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竖脊肌平面阻滞,胸腔镜手术后神经病理性疼痛和生活质量。初步、观察性研究。

Erector spinae plane block, neuropathic pain and quality of life after video-assisted thoracoscopy surgery. Pilot, observational study.

机构信息

Department of Anesthesiology, Hospital Universitario San Ignacio, Bogotá, Colombia.

Education Faculty, Fundación Universitaria Navarra - Uninavarra, Neiva, Colombia.

出版信息

Anaesthesiol Intensive Ther. 2023;55(2):87-92. doi: 10.5114/ait.2023.128643.

DOI:10.5114/ait.2023.128643
PMID:37409833
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10415606/
Abstract

BACKGROUND

The erector spinae plane block (ESPB) is a valuable alternative for pain management after video-assisted thoracoscopy surgery (VATS). The incidence of postoperative chronic neuropathic pain (CNP) is high while the quality of life (QoL) after VATS remains unknown. We hypothesised that patients with ESPB would have a low incidence of acute and CNP and would report a good QoL up to three months after VATS.

METHODS

We conducted a single-centre prospective pilot cohort study from January to April 2020. ESPB after VATS was the standard practice. The primary outcome was the incidence of CNP three months postoperatively. Secondary outcomes included QoL assessed by the EuroQoL questionnaire three months after surgery and pain control at the Post-Anaesthesia Care Unit (PACU), 12 and 24 hours postoperatively.

RESULTS

We conducted a single-centre prospective pilot cohort study from January to April 2020. ESPB after VATS was the standard practice. The primary outcome was the incidence of CNP three months postoperatively. Secondary outcomes included QoL assessed by the EuroQoL questionnaire three months after surgery and pain control at the Post-Anaesthesia Care Unit (PACU), 12 and 24 hours postoperatively.

CONCLUSIONS

We conducted a single-centre prospective pilot cohort study from January to April 2020. ESPB after VATS was the standard practice. The primary outcome was the incidence of CNP three months postoperatively. Secondary outcomes included QoL assessed by the EuroQoL questionnaire three months after surgery and pain control at the Post-Anaesthesia Care Unit (PACU), 12 and 24 hours postoperatively.

摘要

背景

竖脊肌平面阻滞(ESPB)是胸腔镜手术后(VATS)疼痛管理的一种有效替代方法。术后慢性神经性疼痛(CNP)的发生率较高,而 VATS 后的生活质量(QoL)尚不清楚。我们假设 ESPB 患者术后急性和 CNP 的发生率较低,并且在 VATS 后三个月报告 QoL 良好。

方法

我们进行了一项单中心前瞻性试点队列研究,时间为 2020 年 1 月至 4 月。VATS 后 ESPB 是标准做法。主要结局是术后三个月 CNP 的发生率。次要结局包括术后三个月通过 EuroQoL 问卷评估的 QoL 以及术后麻醉后护理单元(PACU)、12 小时和 24 小时的疼痛控制。

结果

我们进行了一项单中心前瞻性试点队列研究,时间为 2020 年 1 月至 4 月。VATS 后 ESPB 是标准做法。主要结局是术后三个月 CNP 的发生率。次要结局包括术后三个月通过 EuroQoL 问卷评估的 QoL 以及术后麻醉后护理单元(PACU)、12 小时和 24 小时的疼痛控制。

结论

我们进行了一项单中心前瞻性试点队列研究,时间为 2020 年 1 月至 4 月。VATS 后 ESPB 是标准做法。主要结局是术后三个月 CNP 的发生率。次要结局包括术后三个月通过 EuroQoL 问卷评估的 QoL 以及术后麻醉后护理单元(PACU)、12 小时和 24 小时的疼痛控制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/549d/10415606/2a71bba1bddb/AIT-55-50844-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/549d/10415606/28514e22aa03/AIT-55-50844-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/549d/10415606/2a71bba1bddb/AIT-55-50844-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/549d/10415606/28514e22aa03/AIT-55-50844-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/549d/10415606/2a71bba1bddb/AIT-55-50844-g002.jpg

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