Comparative study on the analgesic effect of acute ipsilateral shoulder pain after open thoracotomy between preoperative ultrasound guided suprascapular nerve block (SNB) and intraoperative phrenic nerve infiltration (PNI) in cancer lung patients
Introduction: Acute ipsilateral shoulder pain (ISP) is a common complaint in patients after thoracotomy. The incidence ranges from 21% to 97%. Unfortunately, clinical studies did not put enough focus on ISP post thoracic surgery. Aim of the work: This study was designed to compare the effectiveness...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2018-03-01
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| Series: | Journal of the Egyptian National Cancer Institute |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1110036218300037 |
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| author | Bassel M. Elfokery Sahar A. Tawfic Abdelrahman M. Abdelrahman Dina N. Abbas Ikramy M. Abdelghaffar |
| author_facet | Bassel M. Elfokery Sahar A. Tawfic Abdelrahman M. Abdelrahman Dina N. Abbas Ikramy M. Abdelghaffar |
| author_sort | Bassel M. Elfokery |
| collection | DOAJ |
| description | Introduction: Acute ipsilateral shoulder pain (ISP) is a common complaint in patients after thoracotomy. The incidence ranges from 21% to 97%. Unfortunately, clinical studies did not put enough focus on ISP post thoracic surgery.
Aim of the work: This study was designed to compare the effectiveness of suprascapular nerve block (SNB) and phrenic nerve infiltration (PNI) for controlling ISP.
Patients and methods: One hundred and thirty-five lung cancer patients (135) scheduled for open-lung surgery were randomly allocated into three equal groups; control group: received thoracic epidural with general anesthesia, suprascapular group: (SNB) one hour before the operation with 10 ml bupivacaine plus thoracic epidural with general anesthesia and phrenic nerve group: (PNI) was performed by the operating surgeon with 10 ml bupivacaine plus thoracic epidural with general anesthesia.
The visual analogue score (VAS) of ISP, rescue of ketorolac for break through shoulder pain, peak expiratory flow rate (PEFR) and arterial blood gases were measured every 6 h postoperatively for 48 h.
Results: The VAS, rescue doses of ketorolc and PEFR were significantly lower in the phrenic nerve group (P-value <0.05). There was no statistically significant difference between the three groups postoperatively as regards arterial blood gases (P-value >0.05).
Conclusion: PNI is more effective than SNB for ISP. |
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| id | doaj.art-2e261f8a37f04bd88ba19c1fb7637d06 |
| institution | Directory Open Access Journal |
| issn | 1110-0362 |
| language | English |
| last_indexed | 2024-12-13T03:33:03Z |
| publishDate | 2018-03-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Journal of the Egyptian National Cancer Institute |
| spelling | doaj.art-2e261f8a37f04bd88ba19c1fb7637d062022-12-22T00:01:07ZengSpringerOpenJournal of the Egyptian National Cancer Institute1110-03622018-03-01301273110.1016/j.jnci.2018.01.003Comparative study on the analgesic effect of acute ipsilateral shoulder pain after open thoracotomy between preoperative ultrasound guided suprascapular nerve block (SNB) and intraoperative phrenic nerve infiltration (PNI) in cancer lung patientsBassel M. ElfokerySahar A. TawficAbdelrahman M. AbdelrahmanDina N. AbbasIkramy M. AbdelghaffarIntroduction: Acute ipsilateral shoulder pain (ISP) is a common complaint in patients after thoracotomy. The incidence ranges from 21% to 97%. Unfortunately, clinical studies did not put enough focus on ISP post thoracic surgery. Aim of the work: This study was designed to compare the effectiveness of suprascapular nerve block (SNB) and phrenic nerve infiltration (PNI) for controlling ISP. Patients and methods: One hundred and thirty-five lung cancer patients (135) scheduled for open-lung surgery were randomly allocated into three equal groups; control group: received thoracic epidural with general anesthesia, suprascapular group: (SNB) one hour before the operation with 10 ml bupivacaine plus thoracic epidural with general anesthesia and phrenic nerve group: (PNI) was performed by the operating surgeon with 10 ml bupivacaine plus thoracic epidural with general anesthesia. The visual analogue score (VAS) of ISP, rescue of ketorolac for break through shoulder pain, peak expiratory flow rate (PEFR) and arterial blood gases were measured every 6 h postoperatively for 48 h. Results: The VAS, rescue doses of ketorolc and PEFR were significantly lower in the phrenic nerve group (P-value <0.05). There was no statistically significant difference between the three groups postoperatively as regards arterial blood gases (P-value >0.05). Conclusion: PNI is more effective than SNB for ISP.http://www.sciencedirect.com/science/article/pii/S1110036218300037Suprascapular nerveShoulder painPhrenic nerve |
| spellingShingle | Bassel M. Elfokery Sahar A. Tawfic Abdelrahman M. Abdelrahman Dina N. Abbas Ikramy M. Abdelghaffar Comparative study on the analgesic effect of acute ipsilateral shoulder pain after open thoracotomy between preoperative ultrasound guided suprascapular nerve block (SNB) and intraoperative phrenic nerve infiltration (PNI) in cancer lung patients Journal of the Egyptian National Cancer Institute Suprascapular nerve Shoulder pain Phrenic nerve |
| title | Comparative study on the analgesic effect of acute ipsilateral shoulder pain after open thoracotomy between preoperative ultrasound guided suprascapular nerve block (SNB) and intraoperative phrenic nerve infiltration (PNI) in cancer lung patients |
| title_full | Comparative study on the analgesic effect of acute ipsilateral shoulder pain after open thoracotomy between preoperative ultrasound guided suprascapular nerve block (SNB) and intraoperative phrenic nerve infiltration (PNI) in cancer lung patients |
| title_fullStr | Comparative study on the analgesic effect of acute ipsilateral shoulder pain after open thoracotomy between preoperative ultrasound guided suprascapular nerve block (SNB) and intraoperative phrenic nerve infiltration (PNI) in cancer lung patients |
| title_full_unstemmed | Comparative study on the analgesic effect of acute ipsilateral shoulder pain after open thoracotomy between preoperative ultrasound guided suprascapular nerve block (SNB) and intraoperative phrenic nerve infiltration (PNI) in cancer lung patients |
| title_short | Comparative study on the analgesic effect of acute ipsilateral shoulder pain after open thoracotomy between preoperative ultrasound guided suprascapular nerve block (SNB) and intraoperative phrenic nerve infiltration (PNI) in cancer lung patients |
| title_sort | comparative study on the analgesic effect of acute ipsilateral shoulder pain after open thoracotomy between preoperative ultrasound guided suprascapular nerve block snb and intraoperative phrenic nerve infiltration pni in cancer lung patients |
| topic | Suprascapular nerve Shoulder pain Phrenic nerve |
| url | http://www.sciencedirect.com/science/article/pii/S1110036218300037 |
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