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Regional Anesthesia as an Alternative to Moderate Sedation for Perioperative Pain Control for Percutaneous Gastrostomy Tube Placement.
Kuang, Dalen; Chao, Ryan; Youm, Jiwon; Hugdal, Stephen; Miller, Brett; Sung, Jeffrey.
Afiliación
  • Kuang D; Department of Radiology, Santa Clara Valley Medical Center, San Jose, California. Electronic address: dalen.kuang@hhs.sccgov.org.
  • Chao R; Community Radiology Division at ValleyCare Hospital, Stanford Health Care, Pleasanton, California.
  • Youm J; Department of Radiology, Santa Clara Valley Medical Center, San Jose, California.
  • Hugdal S; Department of Radiology, Santa Clara Valley Medical Center, San Jose, California.
  • Miller B; Department of Anesthesia, Santa Clara Valley Medical Center, San Jose, California.
  • Sung J; Department of Radiology, Santa Clara Valley Medical Center, San Jose, California.
J Vasc Interv Radiol ; 33(11): 1361-1365.e1, 2022 11.
Article en En | MEDLINE | ID: mdl-36511307
Percutaneous gastrostomy tube placement is typically performed under moderate sedation. However, some patients are not ideal candidates for moderate sedation because of respiratory compromise, difficult airways, or other factors. The purpose of this study was to evaluate regional anesthesia as an alternative to moderate sedation. A retrospective review of patients who underwent percutaneous gastrostomy tube placement between March 2014 and September 2020 was performed. Data on patient demographics, anesthesia type, pain scores, and opiate usage were collected. A total of 189 patients were included in the study; 35 (18.5%) received regional anesthesia and 154 received moderate sedation. Patients in the regional anesthesia group tolerated the procedure well, with lower mean immediate postprocedural and maximal pain scores of 0.7 vs 2.2 (P = .011) and 4.3 vs 6.5 (P = .003), respectively. Regional anesthesia is effective at controlling perioperative pain and is an alternative with a low complication rate for patients who cannot tolerate moderate sedation.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Gastrostomía / Anestesia de Conducción Tipo de estudio: Etiology_studies / Observational_studies Límite: Humans Idioma: En Revista: J Vasc Interv Radiol Asunto de la revista: ANGIOLOGIA / RADIOLOGIA Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Gastrostomía / Anestesia de Conducción Tipo de estudio: Etiology_studies / Observational_studies Límite: Humans Idioma: En Revista: J Vasc Interv Radiol Asunto de la revista: ANGIOLOGIA / RADIOLOGIA Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos