Paravertebral block against intercostal nerve block for : a randomized controlled trial
المؤلفون المشاركون
Muawwad, Hazim al-Sayyid
Taha, Diya al-Din
المصدر
Ain Shams Journal of Anesthesiology
العدد
المجلد 8، العدد 3 (30 سبتمبر/أيلول 2015)، ص ص. 413-419، 7ص.
الناشر
جامعة عين شمس كلية الطب قسم التخدير
تاريخ النشر
2015-09-30
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الموضوعات
الملخص EN
Background Renal surgeries are usually associated with signifi cant postoperative pain.
Ineffective postoperative pain management may result in clinical and psychological changes that increase morbidity and mortality.
In the current study, intercostal nerve block ( ICB) and paravertebral block ( PVB) were compared with regard to their analgesic effi cacy, hemodynamic stability, blood gasometric profi le, and postoperative complication.
Patients and methods After local Ethics Committee approval, 100 patients, aged between 20 and 60 years, American Society of Anesthesiologists ( ASA) physical status I or II, scheduled for elective open renal surgery were enrolled in this study.
Patients were randomized into two groups to receive either ICB ( ICB group) with bupivacaine (0.5%; n = 50) or PVB ( PVB group) with bupivacaine (0.5%; n = 50).
The postoperative visual analogue scale score for pain, patients’ satisfaction score, and the need for analgesia were evaluated.
Results The mean postoperative visual analogue scale scores demonstrated signifi cant decrease in the PVB group compared with the ICB group during quite and motion states (P < 0.05).
Patient satisfaction was greater in the PVB group than in the ICB group (P < 0.0001).
The mean time elapsed before the fi rst request for analgesia in the PVB group was 17.37 ± 2.70 h, whereas patients in the ICB group started to request for analgesia after 8.96 ± 1.88 h (P < 0.0001).
The total analgesic consumption (meperidine) at 24 h postoperatively showed a signifi cant decrease in the PVB group compared with the ICB group (P < 0.05).
Conclusion PVB and ICB are safe analgesic techniques, and they decrease the postoperative pain score and analgesic requirements after open renal surgery.
PVB provides more patient satisfaction and a longer duration of analgesia postoperatively.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Muawwad, Hazim al-Sayyid& Taha, Diya al-Din. 2015. Paravertebral block against intercostal nerve block for : a randomized controlled trial. Ain Shams Journal of Anesthesiology،Vol. 8, no. 3, pp.413-419.
https://search.emarefa.net/detail/BIM-650906
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Muawwad, Hazim al-Sayyid& Taha, Diya al-Din. Paravertebral block against intercostal nerve block for : a randomized controlled trial. Ain Shams Journal of Anesthesiology Vol. 8, no. 3 (Jul. / Sep. 2015), pp.413-419.
https://search.emarefa.net/detail/BIM-650906
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Muawwad, Hazim al-Sayyid& Taha, Diya al-Din. Paravertebral block against intercostal nerve block for : a randomized controlled trial. Ain Shams Journal of Anesthesiology. 2015. Vol. 8, no. 3, pp.413-419.
https://search.emarefa.net/detail/BIM-650906
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 418-419
رقم السجل
BIM-650906
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر