Outcome of fast track surgery after intercostal nerve block during thoracoscopic resection of lung bullae: A randomized controlled trial
10.7507/1007-4848.201611034
- VernacularTitle:术中肋间神经阻滞对胸腔镜肺大疱切除术后快速康复效果的随机对照试验
- Author:
LIU Dan
1
,
2
;
QU Xinming
3
;
QIN Wei
3
;
GAO Ke
4
Author Information
1. Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;
2. First Department of Surgery, The Traditional Chinese Medicine Hospital, Anyue, 642350, Sichuan, P.R.China
3. Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China
4. Department of Thoracic and Cardiovascular Surgery, The Second People's Hospital of Chengdu, Chengdu, 610017, P.R.China
- Publication Type:Journal Article
- Keywords:
Intravenous patient-controlled analgesia;
intercostal nerve block;
thoracoscopic resection of lung bullae;
pleurodesis;
fast track surgery
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2017;24(9):696-700
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the outcome of fast track surgery after intercostal nerve block (INB) during thoracoscopic resection of lung bullae. Methods We recuited 76 patients who accepted thoracoscopic resection of lung bullae from February 2013 to March 2015. They were randomly divided into two groups: an intercostal nerve block and intravenous patient-controlled analgesia (INB+IPCA) group, in which 38 patients (30 males, 8 females, with a mean age of 23.63±4.10 years) received INB intraoperatively and IPCA postoperatively, and a postoperative intravenous patient-controlled analgesia (IPCA) group, in which 38 patients (33 males, 5 females, with a mean age of 24.93±6.34 years) only received IPCA postoperatively. Their general clinical data and the postoperative pain visual analogue scale (VAS) were recorded. Analgesia-associated side effects, rate of the pulmonary infection were observed. Expenses associated with analgesia during hospital were calculated. Results The score of VAS, the incidence of nausea and vomiting, fatigue and other side effects, pulmonary atelectasis and the infection rate in the INB+IPCA group were significantly lower than those in the IPCA group. Postoperative use of analgesic drugs was significantly less than that in the IPCA group. Medical expenses did not significantly increase. Conclusion INB+IPCA is beneficial for fast track surgery after thoracoscopic resection of lung bullae.
