Individualisierter oder Standardzugangsweg zum Abdomen

Hollinsky, Christian

doi:10.1007/s00104-016-0221-2

Cited by 4 publications

(2 citation statements)

References 19 publications

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“…Despite the rapid development of new technologies such as minimally invasive, endoscopy and traditional midline incision upper abdominal surgery still involves a large proportion of elective and emergency surgical cases, especially for necessary lymph node dissection and removal of tumors rich in blood vessels [26,27,28]. Patients undergoing major upper abdominal surgery are confronted with severe pain and have a high analgesia requirement.…”

Section: Discussionmentioning

confidence: 99%

Bilateral erector spinal block on opioid-sparing effect in upper abdominal surgery: study protocol for a bi-center prospective randomized controlled trial

Geng,

Wang,

Shi

et al. 2024

Preprint

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Background: Erector spinae plane block (ESPB) is a promising technique for effective analgesia. It is still uncertain if ESPB offers the same opioid-sparing effect as thoracic paravertebral block (PVB) in midline incision for upper abdominal surgery. Methods: The study is a prospective, bi-center, randomized, controlled, non-inferior trial.158 patients scheduled for upper abdominal surgery were randomly assigned to receive bilateral ESPB or PVB before surgery. The primary outcome will be the equivalent cumulative analgesia dosage of sufentanil during the surgery, which was defined as the total dosage of sufentanil from anesthesia induction to tracheal extubation. The main secondary outcomes include postoperative complications and the quality of recovery-15 score at 24, 48h, and 30 days after surgery. Discussion: This study will assess the opioid-sparing efficacy of ESPB and PVB, complications, and the quality of recovery of two blocks. Trial registration: ClinicalTrials.govChiCTR2300073030. https://www.chictr.org.cn/Registered on 30 June 2023

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Section: Discussionmentioning

confidence: 99%

Bilateral erector spinal block on opioid-sparing effect in upper abdominal surgery: study protocol for a bi-center prospective randomized controlled trial

Geng,

Wang,

Shi

et al. 2024

Preprint

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“…Midline abdominal incisions cater a number of benefits for the surgeon but one draw-back is [1] significant pain in post-operative phase .This pain is one of the most important factors in limiting early mobilization of patient, increasing requirement for post-operative analgesics and respiratory tract complications, eventually [1] decreasing the rate of recovery . Various methods of post-operative pain control [3] are practiced worldwide .…”

Section: Methodology: Introductionmentioning

confidence: 99%

Role of Local Infiltration of Injection Bupivacaine in Reducing Early Post-Operative Pain

Jabeen

Zafar

Tabassam³

et al. 2020

jumdc

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ABSTRACT: BACKGROUND & OBJECTIVE: Intolerable morbidity occurs after major thoracic, orthopedic or abdominal surgeries due to post-operative pain. Inadequately controlled pain leads to patient displeasure and major morbidities like postoperative pulmonary dysfunctions and cardiac ischemic changes. Various techniques are presently used to treat this pain and opiods are the most regularly used medications by parenteral or neuraxial route. Intolerable morbidity occurs post-operatively due to inadequately controlled pain. The objective of this study was to compare the mean pain scores in patients undergoing laparotomy with and without local inﬁltration of injection bupivacaine at surgical incision site in post-operative period. METHODOLOGY: This randomized controlled trial was conducted at surgical department Allied hospital Faisalabad from June 2017 to December 2017.Total 80 patient were included in this study that were randomly divided into two groups using random number tables. In post-operative period, patients of both groups were given treatment as per requirement of their respective diseases. They received a baseline analgesia using Inj. Toradol (ketorolac) 30mg/1ml intravenously every 8 hours, ﬁrst dose given during the surgery. The study group was additionally given 10ml Inj. Bupivacaine HCl 0.5% diluted with 10ml saline injected into the subcutaneous plane around the incision immediately after the closure of skin and time was noted. No further diﬀerence in the treatment of patients of both groups required for the purpose of this study. The patients in both groups were compared for the degree of pain experienced by them in early post-operative period. This information was collected using Numeric pain scale, 10 being worst pain and 1 meaning least appreciable pain. These assessments were done 2 and 4 hours after surgery. RESULTS: We recorded pain score 3.0+0.75 in study and 5.2+0.72 in control group, p-value was < 0.001 showing a signiﬁcant diﬀerence. CONCLUSION: We concluded that there is signiﬁcantly lower pain in patients inﬁltrated with injection bupivacaine around surgical incision in early post-operative period as compared to those who had only intravenous analgesics.

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Allgemeinchirurgie und Viszeralchirurgie

Liehn¹,

Steinmüller

2011

OP-Handbuch

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Individualisierter oder Standardzugangsweg zum Abdomen

Cited by 4 publications

References 19 publications

Bilateral erector spinal block on opioid-sparing effect in upper abdominal surgery: study protocol for a bi-center prospective randomized controlled trial

Bilateral erector spinal block on opioid-sparing effect in upper abdominal surgery: study protocol for a bi-center prospective randomized controlled trial

Role of Local Infiltration of Injection Bupivacaine in Reducing Early Post-Operative Pain

Allgemeinchirurgie und Viszeralchirurgie

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