Effect of anesthesia factor on early postoperative outcome in patients undergoing video-assisted thoracoscopic pulmonary lobectomy: efficacy of ultrasound-guided erector spinae plane block combined with general anesthesia
10.3760/cma.j.issn.0254-1416.2018.11.014
- VernacularTitle:麻醉因素对胸腔镜肺叶切除术患者术后早期转归的影响:超声引导竖脊肌平面阻滞联合全身麻醉的效果
- Author:
Yuzhong XIA
1
;
Fei XING
;
Huilian BU
;
Jie ZHANG
;
Zhongyu WANG
;
Wei ZHANG
Author Information
1. 450052,郑州大学第一附属医院麻醉科
- Keywords:
Nerve block;
Anesthesia,general;
Rehabilitation;
Ultrasonography;
Thoracoscopy
- From:
Chinese Journal of Anesthesiology
2018;38(11):1331-1334
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of ultrasound-guided erector spinae plane block combined with general anesthesia on early postoperative outcome in patients undergoing video-assisted thoracoscopic pulmonary lobectomy.Methods Eighty-five patients of both sexes,aged 18-64 yr,with body mass index of 18-24 kg/m2,of American Society Anesthesiologists physical status Ⅱ or Ⅲ,undergoing elective video-assisted thoracoscopic pulmonary lobectomy,were divided into 2 groups using a random number table method:general anesthesia group (group GA,n =43) and ultrasound-guided erector spinae plane block combined with general anesthesia group (group ESP+GA,n =42).Ultrasound-guided erector spinae plane block was performed after induction of general anesthesia,0.5％ ropivacaine 20 ml was injected in group ESP+GA,and 0.9％ normal saline 20 ml was injected in group GA.Both groups received patient-controlled intravenous analgesia with sufentanil after surgery.Tramadol was intramuscularly injcted as resue analgesic when visual analog scale score＞3.Quality of Recovery-40 questionnaire was used to assess the early postoperative quality of recovery at 1 day before surgery and 1 and 2 days after surgery.The consumption of intraoperative remifentanil and postoperative sufentanil,requirement for rescue analgesics and occurrence of postoperative adverse reactions were recorded.Results Compared with group GA,the Quality of Recovery-40 questionnaire scores were significantly increased at 1 and 2 days after surgery,the consumption of intraoperative remifentanil and postoperative sufentanil was reduced,and the requirement for rescue analgesics and incidence of nausea and vomiting were decreased in group ESP+GA (P＜0.05).Conclusion Ultrasoundguided erector spinae plane block combined with general anesthesia can promote early postoperative outcome in patients undergoing video-assisted thoracoscopic pulmonary lobectomy.
