The Role of Multilevel Intercostal Nerve Block in Local Anesthetic Thoracoscopy.
J Bronchology Interv Pulmonol
; 31(2): 183-187, 2024 Apr 01.
Article
em En
| MEDLINE
| ID: mdl-37438892
ABSTRACT
BACKGROUND:
Intercostal nerve block (ICNB) has long been used in thoracic surgery. Local anesthetic thoracoscopy (LAT) is performed under conscious sedation with local anesthesia at the port insertion site. This alone, however, does not anesthetize the parietal pleura from where biopsies are taken and patients can experience pain.OBJECTIVES:
To compare LAT with multilevel ICNB versus standard care to determine whether it reduces pain during and post-LAT, its effect on analgesia use, the hospital length of stay (LOS), and related complications.METHODS:
Prospective analysis of patients undergoing LAT between January and June 2021. In the ICNB group, levobupivacaine/xylocaine is administered at the angle of the rib immediately before LAT (up to 5 rib spaces). Visual Analog Score for pain (0 to 100 mm) was measured at 1 and 2 hours post-LAT and daily including analgesia use.RESULTS:
Twenty patients (10 ICNB vs. 10 standard care group). The mean age is 68 years with 70% males. Visual Analog Score for pain in the ICNB group reduced by 55 mm at 1 and 2 hours post-LAT and 45 mm at day 1 ( P <0.05) (minimal clinically important difference >16 mm]. Median LOS was reduced by 50% in the ICNB group ( P <0.05). Paracetamol use reduced by 56% ( P <0.05).CONCLUSION:
ICNB not only significantly reduces postprocedure pain but also reduces LOS.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Anestésicos Locais
/
Bloqueio Nervoso
Limite:
Aged
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
J Bronchology Interv Pulmonol
Ano de publicação:
2024
Tipo de documento:
Article