Atrial septal defect closure via mini-thoracotomy in pediatric patients: Postoperative analgesic effect of intercostal nerve block

Atrial septal defect closure via mini-thoracotomy in pediatric patients: Postoperative analgesic effect of intercostal nerve block

In this study, we evaluated the efficacy of intercostal nerve block for postoperative pain management in pediatric patients undergoing atrial septal defect closure through a right lateral mini-thoracotomy. Between January 2016 and January 2019, a total of 63 pediatric patients (37 males, 26 females;...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Türk göğüs kalp damar cerrahisi dergisi 2019-06, Vol.28 (2), p.257-263
Hauptverfasser: Altun, Dilek, Doğan, Abdullah, Arnaz, Ahmet, Yüksek, Adnan, Yalçınbaş, Yusuf Kenan, Türköz, Rıza, Aşar, Sinan, Sarıoğlu, Tayyar
Format: Artikel
Sprache:eng
Schlagworte:
Original
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 263
container_issue 2
container_start_page 257
container_title Türk göğüs kalp damar cerrahisi dergisi
container_volume 28
creator Altun, Dilek
Doğan, Abdullah
Arnaz, Ahmet
Yüksek, Adnan
Yalçınbaş, Yusuf Kenan
Türköz, Rıza
Aşar, Sinan
Sarıoğlu, Tayyar
description In this study, we evaluated the efficacy of intercostal nerve block for postoperative pain management in pediatric patients undergoing atrial septal defect closure through a right lateral mini-thoracotomy. Between January 2016 and January 2019, a total of 63 pediatric patients (37 males, 26 females; mean age 34.8±26.8 months; range, 2 to 96 months) who underwent corrective congenital heart surgery for atrial septal defect closure through a right lateral mini-thoracotomy were retrospectively reviewed. The patients were divided into two groups as those (Group 1, n=33) receiving intercostal nerve block and general anesthesia and those (Group 2, n=30) receiving general anesthesia alone. Intravenous morphine at a dose of 0.03 mg/kg was applied as rescue analgesia to the patients with a Ramsay Sedation Scale score of >4 and Children"s Hospital of Eastern Ontario Pain Scale score of >7. The total analgesic requirement, adverse effects, duration of mechanical ventilation and length of stay in the intensive care unit were recorded. The mean duration of mechanical ventilation and intensive care unit stay was shorter in Group 1 compared to Group 2 (3.6±1.3 vs. 9.4±2.1 h; 23±2.6 vs. 30±7.2 h, respectively) (p
doi_str_mv 10.5606/tgkdc.dergisi.2020.19104
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7298372</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2415292530</sourcerecordid><originalsourceid>FETCH-LOGICAL-c420t-c8693a2217a08fdba2a724e03f85d0daf1b18b5199ffd54d3a6733ceb2d145453</originalsourceid><addsrcrecordid>eNpVkctuFDEQRS0EIqOQX0BesumJn_1ggRRFQJAiwQLWVrVdnph0txvbM1K2fDnOZIigNiVV3XurpEMI5WyrW9Zelt29s1uHaRdy2Aom2JYPnKkXZCO4Gpqe6_Yl2XDJeKPbnp2Ri5x_slotl6rXr8mZFFpzrvWG_L4qKcBEM66lNocebaF2inmfkB4C0DksoSl3MYGNJc4PNCx0RRegGi1doQRcSn5Pv8Vc4oqpDg5IYYFph7kq0B8jo6_GgslWWT20YKqqcYr2_g155WHKeHHq5-THp4_fr2-a26-fv1xf3TZWCVYa27eDBCF4B6z3bgQBnVDIpO-1Yw48H3k_aj4M3jutnIS2k9LiKBxXWml5Tj485a77cUZn69sJJrOmMEN6MBGC-X-zhDuziwfTiaGXnagB704BKf7aYy5mDtniNMGCcZ-NUFyLQWjJqrR_ktoUc07on89wZh4pmiNFc6JoHimaI8Vqffvvm8_Gv8zkH50coTE</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2415292530</pqid></control><display><type>article</type><title>Atrial septal defect closure via mini-thoracotomy in pediatric patients: Postoperative analgesic effect of intercostal nerve block</title><source>PubMed Central</source><creator>Altun, Dilek ; Doğan, Abdullah ; Arnaz, Ahmet ; Yüksek, Adnan ; Yalçınbaş, Yusuf Kenan ; Türköz, Rıza ; Aşar, Sinan ; Sarıoğlu, Tayyar</creator><creatorcontrib>Altun, Dilek ; Doğan, Abdullah ; Arnaz, Ahmet ; Yüksek, Adnan ; Yalçınbaş, Yusuf