Interfascial Plane Blocks Reduce Postoperative Pain and Morphine Consumption in Thoracic Outlet Decompression.

Abstract:

BACKGROUND:Postoperative analgesia in patients undergoing transaxillary thoracic outlet decompression (TATOD) is challenging because of the invasive surgery, the complex innervation of the axillary region, and the preoperative use of opioids by many patients. Commonly, postoperative pain is managed with additional opioids that introduce well-known sideeffects. To investigate the analgesic efficacy of 2 novel regional anesthesia techniques, we performed a retrospective study comparing the combined pectoral block type 1 and erector spinae block (PECS 1 + ESB) and the pectoral block type 2 (PECS 2) and systemic intravenous opioids regimen (no block) in patients undergoing TATOD. MATERIALS AND METHODS:We performed 10 PECS 1 + ESB and 10 PECS 2 blocks in patients undergoing TATOD. Twenty patients were randomly selected as controls. The primary endpoint was pain. Secondary endpoints were opioid use, nausea, and vomiting. RESULTS:Postoperative maximal numeric rating scale scores on recovery were significantly lower in patients receiving either a PECS 1 + ESB or a PECS 2 block compared with controls without block (no block: median 6.00, interquartile range [IQR] 3.00; PECS 1 + ESB: median 4.50, IQR 4.00; PECS 2: median 4.00, IQR 5.00; P = 0.031). Postoperative intravenous morphine consumption was 43% lower in the PECS 1 + ESB group and 56% lower in the PECS 2 group compared with the group with no block (oral morphine equivalents; no block: mean 16.05 ± SD 6.79 mg; PECS 1 + ESB mean 9.05 ± SD 6.24 mg; PECS 2: mean 7.00 ± SD 6.16; P = 0.03 and P = 0.003, respectively). There was no statistical difference in both nausea and vomitus (no block 45% nausea and 30% vomitus, PECS 1 + ESB 40% nausea and 20% vomitus, PECS 2 10% nausea and 0% vomitus, P = 0.17 and P = 0.14, respectively). CONCLUSIONS:There was a significant reduction in postoperative pain and opioid consumption for patients treated with either the PECS 1 + ESB block or PECS 2.

journal_name

Ann Vasc Surg

authors

Goeteyn J,van den Broek R,Bouwman A,Pesser N,van Nuenen B,van Sambeek M,Houterman S,Teijink J,Versyck B

doi

10.1016/j.avsg.2019.12.005

subject

Has Abstract

pub_date

2020-07-01 00:00:00

pages

301-308

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(19)31037-4

journal_volume

66

pub_type

杂志文章
  • Carotid artery pseudoaneurysm as a complication of ECMO.

    abstract::Any pulsatile neck mass after extracorporeal membrane oxygenation (ECMO) must be viewed as a pseudoaneurysm of the carotid artery until proven otherwise. Prompt diagnosis is necessary utilizing ultrasound. Angiography may not be necessary. Carotid artery pseudoaneurysm requires urgent surgical intervention to prevent ...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1007/s100169900102

    authors: Jacobs JP,Goldman AP,Cullen S,Rocco D,Samanli U,Macrae DJ,Elliott MJ

    更新日期:1997-11-01 00:00:00

  • Renal artery emboli: the role of surgical treatment.

    abstract::Twelve cases of emboli to the renal artery (one of which was recurrent) were reviewed. In seven patients, emboli were unilateral and the opposite kidney was functional. In five patients, emboli were bilateral or occurred in a solitary kidney, leading to anuria. Cardiac rhythm disorders were encountered in eight patien...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/S0890-5096(06)60800-5

    authors: Bouttier S,Valverde JP,Lacombe M,Nussaume O,Andreassian B

    更新日期:1988-04-01 00:00:00

  • An Alternative Approach to Carotid Endarterectomy in the High Carotid Bifurcation.

    abstract:BACKGROUND:Surgical exposure of a high carotid bifurcation (HCB) for carotid endarterectomy (CEA) can be technically challenging due to the presence of bony structures in the most cranial portion of the neck and is associated with significant morbidity making carotid artery stenting (CAS) a common alternative. However,...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.avsg.2019.10.100

    authors: Farhat-Sabet A,Aicher BO,Tolaymat B,Coca-Soliz V,Nagarsheth KH,Ucuzian AA,Lubek JE,Toursavadkohi S

    更新日期:2020-05-01 00:00:00

  • Do not bite the hand that feeds you.

