초록접수 현황
| 17F-100 | 구연 발표 |
Comparison of Single Versus Three Intercostal Nerve Block by Continuous Extrapleural Analgesia in Single Incisional Thoracoscopic Surgery
Kook Nam Han, Hyun Joo Lee, Hyun Koo Kim, Young Ho Choi
Department of Thoracic and Cardiovascular Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Republic of Korea
Purpose : Extrapleural analgesia is considered the one of the choice for intercostal pain after thoracic surgery, but it is not evident to define which levels should be covered and placed with the indwelling catheter. We evaluated the effects of the extent of intercostal level (single versus three-intercostal level) covered by continuous extrapleural analgesia in single incisional thoracoscopic surgery
Methods : In a prospective study, postoperative pain score by numeric rating scale (0-10), paresthesia area assessed by monofilament prick test and the consumptions of opioid and NSAID, were analyzed in patients undergoing single incisional thoracoscopic lobectomy or segmentectomy. Two groups of 20 patients each were compared: one group was covered single intercostal level and the other was covered three intercostal level around the incision site with a continuous extrapleural analgesia.
Results : Two groups showed no significant differences in pain score (Fig.1) and paresthesia area (Fig.2) for postoperative 3 days. However, the extent of paresthesia around incision was significantly improved at postoperative 1 day in single intercostal level group (p=0.44) (Fig.2). The effect was discontinued after removal of extrapleural indwelling catheter at postoperative 2 days. The amount of opioid consumption was not significantly different between two groups (Fig.3).
Conclusion : Our study indicated that there were no differences in extent of intercostal level for pain control in patients with single incisional thoracoscopic surgery. A single intercostal level might be acceptable for reducing the extent of paresthesia with a continuous extrapleural analgesia.
Methods : In a prospective study, postoperative pain score by numeric rating scale (0-10), paresthesia area assessed by monofilament prick test and the consumptions of opioid and NSAID, were analyzed in patients undergoing single incisional thoracoscopic lobectomy or segmentectomy. Two groups of 20 patients each were compared: one group was covered single intercostal level and the other was covered three intercostal level around the incision site with a continuous extrapleural analgesia.
Results : Two groups showed no significant differences in pain score (Fig.1) and paresthesia area (Fig.2) for postoperative 3 days. However, the extent of paresthesia around incision was significantly improved at postoperative 1 day in single intercostal level group (p=0.44) (Fig.2). The effect was discontinued after removal of extrapleural indwelling catheter at postoperative 2 days. The amount of opioid consumption was not significantly different between two groups (Fig.3).
Conclusion : Our study indicated that there were no differences in extent of intercostal level for pain control in patients with single incisional thoracoscopic surgery. A single intercostal level might be acceptable for reducing the extent of paresthesia with a continuous extrapleural analgesia.
책임저자: Hyun Koo Kim
Department of Thoracic and Cardiovascular Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Republic of Korea
발표자: Kook Nam Han, E-mail : hdoc@korea.ac.kr