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Naslov:Erector spinae plane block versus intercostal nerve block for postoperative analgesia in lung cancer surgery
Avtorji:ID Gams, Polona (Avtor)
ID Bitenc, Marko (Avtor)
ID Danojević, Nenad (Avtor)
ID Jensterle, Tomaž (Avtor)
ID Sadikov, Aleksander (Avtor)
ID Groznik, Vida (Avtor)
ID Šoštarič, Maja (Avtor)
Datoteke:URL URL - Izvorni URL, za dostop obiščite http://doi.org/10.2478/raon-2023-0035
 
URL URL - Izvorni URL, za dostop obiščite https://www.radioloncol.com/index.php/ro/article/view/4017
 
.pdf PDF - Predstavitvena datoteka, prenos (1,65 MB)
MD5: 9265D47A7DC2706A9DCD60CB1533AB8C
 
Jezik:Angleški jezik
Tipologija:1.01 - Izvirni znanstveni članek
Organizacija:Logo OI - Onkološki inštitut Ljubljana
Povzetek:Background. A recent trend in postoperative analgesia for lung cancer surgery relies on regional nerve blocks with decreased opioid administration. Our study aims to critically assess the continuous ultrasound-guided erector spinaeplane block (ESPB) at our institution and compare it to a standard regional anesthetic technique, the intercostal nerve block (ICNB).Patients and methods. A prospective randomized-control study was performed to compare outcomes of pa-tients, scheduled for video-assisted thoracoscopic (VATS) lung cancer resection, allocated to the ESPB or ICNB group. Primary outcomes were total opioid consumption and subjective pain scores at rest and cough each hour in 48 h after surgery. The secondary outcome was respiratory muscle strength, measured by maximal inspiratory and expiratory pressures (MIP/MEP) after 24 h and 48 h.Results. 60 patients met the inclusion criteria, half ESPB. Total opioid consumption in the first 48 h was 21.64 ± 14.22 mg in the ESPB group and 38.34 ± 29.91 mg in the ICNB group (p = 0.035). The patients in the ESPB group had lower numerical rating scores at rest than in the ICNB group (1.19 ± 0.73 vs. 1.77 ± 1.01, p = 0.039). There were no significant differences in MIP/MEP decrease from baseline after 24 h (MIP p = 0.088, MEP p = 0.182) or 48 h (MIP p = 0.110, MEP p = 0.645), time to chest tube removal or hospital discharge between the two groups.Conclusions. In the first 48 h after surgery, patients with continuous ESPB required fewer opioids and reported less pain than patients with ICNB. There were no differences regarding respiratory muscle strength, postoperative compli-cations, and time to hospital discharge. In addition, continuous ESPB demanded more surveillance than ICNB.
Ključne besede:erector spinae plane block, intercostal nerve block, postoperative analgesia, video-assisted thoracic surgery, thoracic anesthesia
Status publikacije:Objavljeno
Verzija publikacije:Objavljena publikacija
Datum objave:01.01.2023
Založnik:Association of Radiology and Oncology
Leto izida:2023
Št. strani:str. 364-370
Številčenje:Vol. 57, iss. 3
Izvor:Ljubljana
PID:20.500.12556/DiRROS-19840 Novo okno
UDK:616-089
ISSN pri članku:1318-2099
DOI:10.2478/raon-2023-0035 Novo okno
COBISS.SI-ID:164217347 Novo okno
Avtorske pravice:by Authors
Opomba:Soavtorji: Marko Bitenc, Nenad Danojevic, Tomaz Jensterle, Aleksander Sadikov, Vida Groznik, Maja Sostaric;
Datum objave v DiRROS:25.07.2024
Število ogledov:481
Število prenosov:396
Metapodatki:XML DC-XML DC-RDF
:
GAMS, Polona, BITENC, Marko, DANOJEVIĆ, Nenad, JENSTERLE, Tomaž, SADIKOV, Aleksander, GROZNIK, Vida in ŠOŠTARIČ, Maja, 2023, Erector spinae plane block versus intercostal nerve block for postoperative analgesia in lung cancer surgery. Radiology and oncology [na spletu]. 2023. Vol. 57, no. 3, p. 364–370. [Dostopano 12 april 2025]. DOI 10.2478/raon-2023-0035. Pridobljeno s: https://dirros.openscience.si/IzpisGradiva.php?lang=slv&id=19840
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Gradivo je del revije

Naslov:Radiology and oncology
Skrajšan naslov:Radiol. oncol.
Založnik:Slovenian Medical Society - Section of Radiology, Croatian Medical Association - Croatian Society of Radiology
ISSN:1318-2099
COBISS.SI-ID:32649472 Novo okno

Sekundarni jezik

Jezik:Slovenski jezik
Ključne besede:ravninski blok erector spinae, blok interkostalnega živca, pooperativna analgezija, z videom podprta torakalna kirurgija, torakalna anestezija


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