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Modified thoracoabdominal nerves block through perichondrial approach for laparoscopic cholecystectomy.
Erten, Ela; Kara, Umut; Simsek, Fatih; Öztas, Muharrem; Süzer, Mehmet Anil; Kamburoglu, Hasan; Eskin, Mehmet Burak; Senkal, Serkan; Çosar, Ahmet.
Afiliação
  • Erten E; University of Health Sciences, Gulhane Training and Research Hospital, Department of Anesthesiology and Reanimation - Ankara, Turkey.
  • Kara U; University of Health Sciences, Gulhane Training and Research Hospital, Department of Anesthesiology and Reanimation - Ankara, Turkey.
  • Simsek F; University of Health Sciences, Gulhane Training and Research Hospital, Department of Anesthesiology and Reanimation - Ankara, Turkey.
  • Öztas M; Institute of Health Sciences, Gülhane Training and Research Hospital, Department of General Surgery - Ankara, Turkey.
  • Süzer MA; Private Çankaya Hospital, Department of Anesthesiology and Reanimation - Ankara, Turkey.
  • Kamburoglu H; Private Acibadem Atasehir Hospital, Department of Anesthesiology and Reanimation - Ankara, Turkey.
  • Eskin MB; University of Health Sciences, Gulhane Training and Research Hospital, Department of Anesthesiology and Reanimation - Ankara, Turkey.
  • Senkal S; University of Health Sciences, Gulhane Training and Research Hospital, Department of Anesthesiology and Reanimation - Ankara, Turkey.
  • Çosar A; University of Health Sciences, Gulhane Training and Research Hospital, Department of Anesthesiology and Reanimation - Ankara, Turkey.
Rev Assoc Med Bras (1992) ; 70(3): e20230962, 2024.
Article em En | MEDLINE | ID: mdl-38655995
ABSTRACT

OBJECTIVE:

A new block, namely, modified thoracoabdominal nerves block through perichondrial approach, is administered below the costal cartilage. We sought to compare the analgesic efficacy of the modified thoracoabdominal nerves block through perichondrial approach block with local anesthetic infiltration at the port sites in an adult population who underwent laparoscopic cholecystectomy.

METHODS:

Patients who will undergo laparoscopic cholecystectomy were randomized to receive bilateral ultrasound-guided modified thoracoabdominal nerves block through perichondrial approach blocks or local anesthetic infiltration at the port insertion sites. The primary outcome was the total amount of tramadol used in the first 12 h postoperatively. The secondary outcomes were total IV tramadol consumption for the first postoperative 24 h and visual analog scale scores.

RESULTS:

The modified thoracoabdominal nerves block through perichondrial approach group had significantly less tramadol use in the first 12 h postoperatively (p<0.001). The modified thoracoabdominal nerves block through perichondrial approach group's visual analog scale scores at rest (static) and with movement (dynamic) were significantly lower compared with the port infiltration group (p<0.05).

CONCLUSION:

Patients who received modified thoracoabdominal nerves block through perichondrial approach block had significantly less analgesic consumption and better pain scores than those who received port-site injections after laparoscopic cholecystectomy.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Dor Pós-Operatória / Tramadol / Medição da Dor / Colecistectomia Laparoscópica / Anestésicos Locais / Bloqueio Nervoso Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Rev Assoc Med Bras (1992) Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Turquia País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Dor Pós-Operatória / Tramadol / Medição da Dor / Colecistectomia Laparoscópica / Anestésicos Locais / Bloqueio Nervoso Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Rev Assoc Med Bras (1992) Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Turquia País de publicação: Brasil