Ultrasound-Guided Intercostal Nerve Block Following Esophagectomy for Acute Postoperative Pain Relief in the Postanesthesia Care Unit

Pain Practice : the Official Journal of World Institute of Pain
Mengqi ZhuChanghong Miao

Abstract

To explore the feasibility, effectiveness, and safety of ultrasound-guided intercostal nerve block (ICNB) for immediate relief of moderate and severe pain following esophagectomy in a postanesthesia care unit (PACU). Eighty-one patients who complained of moderate to severe pain on arrival to the PACU after an Ivor Lewis esophagectomy were randomly assigned to 2 groups: a sufentanil treatment group (Group A, n = 41) and an intercostal nerve block treatment group (Group B, n = 40). The visual analog scale (VAS) pain scores at rest and on cough at 1, 2, 4, 12, 24, and 48 hours after treatment were monitored. The heart rate, blood pressure, and pulse oxygen saturation (SpO2 ) 2 hours after treatment and the patients' length of stay in the PACU after treatment were recorded. Patient-controlled intravenous analgesia consumption and the incidence of nausea, vomiting, and other adverse reactions were also recorded. Ultrasound-guided ICNB was performed successfully in all patients in Group B without puncture-related complications. The VAS pain scores at rest and on cough at 1, 2, and 4 hours after treatment in Group B were significantly lower than those in Group A (P < 0.05). The consumption of sufentanil and the incidence of nausea and...Continue Reading

References

Jun 15, 2004·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Ellen E Sullivan
Jun 28, 2011·Lancet·Christopher L Wu, Srinivasa N Raja
Oct 13, 2015·British Journal of Hospital Medicine·Maria K StasiowskaRoman Cregg
Oct 29, 2015·European Journal of Anaesthesiology·Narinder Rawal
Dec 20, 2015·Anaesthesia·C RouéE Havet
Feb 19, 2017·British Journal of Pharmacology·Lisanne Mirja Plein, Heike L Rittner

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