Local Anesthesia for Port Catheter Placement in Oncology Patients: An Alternative to Landmark Technique Using Ultrasound-Guided Superficial Cervical Plexus Block—A Prospective Randomized Study
Joint Authors
Akelma, Hakan
Salik, Fikret
Bıçak, Mustafa
Erbatur, Meral Erdal
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-07-31
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Background/Objectives.
Most patients that require port operation have experienced severe pain due to multiple surgeries in the past.
Therefore, these patients have fear of pain before the procedure.
This study aims to compare superficial cervical plexus block (SCPB) with local infiltration anesthesia in terms of comfort.
Methods.
100 cancer-diagnosed patients were divided into two groups.
The first group, the landmark technique with local infiltration anesthesia, was used for intravenous entry (Group LM, n = 50).
The second group, USG, was used for venous entry with SCPB as anesthesia (Group US, n = 50).
The type of local anesthesia, port placement technique, duration of the procedure, number of procedures, complications, visual analog scale (VAS) score, and surgeon’s satisfaction with the procedure were recorded.
Results.
It was established that an average of 1.7 and 1.1 attempts was conducted in Groups LM and US, respectively (P = 0.010).
VAS scores were found to be 4.04 in Group LM and 2.62 in GroupUS (P = 0.001).
Surgeon satisfaction was 1.96 in GroupLM and 2.38 in GroupUS (P = 0.014).
The mean duration of the procedure was 22.10 minutes in GroupLM and 43.50 minutes in GroupUS (P = 0.001).
Complication rates were observed in 1 patient in GroupLM and 9 patient in GroupUS (P = 0.040).
Conclusions.
In the patient group with a high level of pain and anxiety port catheter placement using USG and SCPB, supported by routine sedation, provides better comfort for both patient and surgeon.
American Psychological Association (APA)
Akelma, Hakan& Salik, Fikret& Bıçak, Mustafa& Erbatur, Meral Erdal. 2019. Local Anesthesia for Port Catheter Placement in Oncology Patients: An Alternative to Landmark Technique Using Ultrasound-Guided Superficial Cervical Plexus Block—A Prospective Randomized Study. Journal of Oncology،Vol. 2019, no. 2019, pp.1-10.
https://search.emarefa.net/detail/BIM-1184061
Modern Language Association (MLA)
Akelma, Hakan…[et al.]. Local Anesthesia for Port Catheter Placement in Oncology Patients: An Alternative to Landmark Technique Using Ultrasound-Guided Superficial Cervical Plexus Block—A Prospective Randomized Study. Journal of Oncology No. 2019 (2019), pp.1-10.
https://search.emarefa.net/detail/BIM-1184061
American Medical Association (AMA)
Akelma, Hakan& Salik, Fikret& Bıçak, Mustafa& Erbatur, Meral Erdal. Local Anesthesia for Port Catheter Placement in Oncology Patients: An Alternative to Landmark Technique Using Ultrasound-Guided Superficial Cervical Plexus Block—A Prospective Randomized Study. Journal of Oncology. 2019. Vol. 2019, no. 2019, pp.1-10.
https://search.emarefa.net/detail/BIM-1184061
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1184061