Effect of ultrasound-guided single erector spinae plane block on postoperative self-controlled intravenous analgesia in patients undergoing video-assisted thoracoscopic lobectomy
- VernacularTitle:超声引导下单次竖脊肌平面阻滞对胸腔镜下肺叶切除患者静脉自控镇痛效果的影响
- Author:
Danxu MA
1
;
Huilong REN
;
Yan RUI
;
Ziyuan MA
;
Anshi WU
;
Yun WANG
Author Information
1. 100020,首都医科大学附属北京朝阳医院麻醉科
- Keywords:
Ultrasound-guided;
Erector spinae plane block;
Lobectomy;
Video-assisted thoracic surgery;
Patient-controlled intravenous analgesia
- From:
The Journal of Clinical Anesthesiology
2017;33(10):965-967
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effect of ultrasound-guided single erector spinae plane (ESP ) block combined with patient-controlled intravenous analgesia (PCIA ) on postoperative analgesia in patients undergoing lobectomy performed via video-assisted thoracoscope. Methods Forty patients (20 males and 20 females,ASA physical status Ⅰ or Ⅱ),scheduled for e-lective video-assisted thoracoscopic lobectomy,were randomly assigned into two groups,ESP block combined with PCIA group (group EP)and PCIA only group (group P).ESP block was given to pa-tients in group EP before operation,and its effect was evaluated by testing the area of block.VAS scores were recorded at 1,6,18,24 and 48 h after operation.The frequency for compress PCIA,the volume of analgesic drugs,the consumption of flurbiprofen axetil and the side-effects were recorded as well.Results ESP block was accomplished in group EP with sensory loss from T2-T8 or T3-T7 over the entire posterolateral aspect of the hemithorax.And there were no puncture-related complications. The VAS scores both at rest and coughing in group EP were lower than those in group P (P <0.05). The compress PCA numbers,the volume of analgesic drugs and the consumption of flurbiprofen axetil were significantly less in group EP than those in group P (P <0.05).Only nausea and vomiting were observed as postoperative side effects,and there were no significant differences between the two groups.Conclusion Ultrasound-guided single erector spinae plane block combined with PCIA is a sa-fer and more effective method for the analgesia of thoracic operation than PCIA only.