Kenan ; Türköz, Rıza ; Aşar, Sinan ; Sarıoğlu, Tayyar</creatorcontrib><description>In this study, we evaluated the efficacy of intercostal nerve block for postoperative pain management in pediatric patients undergoing atrial septal defect closure through a right lateral mini-thoracotomy. Between January 2016 and January 2019, a total of 63 pediatric patients (37 males, 26 females; mean age 34.8±26.8 months; range, 2 to 96 months) who underwent corrective congenital heart surgery for atrial septal defect closure through a right lateral mini-thoracotomy were retrospectively reviewed. The patients were divided into two groups as those (Group 1, n=33) receiving intercostal nerve block and general anesthesia and those (Group 2, n=30) receiving general anesthesia alone. Intravenous morphine at a dose of 0.03 mg/kg was applied as rescue analgesia to the patients with a Ramsay Sedation Scale score of &gt;4 and Children"s Hospital of Eastern Ontario Pain Scale score of &gt;7. The total analgesic requirement, adverse effects, duration of mechanical ventilation and length of stay in the intensive care unit were recorded. The mean duration of mechanical ventilation and intensive care unit stay was shorter in Group 1 compared to Group 2 (3.6±1.3 vs. 9.4±2.1 h; 23±2.6 vs. 30±7.2 h, respectively) (p&lt;0.0001). The need for postoperative rescue analgesia was statistically significantly lower in Group 1 compared to Group 2 (0.3±0.5 mg vs. 1.1±0.9 mg, respectively) (p=0.003). The mean total morphine consumption was also lower in Group 1 compared to Group 2 (4.0±2.2 mg vs. 9.0±3.4 mg, respectively) (p&lt;0.0001). Intercostal nerve block before thoracotomy closure in pediatric patients undergoing atrial septal defect repair under mini-thoracotomy provides early extubation, shorter mechanical ventilation duration and intensive care unit stay, and reduced analgesic requirements.</description><identifier>ISSN: 1301-5680</identifier><identifier>EISSN: 2149-8156</identifier><identifier>DOI: 10.5606/tgkdc.dergisi.2020.19104</identifier><identifier>PMID: 32551155</identifier><language>eng</language><publisher>Turkey: Bayçınar Medical Publishing</publisher><subject>Original</subject><ispartof>Türk göğüs kalp damar cerrahisi dergisi, 2019-06, Vol.28 (2), p.257-263</ispartof><rights>Copyright © 2020, Turkish Society of Cardiovascular Surgery.</rights><rights>Copyright © 2020, Turkish Society of Cardiovascular Surgery 2020 Turkish Society of Cardiovascular Surgery</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c420t-c8693a2217a08fdba2a724e03f85d0daf1b18b5199ffd54d3a6733ceb2d145453</citedby><orcidid>0000-0003-2279-3083</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7298372/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7298372/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27922,27923,53789,53791</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32551155$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Altun, Dilek</creatorcontrib><creatorcontrib>Doğan, Abdullah</creatorcontrib><creatorcontrib>Arnaz, Ahmet</creatorcontrib><creatorcontrib>Yüksek, Adnan</creatorcontrib><creatorcontrib>Yalçınbaş, Yusuf Kenan</creatorcontrib><creatorcontrib>Türköz, Rıza</creatorcontrib><creatorcontrib>Aşar, Sinan</creatorcontrib><creatorcontrib>Sarıoğlu, Tayyar</creatorcontrib><title>Atrial septal defect closure via mini-thoracotomy in pediatric patients: Postoperative analgesic effect of intercostal nerve block</title><title>Türk göğüs kalp damar cerrahisi dergisi</title><addtitle>Turk Gogus Kalp Damar Cerrahisi Derg</addtitle><description>In this study, we evaluated the efficacy of intercostal nerve block for postoperative pain management in pediatric patients undergoing atrial septal defect closure through a right lateral