Thoracic paravertebral block versus intravenous patient-controlled analgesia for pain treatment in patients with multiple rib fractures
Objectives To assess the effect of thoracic paravertebral block (PVB) on pain management and preservation of pulmonary function compared with intravenous, patient-controlled analgesia (IVPCA) in patients with multiple rib fractures (MRFs). Methods Ninety patients with unilateral MRFs were included i...
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| Veröffentlicht in: | Journal of international medical research 2017-12, Vol.45 (6), p.2085-2091 |
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| container_issue | 6 |
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| container_title | Journal of international medical research |
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| creator | Yeying, Ge Liyong, Yuan Yuebo, Chen Yu, Zhang Guangao, Ye Weihu, Ma Liujun, Zhao |
| description | Objectives
To assess the effect of thoracic paravertebral block (PVB) on pain management and preservation of pulmonary function compared with intravenous, patient-controlled analgesia (IVPCA) in patients with multiple rib fractures (MRFs).
Methods
Ninety patients with unilateral MRFs were included in this prospective study and randomly assigned to the TPVB or IVPCA group. The visual analogue scale (VAS) pain score, blood gas analysis, and bedside spirometry were measured and recorded at different time points after analgesia.
Results
TPVB and IVPCA provided good pain relief. VAS scores were significantly lower in the TPVB group than in the IVPCA group at rest and during coughing (P |
| doi_str_mv | 10.1177/0300060517710068 |
| format | Article |
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To assess the effect of thoracic paravertebral block (PVB) on pain management and preservation of pulmonary function compared with intravenous, patient-controlled analgesia (IVPCA) in patients with multiple rib fractures (MRFs).
Methods
Ninety patients with unilateral MRFs were included in this prospective study and randomly assigned to the TPVB or IVPCA group. The visual analogue scale (VAS) pain score, blood gas analysis, and bedside spirometry were measured and recorded at different time points after analgesia.
Results
TPVB and IVPCA provided good pain relief. VAS scores were significantly lower in the TPVB group than in the IVPCA group at rest and during coughing (P < 0.05). Patients in the TPVB group had a higher PaO2 and PaO2/FiO2 and lower P(A–a)O2 compared with the IVPCA group (P < 0.05). Moreover, patients in the TPVB group showed higher FVC, FEV1/FVC, and PEFR, and fewer complications than did the IVPCA group (P < 0.05).
Conclusion
TPVB is superior to IVPCA in pain relief and preservation of pulmonary function in patients with MRFs.</description><identifier>ISSN: 0300-0605</identifier><identifier>EISSN: 1473-2300</identifier><identifier>DOI: 10.1177/0300060517710068</identifier><identifier>PMID: 28635359</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Clinical Report</subject><ispartof>Journal of international medical research, 2017-12, Vol.45 (6), p.2085-2091</ispartof><rights>The Author(s) 2017</rights><rights>The Author(s) 2017 2017 SAGE Publications</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c460t-d735434d73e39752b3889d5ef36274e6e308a3d9b1b1795b1551b15dc80e4d333</citedby><cites>FETCH-LOGICAL-c460t-d735434d73e39752b3889d5ef36274e6e308a3d9b1b1795b1551b15dc80e4d333</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5805206/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5805206/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,21964,27851,27922,27923,44943,45331,53789,53791</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28635359$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yeying, Ge</creatorcontrib><creatorcontrib>Liyong, Yuan</creatorcontrib><creatorcontrib>Yuebo, Chen</creatorcontrib><creatorcontrib>Yu, Zhang</creatorcontrib><creatorcontrib>Guangao, Ye</creatorcontrib><creatorcontrib>Weihu, Ma</creatorcontrib><creatorcontrib>Liujun, Zhao</creatorcontrib><title>Thoracic paravertebral block versus intravenous patient-controlled analgesia for pain treatment in patients with multiple rib fractures</title><title>Journal of international medical research</title><addtitle>J Int Med Res</addtitle><description>Objectives
To assess the effect of thoracic paravertebral block (PVB) on pain management and preservation of pulmonary function compared with intravenous, patient-controlled analgesia (IVPCA) in patients with multiple rib fractures (MRFs).
Methods
Ninety patients with unilateral MRFs were included in this prospective study and randomly assigned to the TPVB or IVPCA group. The visual analogue scale (VAS) pain score, blood gas analysis, and bedside spirometry were measured and recorded at different time points after analgesia.
Results
TPVB and IVPCA provided good pain relief. VAS scores were significantly lower in the TPVB group than in the IVPCA group at rest and during coughing (P < 0.05). Patients in the TPVB group had a higher PaO2 and PaO2/FiO2 and lower P(A–a)O2 compared with the IVPCA group (P < 0.05). Moreover, patients in the TPVB group showed higher FVC, FEV1/FVC, and PEFR, and fewer complications than did the IVPCA group (P < 0.05).
