Abstract:
AIM:Inguinal herniorrhaphy (IH) is a common surgical procedure that can be successfully performed by using general, regional or local anesthesia and is usually performed in an outpatient setting. In this study, recovery profile, incidence of adverse effects, postoperative pain scores and patient satisfaction between paravertebral block (PVB) and spinal anesthesia (SA) for fast track ambulatory IH were compared. METHODS:Sixty patients were randomly assigned to receive either PVB or unilateral SA under standardized protocols (PVB at T9-L1 levels with 5 mL of 0.5 % levobupivacaine for each, unilateral SA at L2-L3 level with 8 mg 0.5% hyperbaric levobupivacaine). All patients were sedated with propofol, 10-70 mg.kg.min. Data on anesthesia, surgery and PACU times, hemodynamic changes, home readiness, pain, and incidence of adverse effects were recorded. RESULTS:One block failed in the PVB group. Anesthesia-related time and onset time were longer in the PVB group, but phase 1 PACU time, time to home-readiness with and without voiding and actual discharge time were significantly shorter in the PVB group. Although the fast-tracking rate was higher in the PVB group, this difference was not significant. The mean propofol dose was higher in the PVB group (52.03+/-19.32 [35-73] mg x kg x min-1) than in the SA group (44.0+/-18.8 [33-70] mg x kg x min-1) (P=0.002). VAS scores at 4, 6 and 12 hours were significantly lower in the PVB group, both at rest and during movement. VAS scores at 30, 60, 120, 180 min and at 18, 24 and 48 hours were comparable in the two groups. Duration of sensory block, onset time of discomfort, time to first analgesic, and time to first rescue analgesic were longer in the PVB group. CONCLUSIONS:In ambulatory IH, PVB provided shorter home readiness time, long lasting postoperative analgesia and improved quality of recovery, and could be a good alternative to SA.
journal_name
Minerva Anestesioljournal_title
Minerva anestesiologicaauthors
Akcaboy EY,Akcaboy ZN,Gogus Nsubject
Has Abstractpub_date
2009-12-01 00:00:00pages
684-91issue
12eissn
0375-9393issn
1827-1596pii
R02095648journal_volume
75pub_type
杂志文章,随机对照试验abstract::Critical ultrasound, apparently a recent field, is in fact the outcome of a slow process, initiated since 1946. The lung was traditionally not considered as part of ultrasound, yet we considered its inclusion as a priority in our definition of critical ultrasound. Acute respiratory failure is one of the most distressi...
journal_title:Minerva anestesiologica
pub_type: 杂志文章,评审
doi:
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journal_title:Minerva anestesiologica
pub_type: 杂志文章,评审
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journal_title:Minerva anestesiologica
pub_type: 杂志文章
doi:
更新日期:1980-02-01 00:00:00
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journal_title:Minerva anestesiologica
pub_type: 杂志文章
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journal_title:Minerva anestesiologica
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pub_type: 临床试验,杂志文章
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journal_title:Minerva anestesiologica
pub_type: 杂志文章
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journal_title:Minerva anestesiologica
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journal_title:Minerva anestesiologica
pub_type: 临床试验,杂志文章
doi:
更新日期:2000-04-01 00:00:00
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journal_title:Minerva anestesiologica
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journal_title:Minerva anestesiologica
pub_type: 杂志文章,评审
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journal_title:Minerva anestesiologica
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journal_title:Minerva anestesiologica
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doi:
更新日期:2009-04-01 00:00:00
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journal_title:Minerva anestesiologica
pub_type: 杂志文章,评审
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更新日期:2000-12-01 00:00:00
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journal_title:Minerva anestesiologica
pub_type: 杂志文章
doi:
更新日期:1981-08-01 00:00:00
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journal_title:Minerva anestesiologica
pub_type: 杂志文章
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更新日期:2006-05-01 00:00:00
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journal_title:Minerva anestesiologica
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pub_type: 杂志文章,多中心研究,随机对照试验
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journal_title:Minerva anestesiologica
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