mini-thoracotomy. Between January 2016 and January 2019, a total of 63 pediatric patients (37 males, 26 females; mean age 34.8±26.8 months; range, 2 to 96 months) who underwent corrective congenital heart surgery for atrial septal defect closure through a right lateral mini-thoracotomy were retrospectively reviewed. The patients were divided into two groups as those (Group 1, n=33) receiving intercostal nerve block and general anesthesia and those (Group 2, n=30) receiving general anesthesia alone. Intravenous morphine at a dose of 0.03 mg/kg was applied as rescue analgesia to the patients with a Ramsay Sedation Scale score of &gt;4 and Children"s Hospital of Eastern Ontario Pain Scale score of &gt;7. The total analgesic requirement, adverse effects, duration of mechanical ventilation and length of stay in the intensive care unit were recorded. The mean duration of mechanical ventilation and intensive care unit stay was shorter in Group 1 compared to Group 2 (3.6±1.3 vs. 9.4±2.1 h; 23±2.6 vs. 30±7.2 h, respectively) (p&lt;0.0001). The need for postoperative rescue analgesia was statistically significantly lower in Group 1 compared to Group 2 (0.3±0.5 mg vs. 1.1±0.9 mg, respectively) (p=0.003). The mean total morphine consumption was also lower in Group 1 compared to Group 2 (4.0±2.2 mg vs. 9.0±3.4 mg, respectively) (p&lt;0.0001). Intercostal nerve block before thoracotomy closure in pediatric patients undergoing atrial septal defect repair under mini-thoracotomy provides early extubation, shorter mechanical ventilation duration and intensive care unit stay, and reduced analgesic requirements.</description><subject>Original</subject><issn>1301-5680</issn><issn>2149-8156</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNpVkctuFDEQRS0EIqOQX0BesumJn_1ggRRFQJAiwQLWVrVdnph0txvbM1K2fDnOZIigNiVV3XurpEMI5WyrW9Zelt29s1uHaRdy2Aom2JYPnKkXZCO4Gpqe6_Yl2XDJeKPbnp2Ri5x_slotl6rXr8mZFFpzrvWG_L4qKcBEM66lNocebaF2inmfkB4C0DksoSl3MYGNJc4PNCx0RRegGi1doQRcSn5Pv8Vc4oqpDg5IYYFph7kq0B8jo6_GgslWWT20YKqqcYr2_g155WHKeHHq5-THp4_fr2-a26-fv1xf3TZWCVYa27eDBCF4B6z3bgQBnVDIpO-1Yw48H3k_aj4M3jutnIS2k9LiKBxXWml5Tj485a77cUZn69sJJrOmMEN6MBGC-X-zhDuziwfTiaGXnagB704BKf7aYy5mDtniNMGCcZ-NUFyLQWjJqrR_ktoUc07on89wZh4pmiNFc6JoHimaI8Vqffvvm8_Gv8zkH50coTE</recordid><startdate>201906</startdate><enddate>201906</enddate><creator>Altun, Dilek</creator><creator>Doğan, Abdullah</creator><creator>Arnaz, Ahmet</creator><creator>Yüksek, Adnan</creator><creator>Yalçınbaş, Yusuf Kenan</creator><creator>Türköz, Rıza</creator><creator>Aşar, Sinan</creator><creator>Sarıoğlu, Tayyar</creator><general>Bayçınar Medical Publishing</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-2279-3083</orcidid></search><sort><creationdate>201906</creationdate><title>Atrial septal defect closure via mini-thoracotomy in pediatric patients: Postoperative analgesic effect of intercostal nerve block</title><author>Altun, Dilek ; Doğan, Abdullah ; Arnaz, Ahmet ; Yüksek, Adnan ; Yalçınbaş, Yusuf Kenan ; Türköz, Rıza ; Aşar, Sinan ; Sarıoğlu, Tayyar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c420t-c8693a2217a08fdba2a724e03f85d0daf1b18b5199ffd54d3a6733ceb2d145453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Original</topic><toplevel>online_resources</toplevel><creatorcontrib>Altun, Dilek</creatorcontrib><creatorcontrib>Doğan, Abdullah</creatorcontrib><creatorcontrib>Arnaz, Ahmet</creatorcontrib><creatorcontrib>Yüksek, Adnan</creatorcontrib><creatorcontrib>Yalçınbaş, Yusuf Kenan</creatorcontrib><creatorcontrib>Türköz, Rıza</creatorcontrib><creatorcontrib>Aşar, Sinan</creatorcontrib><creatorcontrib>Sarıoğlu, Tayyar</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Türk göğüs kalp damar cerrahisi