Department of Anaesthesiology and Reanimation, Erzurum Regional Training and Research Hospital, Erzurum, Turkey.
Department of Anaesthesiology and Reanimation, Ataturk University School of Medicine, 25070, Erzurum, Turkey.
Obes Surg. 2024 May;34(5):1826-1833. doi: 10.1007/s11695-024-07219-z. Epub 2024 Apr 2.
Although laparoscopic sleeve gastrectomy (LSG) is a minimally invasive surgery, postoperative pain is common. A novel block, the external oblique intercostal (EOI) block, can be used as part of multimodal analgesia for upper abdominal surgeries. The aim of our study is to investigate the effectiveness of EOI block in patients undergoing LSG.
Sixty patients were assigned into two groups either EOI or port-site infiltration (PSI). The EOI group received ultrasound-guided 30 ml 0.25% bupivacaine, while the PSI group received 5 ml of 0.25% bupivacaine at each port sites by the surgeon. Data on clinical and demographic were collected and analyzed.
There were no statistical differences in terms of demographic details (p > 0.05). VAS scores were statistically lower during resting at PACU, 1, 2, 4, 8, and 12 h postoperatively in the EOI group than PSI group (p < 0.05), The VAS scores were also lower during active movement at PACU, 1, 2, 4, and 8 h postoperatively in the EOI group than PSI group (p < 0.05). Twenty-four-hour fentanyl consumption was lower in the EOI than in the PSI group (505.83 ± 178.56 vs. 880.83 ± 256.78 μg, respectively, p < 0.001). Rescue analgesia was higher in PSI group than EOI group (26/30 vs. 14/30, respectively, p = 0.001).
EOI block can be used as a part of multimodal analgesia due to its simplicity and effective postoperative analgesia in LSG.
尽管腹腔镜袖状胃切除术（LSG）是一种微创手术，但术后疼痛很常见。一种新的阻滞技术，即肋间外肌平面（EOI）阻滞，可以作为上腹部手术多模式镇痛的一部分。本研究旨在探讨 EOI 阻滞在 LSG 患者中的有效性。
将 60 例患者分为 EOI 组或切口部位浸润（PSI）组。EOI 组接受超声引导下 30ml0.25%布比卡因，而 PSI 组由外科医生在每个切口部位注射 5ml0.25%布比卡因。收集并分析临床和人口统计学数据。
两组患者的人口统计学细节无统计学差异（p＞0.05）。在 PACU 休息时、术后 1、2、4、8 和 12 小时，EOI 组的 VAS 评分明显低于 PSI 组（p＜0.05）；在 PACU 主动运动时、术后 1、2、4 和 8 小时，EOI 组的 VAS 评分也明显低于 PSI 组（p＜0.05）。EOI 组 24 小时芬太尼消耗量低于 PSI 组（505.83±178.56μg 比 880.83±256.78μg，分别，p＜0.001）。PSI 组的补救性镇痛比 EOI 组更高（分别为 26/30 比 14/30，p=0.001）。
EOI 阻滞由于其简单性和有效的术后镇痛，可作为 LSG 多模式镇痛的一部分。
