University of Health Sciences Bursa Yuksek Ihtisas Training and Research Hospital, Department of Anaesthesiology and Reanimation, Mimar Sinan Quarter, Emniyet Street, 16130 Bursa, Turkey.
University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Department of Physical Medicine and Rehabilitation, Bursa, Turkey.
Anaesth Crit Care Pain Med. 2018 Aug;37(4):349-353. doi: 10.1016/j.accpm.2017.09.005. Epub 2017 Oct 12.
Analgesia following video-assisted thoracoscopic surgery (VATS) is important for the prevention of postoperative pulmonary complications. Various regional methods of anaesthesia are currently being used to achieve this goal. In our study, we aim to assess the effectiveness of SAPB on postoperative VATS analgesia in our study.
A total of 40 patients aged between 18 and 70 years, those who were in the Society of Anaesthesiologists (ASA) I-III class and underwent VATS were included in the study. Patients were randomised to either group T (intravenous patient-controlled analgesia tramadol; n=20) or group S (intravenous patient-controlled analgesia tramadol+SAPB; n=20). Visual Analogue Scale (VAS) was used for postoperative pain, the primary outcome measure, were evaluated at post-anaesthetic care unit (PACU), 2, 6, 12, and 24 hours. Secondary outcomes included the postoperative 2nd, 6th, 12th, and 24th hour follow-up results were evaluated to identify the quantity of tramadol use, Ramsay sedation scale (RSS), side effect profile, and additional analgesic use.
The VAS scores between the two groups were found to be statistically significantly lower in group S during the PACU observation (P<0.05). The mean values of the quantity of tramadol use at the 6th, 12th, and 24th hours were found to be statistically significantly lower in group S (P<0.05). There was no statistically significant difference in the rate of side effects and RSS outcomes between the groups (P>0.05).
Our study results suggest that SAPB is an effective treatment option for VATS analgesia.
视频辅助胸腔镜手术（VATS）后镇痛对于预防术后肺部并发症非常重要。目前，各种区域麻醉方法都被用于实现这一目标。在我们的研究中，我们旨在评估 SAPB 对术后 VATS 镇痛的效果。
共有 40 名年龄在 18 至 70 岁之间、ASA 分级 I-III 级、接受 VATS 的患者纳入本研究。患者被随机分为两组：T 组（静脉自控镇痛曲马多；n=20）和 S 组（静脉自控镇痛曲马多+SAPB；n=20）。使用视觉模拟评分（VAS）评估术后疼痛，这是主要的观察指标，在麻醉后监护病房（PACU）、2、6、12 和 24 小时进行评估。次要结局包括术后第 2、6、12 和 24 小时的随访结果，以确定曲马多的使用量、Ramsay 镇静评分（RSS）、副作用情况和额外镇痛药物的使用。
在 PACU 观察期间，S 组的 VAS 评分明显低于 T 组（P<0.05）。S 组在第 6、12 和 24 小时的曲马多使用量的平均值明显低于 T 组（P<0.05）。两组间的副作用发生率和 RSS 结果无统计学差异（P>0.05）。
我们的研究结果表明，SAPB 是 VATS 镇痛的有效治疗选择。
