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Study on Analgesic Effects of Combined Thoracic Paravertebral Block Anesthesia or Erector Spinae Plane Block with Ultrasound Guided Transversus Abdominis Plane Block in Endoscopic Esophagectomy: A Clinical Anatomical Approach/Estudio sobre los Efectos Analgesicos de la Anestesia Combinada con Bloqueo Paravertebral Toracico o el Bloqueo del Plano del Erector de la Columna con Bloqueo del Plano Transverso del Abdomen Guiado por Ultrasonido en la Esofagectomia Endoscopica: Un Enfoque Anatomico Clin

International journal of morphology, 2024-03, Vol.42 (2), p.301 [Peer Reviewed Journal]

COPYRIGHT 2024 Universidad de La Frontera, Facultad de Medicina ;ISSN: 0717-9367 ;EISSN: 0717-9502

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  • Title:
    Study on Analgesic Effects of Combined Thoracic Paravertebral Block Anesthesia or Erector Spinae Plane Block with Ultrasound Guided Transversus Abdominis Plane Block in Endoscopic Esophagectomy: A Clinical Anatomical Approach/Estudio sobre los Efectos Analgesicos de la Anestesia Combinada con Bloqueo Paravertebral Toracico o el Bloqueo del Plano del Erector de la Columna con Bloqueo del Plano Transverso del Abdomen Guiado por Ultrasonido en la Esofagectomia Endoscopica: Un Enfoque Anatomico Clin
  • Author: Li, Changke ; Cai, Qingxiang ; Liu, Wenyue ; Zhou, Lin ; Chen, Wen
  • Subjects: Anesthesia ; Esophageal cancer ; Health aspects ; Medical research ; Medicine, Experimental ; Opioids
  • Is Part Of: International journal of morphology, 2024-03, Vol.42 (2), p.301
  • Description: The application effect of transversus abdominis plane block (TAPB) combined with thoracic paravertebral block (TPVB) or erector spinae plane block (ESP) under ultrasound guidance in endoscopic radical resection of esophageal cancer under general anesthesia was studied. From March 2021 to February 2022, patients who underwent endoscopic radical resection of esophageal cancer in our hospital were selected as the research object, and 90 patients were selected as the samples. Patients were divided into group A and group B according to the difference of blocking schemes. Group A received ESP and Group B received TPVB. The dosage of sufentanil, nerve block time, awakening time and extubation time of the two groups were counted. The postoperative pain, sedation effect, sleep satisfaction and analgesia satisfaction of the two groups were compared, and the complications of the two groups were observed. The nerve block time and extubation time in group A were shorter than those in group B (P<0.05), but there was no statistical difference in the dosage of sufentanil and the awakening time between the two groups (P>0.05). At T2, T3 and T4, the visual analogue scale (VAS) scores of group A at rest and cough were significantly lower than those of group B (P<0.05). At T1, T2 and T3, the Ramsay score of group A was lower than that of group B (P<0.05), and there was no significant difference between the two groups at T4 (P>0.05). The satisfaction of sleep and analgesia in group A was higher than that in group B (P<0.05). There was no significant difference in the incidence of adverse reactions between group A and group B (P>0.05). The analgesic effect of ultrasound-guided TAPB combined with ESP is better than that of ultrasound-guided TAPB combined with TPVB, and it can shorten the time of nerve block and extubation, which is worth popularizing.
  • Publisher: Universidad de La Frontera, Facultad de Medicina
  • Language: Spanish
  • Identifier: ISSN: 0717-9367
    EISSN: 0717-9502
  • Source: Geneva Foundation Free Medical Journals at publisher websites
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