Bilateral erector spinae plane blocks in children undergoing cardiac surgery: A randomized, controlled study

医学 麻醉 随机对照试验 外科
作者
Feride Karacaer,Ebru Biricik,Murat Türkeün Ilgınel,Demet Laflı Tunay,Şah Topçuoğlu,H. Ünlügenç
出处
期刊:Journal of Clinical Anesthesia [Elsevier BV]
卷期号:80: 110797-110797 被引量:16
标识
DOI:10.1016/j.jclinane.2022.110797
摘要

We aimed to test the hypothesis that erector spinae plane block (ESPB) provides efficient analgesia and reduces postoperative morphine consumption in children undergoing cardiac surgery with median sternotomy.A prospective, blinded, randomized, controlled study.A tertiary university hospital, operating room and intensive care unit.Forty children aged 2-10 years, who underwent cardiac surgery with median sternotomy. The patients were randomly divided into the block group (Group B) and the control group (Group C).Group B (n = 20) were treated with ultrasound-guided bilateral ESPB at the level of the T4-T5 transverse process, whereas no block was administered in Group C (n = 20). In all children, intravenous morphine at 0.05 mg/kg was used whenever the modified objective pain score (MOPS) ≥4 for postoperative analgesia.The MOPS and Ramsay sedation score (RSS) were assessed at 0, 1, 2, 4, 6, 8, 10, 12, 16, 20 and 24 h postoperatively. Total morphine consumption at 24 h, extubation time and length of intensive care unit (ICU) stay was also evaluated and recorded.Bilateral ESPB significantly decreased the consumption of morphine in the first 24 h, postoperatively. During the postoperative 24-h follow-up, 11 children in Group C requested morphine and the cumulative dose of morphine was 0.83 ± 0.91 mg, while 4 children in Group B requested morphine and the cumulative dose of morphine was 0.26 ± 0.59 mg (p = 0.043). There was no significant difference between Groups B and C in terms of MOPS and RSS values, extubation time or length of ICU stay.Ultrasound-guided bilateral ESPB with bupivacaine provides efficient postoperative analgesia and reduces postoperative morphine consumption at 24 h in children undergoing cardiac surgery.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
好吃鱼完成签到,获得积分10
刚刚
等一个晴天完成签到,获得积分10
3秒前
胡涂涂发布了新的文献求助10
5秒前
研友_VZG7GZ应助小赞采纳,获得10
6秒前
量子星尘发布了新的文献求助10
7秒前
快乐一江完成签到,获得积分10
9秒前
10秒前
15秒前
啊标完成签到,获得积分10
15秒前
15秒前
水溶c100完成签到,获得积分10
16秒前
梨江鱼完成签到,获得积分10
16秒前
LcnTCM完成签到,获得积分10
16秒前
19秒前
maizhenpeng发布了新的文献求助10
20秒前
执着乐双发布了新的文献求助30
22秒前
小赞发布了新的文献求助10
22秒前
26秒前
30秒前
沈静完成签到,获得积分10
30秒前
32秒前
loski发布了新的文献求助10
32秒前
marina完成签到 ,获得积分20
33秒前
36秒前
时尚俊驰发布了新的文献求助10
36秒前
37秒前
文献发布了新的文献求助30
38秒前
41秒前
我嘞个豆完成签到,获得积分10
41秒前
爱笑晓曼发布了新的文献求助10
42秒前
wdy111应助sc采纳,获得20
42秒前
敏感初露发布了新的文献求助10
42秒前
隐形曼青应助机智思真采纳,获得10
45秒前
思源应助时尚俊驰采纳,获得10
45秒前
可爱的函函应助敏感初露采纳,获得10
45秒前
46秒前
爆米花应助橙子采纳,获得10
49秒前
量子星尘发布了新的文献求助10
51秒前
阿满完成签到 ,获得积分10
52秒前
王馨雨完成签到,获得积分10
53秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
‘Unruly’ Children: Historical Fieldnotes and Learning Morality in a Taiwan Village (New Departures in Anthropology) 400
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3989378
求助须知:如何正确求助?哪些是违规求助? 3531442
关于积分的说明 11254002
捐赠科研通 3270126
什么是DOI,文献DOI怎么找? 1804887
邀请新用户注册赠送积分活动 882087
科研通“疑难数据库(出版商)”最低求助积分说明 809173