dergisi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Altun, Dilek</au><au>Doğan, Abdullah</au><au>Arnaz, Ahmet</au><au>Yüksek, Adnan</au><au>Yalçınbaş, Yusuf Kenan</au><au>Türköz, Rıza</au><au>Aşar, Sinan</au><au>Sarıoğlu, Tayyar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Atrial septal defect closure via mini-thoracotomy in pediatric patients: Postoperative analgesic effect of intercostal nerve block</atitle><jtitle>Türk göğüs kalp damar cerrahisi dergisi</jtitle><addtitle>Turk Gogus Kalp Damar Cerrahisi Derg</addtitle><date>2019-06</date><risdate>2019</risdate><volume>28</volume><issue>2</issue><spage>257</spage><epage>263</epage><pages>257-263</pages><issn>1301-5680</issn><eissn>2149-8156</eissn><abstract>In this study, we evaluated the efficacy of intercostal nerve block for postoperative pain management in pediatric patients undergoing atrial septal defect closure through a right lateral mini-thoracotomy. Between January 2016 and January 2019, a total of 63 pediatric patients (37 males, 26 females; mean age 34.8±26.8 months; range, 2 to 96 months) who underwent corrective congenital heart surgery for atrial septal defect closure through a right lateral mini-thoracotomy were retrospectively reviewed. The patients were divided into two groups as those (Group 1, n=33) receiving intercostal nerve block and general anesthesia and those (Group 2, n=30) receiving general anesthesia alone. Intravenous morphine at a dose of 0.03 mg/kg was applied as rescue analgesia to the patients with a Ramsay Sedation Scale score of &gt;4 and Children"s Hospital of Eastern Ontario Pain Scale score of &gt;7. The total analgesic requirement, adverse effects, duration of mechanical ventilation and length of stay in the intensive care unit were recorded. The mean duration of mechanical ventilation and intensive care unit stay was shorter in Group 1 compared to Group 2 (3.6±1.3 vs. 9.4±2.1 h; 23±2.6 vs. 30±7.2 h, respectively) (p&lt;0.0001). The need for postoperative rescue analgesia was statistically significantly lower in Group 1 compared to Group 2 (0.3±0.5 mg vs. 1.1±0.9 mg, respectively) (p=0.003). The mean total morphine consumption was also lower in Group 1 compared to Group 2 (4.0±2.2 mg vs. 9.0±3.4 mg, respectively) (p&lt;0.0001). Intercostal nerve block before thoracotomy closure in pediatric patients undergoing atrial septal defect repair under mini-thoracotomy provides early extubation, shorter mechanical ventilation duration and intensive care unit stay, and reduced analgesic requirements.</abstract><cop>Turkey</cop><pub>Bayçınar Medical Publishing</pub><pmid>32551155</pmid><doi>10.5606/tgkdc.dergisi.2020.19104</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-2279-3083</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1301-5680
ispartof Türk göğüs kalp damar cerrahisi dergisi, 2019-06, Vol.28 (2), p.257-263
issn 1301-5680
2149-8156
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7298372
source PubMed Central
subjects Original
title Atrial septal defect closure via mini-thoracotomy in pediatric patients: Postoperative analgesic effect of intercostal nerve block
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-14T11%3A31%3A44IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Atrial%20septal%20defect%20closure%20via%20mini-thoracotomy%20in%20pediatric%20patients:%20Postoperative%20analgesic%20effect%20of%20intercostal%20nerve%20block&rft.jtitle=T%C3%BCrk%20g%C3%B6%C4%9F%C3%BCs%20kalp%20damar%20cerrahisi%20dergisi&rft.au=Altun,%20Dilek&rft.date=2019-06&rft.volume=28&rft.issue=2&rft.spage=257&rft.epage=263&rft.pages=257-263&rft.issn=1301-5680&rft.eissn=2149-8156&rft_id=info:doi/10.5606/tgkdc.dergisi.2020.19104&rft_dat=%3Cproquest_pubme%3E2415292530%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2415292530&rft_id=info:pmid/32551155&rfr_iscdi=true