Nolte Adam, Perez Alejandra, Mallory Chase, Demus Timothy, Boyer Jessica, Jamieson Scott, Jivanji Dhaval, Cordon Billy
Department of Urology, Mount Sinai Medical Center, Miami, FL 33140, USA.
Department of Urology, University of Florida, Gainesville, FL 32610, USA.
J Clin Med. 2023 Mar 10;12(6):2168. doi: 10.3390/jcm12062168.
The reduction in opioid use has become a public health priority. We aimed to assess if performing buccal nerve blocks (BNB) at the time of buccal mucosa graft (BMG) harvest impacts post-operative narcotic usage in the inpatient setting. We retrospectively reviewed clinical characteristics and morphine milligram equivalents (MMEs) received for all patients that underwent a BMG urethroplasty at our institution. The primary outcome measure was post-operative MMEs for patients before and after implementing the BNB. We identified 74 patients that underwent BMG urethroplasty, 37 of which were before the implementation of the BNB and 37 of which were after. No other changes were made to the peri-operative pathway between these time points. The mean total MMEs per day, needed post-operatively, was lower in the BNB group (8.8 vs. 5.0, = 0.12). A histogram distribution of the two groups, categorized by number of MMEs received, showed no significant differences between the two groups. In this retrospective analysis, we report our experience using BNBs at the time of buccal mucosa graft harvest. While there were no significant differences between the number of MMEs received before and after implementation, further research is needed to assess the blocks' impact on pain scores.
减少阿片类药物的使用已成为公共卫生的重点。我们旨在评估在采集颊黏膜移植物（BMG）时进行颊神经阻滞（BNB）是否会影响住院患者术后的麻醉药物使用情况。我们回顾性分析了在我们机构接受BMG尿道成形术的所有患者的临床特征和吗啡毫克当量（MME）。主要观察指标是实施BNB前后患者的术后MME。我们确定了74例接受BMG尿道成形术的患者，其中37例在实施BNB之前，37例在实施之后。在这些时间点之间，围手术期路径没有其他变化。BNB组术后每天所需的平均总MME较低（8.8对5.0，P = 0.12）。按接受的MME数量分类的两组直方图分布显示两组之间无显著差异。在这项回顾性分析中，我们报告了在采集颊黏膜移植物时使用BNB的经验。虽然实施前后接受的MME数量没有显著差异，但需要进一步研究来评估阻滞对疼痛评分的影响。
