Analgesic efficacy of pre-emptive ultrasound-guided mid-point transverse process to pleura block for patients undergoing posterolateral thoracotomy incisions: Randomized controlled trial
ABSTRACTBackground For anesthesiologists, managing pain during and after thoracic surgery remains a significant challenge. This research aims to assess the safety and efficacy of ultrasound (US)-guided pre-emptive mid-point transverse process to pleura (MTP) block for posterolateral thoracotomy.Meth...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | Egyptian Journal of Anaesthesia |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/11101849.2023.2231709 |
| _version_ | 1827904151539941376 |
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| author | Heba Abdelhamid Mohammed Aliaa Muhammad Belal Rehab Said Elkalla Sohair Mostafa Soliman |
| author_facet | Heba Abdelhamid Mohammed Aliaa Muhammad Belal Rehab Said Elkalla Sohair Mostafa Soliman |
| author_sort | Heba Abdelhamid Mohammed |
| collection | DOAJ |
| description | ABSTRACTBackground For anesthesiologists, managing pain during and after thoracic surgery remains a significant challenge. This research aims to assess the safety and efficacy of ultrasound (US)-guided pre-emptive mid-point transverse process to pleura (MTP) block for posterolateral thoracotomy.Methods This prospective randomized, double-blind clinical trial was conducted on 70 patients scheduled for a posterolateral thoracotomy operation under general anesthesia (GA). Patients were classified randomly and equally into Group I (MTP group) received MTP blocks, and Group II (sham block) received 2 ml of saline solution. The blocks were done after induction of GA but before the skin incision.Results Numerical rating scale (NRS) at rest and cough, total morphine consumption, the incidence of chronic pain at 3 months, and undesirable side effects (nausea, vomiting, respiratory depression) were significantly lower in MTP block than in sham block. Oxygen saturation and SpO2/FiO2 raised significantly in the MTP block than in the sham block (P < 0.001).Conclusions The US-guided MTP block provided effective analgesia with a lower pain score, lesser rescue analgesics consumption, and reduced risk of developing chronic pain posterolateral thoracotomy. |
| first_indexed | 2024-03-13T00:23:18Z |
| format | Article |
| id | doaj.art-7bda42fd54554aaaa33b35f91fc920d3 |
| institution | Directory Open Access Journal |
| issn | 1110-1849 |
| language | English |
| last_indexed | 2024-03-13T00:23:18Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Egyptian Journal of Anaesthesia |
| spelling | doaj.art-7bda42fd54554aaaa33b35f91fc920d32023-07-11T11:20:31ZengTaylor & Francis GroupEgyptian Journal of Anaesthesia1110-18492023-12-0139153854510.1080/11101849.2023.2231709Analgesic efficacy of pre-emptive ultrasound-guided mid-point transverse process to pleura block for patients undergoing posterolateral thoracotomy incisions: Randomized controlled trialHeba Abdelhamid Mohammed0Aliaa Muhammad Belal1Rehab Said Elkalla2Sohair Mostafa Soliman3Anesthesiology, Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Tanta University, Tanta, EgyptAnesthesiology, Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Tanta University, Tanta, EgyptAnesthesiology, Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Tanta University, Tanta, EgyptAnesthesiology, Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Tanta University, Tanta, EgyptABSTRACTBackground For anesthesiologists, managing pain during and after thoracic surgery remains a significant challenge. This research aims to assess the safety and efficacy of ultrasound (US)-guided pre-emptive mid-point transverse process to pleura (MTP) block for posterolateral thoracotomy.Methods This prospective randomized, double-blind clinical trial was conducted on 70 patients scheduled for a posterolateral thoracotomy operation under general anesthesia (GA). Patients were classified randomly and equally into Group I (MTP group) received MTP blocks, and Group II (sham block) received 2 ml of saline solution. The blocks were done after induction of GA but before the skin incision.Results Numerical rating scale (NRS) at rest and cough, total morphine consumption, the incidence of chronic pain at 3 months, and undesirable side effects (nausea, vomiting, respiratory depression) were significantly lower in MTP block than in sham block. Oxygen saturation and SpO2/FiO2 raised significantly in the MTP block than in the sham block (P < 0.001).Conclusions The US-guided MTP block provided effective analgesia with a lower pain score, lesser rescue analgesics consumption, and reduced risk of developing chronic pain posterolateral thoracotomy.https://www.tandfonline.com/doi/10.1080/11101849.2023.2231709Mid-Point transverse process to pleuraacute pain, chronic pain efficacythoracotomypre-emptive |
| spellingShingle | Heba Abdelhamid Mohammed Aliaa Muhammad Belal Rehab Said Elkalla Sohair Mostafa Soliman Analgesic efficacy of pre-emptive ultrasound-guided mid-point transverse process to pleura block for patients undergoing posterolateral thoracotomy incisions: Randomized controlled trial Egyptian Journal of Anaesthesia Mid-Point transverse process to pleura acute pain, chronic pain efficacy thoracotomy pre-emptive |
| title | Analgesic efficacy of pre-emptive ultrasound-guided mid-point transverse process to pleura block for patients undergoing posterolateral thoracotomy incisions: Randomized controlled trial |
| title_full | Analgesic efficacy of pre-emptive ultrasound-guided mid-point transverse process to pleura block for patients undergoing posterolateral thoracotomy incisions: Randomized controlled trial |
| title_fullStr | Analgesic efficacy of pre-emptive ultrasound-guided mid-point transverse process to pleura block for patients undergoing posterolateral thoracotomy incisions: Randomized controlled trial |
| title_full_unstemmed | Analgesic efficacy of pre-emptive ultrasound-guided mid-point transverse process to pleura block for patients undergoing posterolateral thoracotomy incisions: Randomized controlled trial |
| title_short | Analgesic efficacy of pre-emptive ultrasound-guided mid-point transverse process to pleura block for patients undergoing posterolateral thoracotomy incisions: Randomized controlled trial |
| title_sort | analgesic efficacy of pre emptive ultrasound guided mid point transverse process to pleura block for patients undergoing posterolateral thoracotomy incisions randomized controlled trial |
| topic | Mid-Point transverse process to pleura acute pain, chronic pain efficacy thoracotomy pre-emptive |
| url | https://www.tandfonline.com/doi/10.1080/11101849.2023.2231709 |
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