Comparative study on the analgesic effect of acute ipsilateral shoulder pain after open thoracotomy between preoperative ultrasound guided suprascapular nerve block (SNB) and intraoperative phrenic nerve infiltration (PNI) in cancer lung patients
Joint Authors
Abbas, Dina N.
Abd al-Ghaffar, Ikrami M.
al-Faqiri, Basil M.
Tawfiq, Sahar A.
Abd al-Rahman, Abd al-Rahman M.
Source
Journal of the Egyptian National Cancer Institute
Issue
Vol. 30, Issue 1 (31 Jan. 2018), pp.27-31, 5 p.
Publisher
Cairo University National Cancer Institute
Publication Date
2018-01-31
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Introduction : Acute ipsilateral shoulder pain (ISP) is a common complaint in patients after thoracotomy.
The incidence ranges from 21% to 97%.
Unfortunately, clinical studies did not put enough focus on ISP post thoracic surgery.
Aim of the work : This study was designed to compare the effectiveness of suprascapular nerve block (SNB) and phrenic nerve infiltration (PNI) for controlling ISP.
Patients and methods: One hundred and thirty-five lung cancer patients (135) scheduled for open-lung surgery were randomly allocated into three equal groups; control group: received thoracic epidural with general anesthesia, suprascapular group : (SNB) one hour before the operation with 10 ml bupivacaine plus thoracic epidural with general anesthesia and phrenic nerve group : (PNI) was performed by the operating surgeon with 10 ml bupivacaine plus thoracic epidural with general anesthesia.
The visual analogue score (VAS) of ISP, rescue of ketorolac for break through shoulder pain, peak expiratory flow rate (PEFR) and arterial blood gases were measured every 6 h postoperatively for 48 h.
Results : The VAS, rescue doses of ketorolc and PEFR were significantly lower in the phrenic nerve group (P-value <0.05).
There was no statistically significant difference between the three groups postoperatively as regards arterial blood gases (P-value >0.05).
Conclusion : PNI is more effective than SNB for ISP.
American Psychological Association (APA)
al-Faqiri, Basil M.& Tawfiq, Sahar A.& Abd al-Rahman, Abd al-Rahman M.& Abbas, Dina N.& Abd al-Ghaffar, Ikrami M.. 2018. Comparative study on the analgesic effect of acute ipsilateral shoulder pain after open thoracotomy between preoperative ultrasound guided suprascapular nerve block (SNB) and intraoperative phrenic nerve infiltration (PNI) in cancer lung patients. Journal of the Egyptian National Cancer Institute،Vol. 30, no. 1, pp.27-31.
https://search.emarefa.net/detail/BIM-789051
Modern Language Association (MLA)
al-Faqiri, Basil M.…[et al.]. Comparative study on the analgesic effect of acute ipsilateral shoulder pain after open thoracotomy between preoperative ultrasound guided suprascapular nerve block (SNB) and intraoperative phrenic nerve infiltration (PNI) in cancer lung patients. Journal of the Egyptian National Cancer Institute Vol. 30, no. 1 (Jan. 2018), pp.27-31.
https://search.emarefa.net/detail/BIM-789051
American Medical Association (AMA)
al-Faqiri, Basil M.& Tawfiq, Sahar A.& Abd al-Rahman, Abd al-Rahman M.& Abbas, Dina N.& Abd al-Ghaffar, Ikrami M.. Comparative study on the analgesic effect of acute ipsilateral shoulder pain after open thoracotomy between preoperative ultrasound guided suprascapular nerve block (SNB) and intraoperative phrenic nerve infiltration (PNI) in cancer lung patients. Journal of the Egyptian National Cancer Institute. 2018. Vol. 30, no. 1, pp.27-31.
https://search.emarefa.net/detail/BIM-789051
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 31
Record ID
BIM-789051