Conclusion
TPVB is superior to IVPCA in pain relief and preservation of pulmonary function in patients with MRFs.</description><subject>Clinical Report</subject><issn>0300-0605</issn><issn>1473-2300</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><recordid>eNp1UctO3TAQtapWcAvsu6q87CbgR5zHBgmhtlRC6gbWluNM7jV14tR2QP2C_nYnuoAKEisfz3mMPUPIJ85OOa_rMyYZYxVTiDmC5h3Z8LKWhcD6e7JZ6WLlD8nHlO4YK0WlxAE5FE0llVTthvy92YVorLN0NtHcQ8zQReNp54P9RfGelkTdlFduCohnkx1MubABi8F76KmZjN9CcoYOIaLATTRHMHlEHXqfLIk-uLyj4-Kzmz3Q6Do6YO-8REjH5MNgfIKTx_OI3H77enN5VVz__P7j8uK6sGXFctHXUpWyxANkWyvRyaZpewWDrERdQgWSNUb2bcc7Xreq40ohUr1tGJS9lPKInO9z56Ubobewfs3rObrRxD86GKdfMpPb6W2416phSrAKA748BsTwe4GU9eiSBe_NBDgfzVsueKtEtfZie6mNIaUIw3MbzvS6P_16f2j5_P_zng1PC0NBsRckswV9F5aIw09vB_4DvjKmbA</recordid><startdate>20171201</startdate><enddate>20171201</enddate><creator>Yeying, Ge</creator><creator>Liyong, Yuan</creator><creator>Yuebo, Chen</creator><creator>Yu, Zhang</creator><creator>Guangao, Ye</creator><creator>Weihu, Ma</creator><creator>Liujun, Zhao</creator><general>SAGE Publications</general><scope>AFRWT</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20171201</creationdate><title>Thoracic paravertebral block versus intravenous patient-controlled analgesia for pain treatment in patients with multiple rib fractures</title><author>Yeying, Ge ; Liyong, Yuan ; Yuebo, Chen ; Yu, Zhang ; Guangao, Ye ; Weihu, Ma ; Liujun, Zhao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c460t-d735434d73e39752b3889d5ef36274e6e308a3d9b1b1795b1551b15dc80e4d333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Clinical Report</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yeying, Ge</creatorcontrib><creatorcontrib>Liyong, Yuan</creatorcontrib><creatorcontrib>Yuebo, Chen</creatorcontrib><creatorcontrib>Yu, Zhang</creatorcontrib><creatorcontrib>Guangao, Ye</creatorcontrib><creatorcontrib>Weihu, Ma</creatorcontrib><creatorcontrib>Liujun, Zhao</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of international medical research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yeying, Ge</au><au>Liyong, Yuan</au><au>Yuebo, Chen</au><au>Yu, Zhang</au><au>Guangao, Ye</au><au>Weihu, Ma</au><au>Liujun, Zhao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Thoracic paravertebral block versus intravenous patient-controlled analgesia for pain treatment in patients with multiple rib fractures</atitle><jtitle>Journal of international medical research</jtitle><addtitle>J Int Med Res</addtitle><date>2017-12-01</date><risdate>2017</risdate><volume>45</volume><issue>6</issue><spage>2085</spage><epage>2091</epage><pages>2085-2091</pages><issn>0300-0605</issn><eissn>1473-2300</eissn><abstract>Objectives
To assess the effect of thoracic paravertebral block (PVB) on pain management and preservation of pulmonary function compared with intravenous, patient-controlled analgesia (IVPCA) in patients with multiple rib fractures (MRFs).
Methods
Ninety patients with unilateral MRFs were included in this prospective study and randomly assigned to the TPVB or IVPCA group. The visual analogue scale (VAS) pain score, blood gas analysis, and bedside spirometry were measured and recorded at different time points after analgesia.
Results
TPVB and IVPCA provided good pain relief. VAS scores were significantly lower in the TPVB group than in the IVPCA group at rest and during coughing (P < 0.05). Patients in the TPVB group had a higher PaO2 and PaO2/FiO2 and lower P(A–a)O2 compared with the IVPCA group (P < 0.05). Moreover, patients in the TPVB group showed higher FVC, FEV1/FVC, and PEFR, and fewer complications than did the IVPCA group (P < 0.05).
Conclusion
TPVB is superior to IVPCA in pain relief and preservation of pulmonary function in patients with MRFs.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>28635359</pmid><doi>10.1177/0300060517710068</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of international medical research, 2017-12, Vol.45 (6), p.2085-2091 |
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| language | eng |
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| source | DOAJ Directory of Open Access Journals; Sage Journals GOLD Open Access 2024; PubMed Central; Alma/SFX Local Collection |
| subjects | Clinical Report |
| title | Thoracic paravertebral block versus intravenous patient-controlled analgesia for pain treatment in patients with multiple rib fractures |
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