span style="font-family:Verdana;"> </span><b><span style="font-family:Verdana;">Study Design:</span></b><span style="font-family:Verdana;"> A retrospective observational study</span><span style="font-family:Verdana;">. </span><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">We collected data on the pain scores, time for the first requirement for patient-controlled analgesia with tramadol, the cumulative patient-controlled analgesia dose, requirement for rescue analgesia, time to first stand up postoperatively and the incidence of postoperative nausea and vomiting.</span><span style="font-family:Verdana;"> </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">Sixty patients were included in the study. The numerical rating scale</span><span style="font-family:Verdana;">’</span><span style="font-family:Verdana;">s pain scores were significantly lower in the erector spinae plane group at 1, 2, 4, 6, 12 and 24 hours than in the general anesthesia group. The cumulative dose of patient-controlled analgesia with tramadol was higher in the general anesthesia group than in the ESP group [212.0 (6.6) mg, vs. 107.3 (36.9 mg), (p <0.001)]. The time to first stand up after surgery was significantly longer in the general anesthesia group (p = 0.011).</span><span style="font-family:Verdana;"> </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> ESP block appear to be an effective method to relieve pain after lumbar surgery.</span>展开更多
Erector spinae plane block (ESPB) is a novel fascial plane block that was first described in 2016. It is considered an alternative for brachial plexus blocks in shoulder surgeries as the erector spinae muscle extends ...Erector spinae plane block (ESPB) is a novel fascial plane block that was first described in 2016. It is considered an alternative for brachial plexus blocks in shoulder surgeries as the erector spinae muscle extends to the cervical level. Herein, we present a successful multilevel ESPB plus an interscalene block using liposomal bupivacaine in a 45-year-old female patient with metastatic sarcoma who presented for scapula and proximal humerus resection. The post-operative course was smooth, and the patient was discharged home on post-operative day 2 with minimal narcotic requirements.展开更多
目的:比较腹腔镜胃癌根治术后应用不同剂量布比卡因竖脊肌平面阻滞(ESPB)的镇痛效果。方法:选取2019年12月至2022年12月于新乡市中心医院行ESPB腹腔镜胃癌根治术的患者,其中45例(研究1组)采用30 mL 0.25%(质量分数)布比卡因,与研究1组...目的:比较腹腔镜胃癌根治术后应用不同剂量布比卡因竖脊肌平面阻滞(ESPB)的镇痛效果。方法:选取2019年12月至2022年12月于新乡市中心医院行ESPB腹腔镜胃癌根治术的患者,其中45例(研究1组)采用30 mL 0.25%(质量分数)布比卡因,与研究1组性别、年龄、分期等资料匹配的45例(研究2组)采用20 mL 0.25%布比卡因。记录两组ESPB后2(T1)、4(T2)、8(T3)、12(T4)、24(T5)、48(T6)h时疼痛视觉模拟评分(VAS),术后24 h曲马多使用率、镇痛泵按压次数和术后24 h镇痛满意度,术后不良反应发生情况。结果:静息和咳嗽状态下两组患者VAS评分均随时间延长先升高后降低;研究1组静息状态下T2~T6、咳嗽状态下T1~T6的VAS评分均低于研究2组(P<0.05)。研究1组术后镇痛满意度评分高于研究2组(P<0.05),曲马多使用率、镇痛泵按压次数低于研究2组(P<0.05)。研究1组和2组恶心呕吐、眩晕、胸闷、瘙痒等总不良反应发生率分别为31.1%和35.6%,差异无统计学意义(P>0.05)。结论:腹腔镜胃癌根治术后30 mL 0.25%布比卡因ESPB的镇痛效果更为理想。展开更多
文摘<b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">In this retrospective observational study, we evaluated patients who underwent elective lumbar stenosis surgery between February 1, 2019, and April 1, 2019. Patients who underwent surgery for lumbar spinal stenosis under general anesthesia alone were compared with those who underwent general anesthesia combined with erector spinae plane block.</span><span style="font-family:Verdana;"> </span><b><span style="font-family:Verdana;">Aims:</span></b><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">We aimed to retrospectively evaluate whether erector spinae plane block reduced opioid consumption following surgery for spinal stenosis.</span><span style="font-family:Verdana;"> </span><b><span style="font-family:Verdana;">Study Design:</span></b><span style="font-family:Verdana;"> A retrospective observational study</span><span style="font-family:Verdana;">. </span><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">We collected data on the pain scores, time for the first requirement for patient-controlled analgesia with tramadol, the cumulative patient-controlled analgesia dose, requirement for rescue analgesia, time to first stand up postoperatively and the incidence of postoperative nausea and vomiting.</span><span style="font-family:Verdana;"> </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">Sixty patients were included in the study. The numerical rating scale</span><span style="font-family:Verdana;">’</span><span style="font-family:Verdana;">s pain scores were significantly lower in the erector spinae plane group at 1, 2, 4, 6, 12 and 24 hours than in the general anesthesia group. The cumulative dose of patient-controlled analgesia with tramadol was higher in the general anesthesia group than in the ESP group [212.0 (6.6) mg, vs. 107.3 (36.9 mg), (p <0.001)]. The time to first stand up after surgery was significantly longer in the general anesthesia group (p = 0.011).</span><span style="font-family:Verdana;"> </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> ESP block appear to be an effective method to relieve pain after lumbar surgery.</span>
文摘Erector spinae plane block (ESPB) is a novel fascial plane block that was first described in 2016. It is considered an alternative for brachial plexus blocks in shoulder surgeries as the erector spinae muscle extends to the cervical level. Herein, we present a successful multilevel ESPB plus an interscalene block using liposomal bupivacaine in a 45-year-old female patient with metastatic sarcoma who presented for scapula and proximal humerus resection. The post-operative course was smooth, and the patient was discharged home on post-operative day 2 with minimal narcotic requirements.
文摘目的:比较腹腔镜胃癌根治术后应用不同剂量布比卡因竖脊肌平面阻滞(ESPB)的镇痛效果。方法:选取2019年12月至2022年12月于新乡市中心医院行ESPB腹腔镜胃癌根治术的患者,其中45例(研究1组)采用30 mL 0.25%(质量分数)布比卡因,与研究1组性别、年龄、分期等资料匹配的45例(研究2组)采用20 mL 0.25%布比卡因。记录两组ESPB后2(T1)、4(T2)、8(T3)、12(T4)、24(T5)、48(T6)h时疼痛视觉模拟评分(VAS),术后24 h曲马多使用率、镇痛泵按压次数和术后24 h镇痛满意度,术后不良反应发生情况。结果:静息和咳嗽状态下两组患者VAS评分均随时间延长先升高后降低;研究1组静息状态下T2~T6、咳嗽状态下T1~T6的VAS评分均低于研究2组(P<0.05)。研究1组术后镇痛满意度评分高于研究2组(P<0.05),曲马多使用率、镇痛泵按压次数低于研究2组(P<0.05)。研究1组和2组恶心呕吐、眩晕、胸闷、瘙痒等总不良反应发生率分别为31.1%和35.6%,差异无统计学意义(P>0.05)。结论:腹腔镜胃癌根治术后30 mL 0.25%布比卡因ESPB的镇痛效果更为理想。
