Modified thoracoabdominal nerves block through perichondrial approach for laparoscopic cholecystectomy.
Rev Assoc Med Bras (1992)
; 70(3): e20230962, 2024.
Article
en 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.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Dolor Postoperatorio
/
Tramadol
/
Dimensión del Dolor
/
Colecistectomía Laparoscópica
/
Anestésicos Locales
/
Bloqueo Nervioso
Límite:
Adult
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Rev Assoc Med Bras (1992)
Año:
2024
Tipo del documento:
Article
País de afiliación:
Turquía
Pais de publicación:
Brasil