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Modified thoracoabdominal nerves block through perichondrial approach for laparoscopic cholecystectomy
Erten, Ela; Kara, Umut; Şimşek, Fatih; Öztaş, Muharrem; Süzer, Mehmet Anıl; Kamburoğlu, Hasan; Eşkin, Mehmet Burak; Şenkal, Serkan; Çoşar, Ahmet.
Afiliación
  • Erten, Ela; University of Health Sciences. Gulhane Training and Research Hospital. Department of Anesthesiology and Reanimation. Ankara. TR
  • Kara, Umut; University of Health Sciences. Gulhane Training and Research Hospital. Department of Anesthesiology and Reanimation. Ankara. TR
  • Şimşek, Fatih; University of Health Sciences. Gulhane Training and Research Hospital. Department of Anesthesiology and Reanimation. Ankara. TR
  • Öztaş, Muharrem; Institute of Health Sciences. Gülhane Training and Research Hospital. Department of General Surgery. Ankara. TR
  • Süzer, Mehmet Anıl; Private Çankaya Hospital. Department of Anesthesiology and Reanimation. Ankara. TR
  • Kamburoğlu, Hasan; Private Acıbadem Ataşehir Hospital. Department of Anesthesiology and Reanimation. Ankara. TR
  • Eşkin, Mehmet Burak; University of Health Sciences. Gulhane Training and Research Hospital. Department of Anesthesiology and Reanimation. Ankara. TR
  • Şenkal, Serkan; University of Health Sciences. Gulhane Training and Research Hospital. Department of Anesthesiology and Reanimation. Ankara. TR
  • Çoşar, Ahmet; University of Health Sciences. Gulhane Training and Research Hospital. Department of Anesthesiology and Reanimation. Ankara. TR
Rev. Assoc. Med. Bras. (1992, Impr.) ; 70(3): e20230962, 2024. tab, graf
Article en En | LILACS-Express | LILACS | ID: biblio-1558867
Biblioteca responsable: BR1.1
ABSTRACT
SUMMARY

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.
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Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Idioma: En Revista: Rev. Assoc. Med. Bras. (1992, Impr.) Asunto de la revista: Educa‡Æo em Sa£de / GestÆo do Conhecimento para a Pesquisa em Sa£de / MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Brasil
Texto completo
Añadir a Mi BVS
Imprimir
XML
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Idioma: En Revista: Rev. Assoc. Med. Bras. (1992, Impr.) Asunto de la revista: Educa‡Æo em Sa£de / GestÆo do Conhecimento para a Pesquisa em Sa£de / MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Brasil