亲爱的研友该休息了!由于当前在线用户较少,发布求助请尽量完整地填写文献信息,科研通机器人24小时在线,伴您度过漫漫科研夜!身体可是革命的本钱,早点休息,好梦!

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
吴玉婷完成签到,获得积分20
3秒前
博慧发布了新的文献求助10
7秒前
tianya完成签到,获得积分10
7秒前
能干的台灯完成签到,获得积分10
10秒前
25秒前
Lucas应助科研通管家采纳,获得10
25秒前
ly完成签到,获得积分10
26秒前
41秒前
在水一方应助和和和采纳,获得10
44秒前
wuran发布了新的文献求助10
45秒前
AiQi完成签到 ,获得积分10
52秒前
59秒前
博慧完成签到,获得积分10
1分钟前
wanci应助ly采纳,获得10
1分钟前
最最最发布了新的文献求助10
1分钟前
1分钟前
H_C发布了新的文献求助20
1分钟前
利好完成签到 ,获得积分10
1分钟前
1分钟前
传奇3应助简单山水采纳,获得10
1分钟前
和和和发布了新的文献求助10
1分钟前
ly发布了新的文献求助10
1分钟前
Wei完成签到 ,获得积分10
1分钟前
稻子完成签到 ,获得积分10
1分钟前
wanci应助ly采纳,获得10
1分钟前
和和和完成签到,获得积分10
1分钟前
小蘑菇应助iiii采纳,获得50
1分钟前
2分钟前
简单山水发布了新的文献求助10
2分钟前
2分钟前
灵感大王喵完成签到 ,获得积分10
2分钟前
2分钟前
2分钟前
iiii发布了新的文献求助50
2分钟前
爆米花应助拾光采纳,获得10
2分钟前
Percy完成签到 ,获得积分10
2分钟前
2分钟前
顾矜应助科研通管家采纳,获得10
2分钟前
英俊的铭应助简单山水采纳,获得10
2分钟前
2分钟前
高分求助中
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
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 3990015
求助须知:如何正确求助?哪些是违规求助? 3532077
关于积分的说明 11256227
捐赠科研通 3270933
什么是DOI,文献DOI怎么找? 1805139
邀请新用户注册赠送积分活动 882270
科研通“疑难数据库(出版商)”最低求助积分说明 809228