Evaluation of the Analgesic Efficacy of Bilateral Ultrasound-Guided Transversus Thoracic Muscle Plane Block on Post-Sternotomy Pain: A Randomized Controlled Trial

This study discusses the efficacy of an ultrasound-guided transversus thoracic muscle plane block (TTPB) in patients undergoing heart surgery, including sternotomy.PATIENTS AND METHODS: In this prospective trial, 60 patients were randomly assigned to two groups: transversus (T) or general anesthesia (GA). Patients in the T group received TTPB with GA and 15 mL of 0.25% bupivacaine was administered on either side. Patients in the GA group received TTPB along with GA, but 15 mL saline was injected on either side instead. The patients were followed up postoperatively. The percentage of patients receiving additional opioids, extubation time, intensive care unit (ICU) length, postoperative morphine dose, and adverse events were documented.RESULTS: The percentage of patients requiring additional morphine was significantly lower in the T group (p
Source: Local and Regional Anesthesia - Category: Anesthesiology Authors: Source Type: research

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Conditions:   Anesthesia;   Analgesia;   Acute Pain;   Patient Controlled Analgesia Interventions:   Procedure: Bilateral ultrasound-guided ESPB;   Procedure: Bilateral ultrasound-guided ESPB and superficial PIPB Sponsor:   Ondokuz Mayıs University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
CONCLUSION: MR-HIFU is an emerging noninvasive treatment for alleviating CIBP, with increasing evidence on treatment efficacy. This costing study can support MR-HIFU reimbursement negotiations and facilitate the adoption of MR-HIFU as first-line treatment for CIBP. The present TD-ABC model creates the opportunity of benchmarking the provision of MR-HIFU to bone tumor.Key pointsMagnetic resonance-guided high-intensity focused ultrasound (MR-HIFU) is an emerging noninvasive treatment modality for alleviating cancer-induced bone pain (CIBP).From a hospital perspective, the total cost of MR-HIFU amounted to €5147 per trea...
Source: International Journal of Hyperthermia - Category: Internal Medicine Authors: Source Type: research
This study aimed to evaluate the postoperative analgesic effects of ultrasound-guided TRLB in children undergoing open cardiac surgery via median sternotomy incision.METHODS: Sixty-six patients aged 2 to 8 years undergoing cardiac open cardiac surgery via median sternotomy incision were recruited. In the TRLB group, 0.25% bupivacaine 0.4mL/kg was injected into the retrolaminar space on each side at the level of T4 lamina. Patients in the control group were injected with 0.9% saline. The primary outcome measure was the 24h post-extubation fentanyl consumption. The secondary outcome measures were total intraoperative fentany...
Source: Korean Journal of Anesthesiology - Category: Anesthesiology Authors: Source Type: research
Discussion: We found a similar success rate of the caudal epidural block by using landmark-guided, nerve stimulation–guided, or ultrasound-guided techniques in children aged 1 to 5 years with normal anatomy.
Source: The Clinical Journal of Pain - Category: Anesthesiology Tags: Original Articles Source Type: research
Comput Math Methods Med. 2021 Dec 28;2021:3712701. doi: 10.1155/2021/3712701. eCollection 2021.ABSTRACTOBJECTIVE: The study focused on the application value of iteration reconstruction algorithm-based ultrasound and spiral computed tomography (CT) examinations, and the safety of dexmedetomidine anesthesia in acute abdominal surgery.METHODS: 80 cases having the acute abdomen surgery were selected as the research subjects. They were divided into group A (40 cases) and group B (40 cases) according to the anesthetic drugs used in the later period. The experimental group was injected with propofol, remifentanil, and atracurium ...
Source: Computational and Mathematical Methods in Medicine - Category: Statistics Authors: Source Type: research
Agri. 2022 Jan;34(1):23-32. doi: 10.14744/agri.2021.22605.ABSTRACTOBJECTIVES: We aimed to compare the intraoperative and post-operative analgesic activities of the preventive applied serratus anterior plane (SAP) block and infiltration block in patients undergoing video-assisted thoracoscopic surgery (VATS).METHODS: The study was carried out in 60 patients aged between 18 and 80 who were eligible for elective VATS, with the American Society of Anesthesiologists classification I-II, following ethical committee approval and written informed consent form. Patients were divided into two groups as SAP (group serratus anterior p...
Source: Agri Dergisi - Category: Anesthesiology Authors: Source Type: research
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