    abstract::Radial artery pseudoaneurysms occur infrequently and are most commonly associated with medical interventions such as arterial lines or cardiac catheterization procedures. Animal bites, particularly cat bites, as a cause for radial artery pseudoaneurysms are extremely rare with only 1 previously reported case in the li...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.avsg.2014.09.016

    authors: Dryton G,Allen KB,Borkon AM,Aggarwal S,Davis JR

    更新日期:2015-02-01 00:00:00

  • Endovascular Treatment of Atherosclerotic Iliac Stenosis: Local and Systemic Complications of the Open Brachial Access.

    abstract:BACKGROUND:The femoral access is the approach of reference for iliac angioplasty. In the current context of an early ambulation and a minimization of in-hospital stay period, the brachial access seems to be an appropriate approach, especially that long and small diameter equipments are available. Furthermore, it is ext...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.avsg.2015.10.027

    authors: Nasr B,Albert B,David CH,Khalifa A,El Aridi L,Badra A,Braesco J,Gouny P

    更新日期:2016-05-01 00:00:00

  • Malperfusions in Acute Type B Aortic Dissection-Predictors of Outcomes.

    abstract:BACKGROUND:Acute type B aortic dissection (AoD) with malperfusion is a rare and complex disease. In this specific setting, invasive treatment is generally required to improve aortic branch vessel flow. Thoracic aorta stent grafting (TEVAR) of the proximal descending thoracic aorta to cover/exclude the proximal intimal ...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.avsg.2019.01.030

    authors: Sobocinski J,Delloye M,Hongku K,Resch T,Sonesson B,Haulon S,Dias NV

    更新日期:2019-08-01 00:00:00

  • The Use of Smart Phone Thermal Imaging for Assessment of Peripheral Perfusion in Vascular Patients.

    abstract:BACKGROUND:Ankle-brachial index (ABI) is a reliable method to evaluate extremity perfusion but can be prohibitive to obtain secondary to patient discomfort or extremity trauma. This study investigates smart phone-based forward looking infrared imaging to assess peripheral perfusion using thermal ABI (tABI). METHODS:AB...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.avsg.2017.07.028

    authors: Wallace GA,Singh N,Quiroga E,Tran NT

    更新日期:2018-02-01 00:00:00

  • The impact of body mass index on lower extremity duplex ultrasonography for deep vein thrombosis diagnosis.

    abstract:BACKGROUND:This study aimed to determine the body mass index (BMI) at which duplex ultrasonography does not accurately detect deep vein thrombosis. METHODS:This is a retrospective review of all patients who underwent lower extremity venous duplex examination at a single institution, tertiary vascular laboratory from J...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.avsg.2015.03.038

    authors: Dua A,Desai SS,Nodel A,Heller JA

    更新日期:2015-08-01 00:00:00

  • Performance Metrics in Professional Baseball Pitchers before and after Surgical Treatment for Neurogenic Thoracic Outlet Syndrome.

    abstract:BACKGROUND:High-performance throwing athletes may be susceptible to the development of neurogenic thoracic outlet syndrome (NTOS). This condition can be career-threatening but the outcomes of treatment for NTOS in elite athletes have not been well characterized. The purpose of this study was to utilize objective perfor...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.avsg.2016.05.103

    authors: Thompson RW,Dawkins C,Vemuri C,Mulholland MW,Hadzinsky TD,Pearl GJ

    更新日期:2017-02-01 00:00:00

  • Clinical significance of retrograde flow in the vertebral artery.

    abstract::Although retrograde vertebral artery flow was described over 100 years ago, its relationship to symptoms remains unclear. We documented 43 patients who were found by duplex scanning to have reverse flow in the vertebral artery. Of this group, seven patients (16%) were found to have symptoms described as typical for th...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1007/BF02015293

    authors: Nicholls SC,Koutlas TC,Strandness DE

    更新日期:1991-07-01 00:00:00

  • Long-Term Follow-Up of Endovascular Repair in the Management of Arterial Stenosis Caused by Takayasu's Arteritis.

    abstract:BACKGROUND:This retrospective study evaluated the long-term results of endovascular repair in the management of arterial stenosis caused by Takayasu's arteritis (TA). METHODS:Sixty-seven endovascular procedures (percutaneous transluminal balloon angioplasty or stenting) were performed for 49 arterial lesions in 35 pat...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.avsg.2016.10.066

    authors: Gülcü A,Gezer NS,Akar S,Akkoç N,Önen F,Göktay AY

    更新日期:2017-07-01 00:00:00

  • Evaluation of cerebral hypoperfusion by nuclear medicine imaging in a patient with Takayasu's arteritis.

    abstract::In patients with Takayasu's arteritis presenting with cerebrovascular insufficiency, deciding whether and how to perform surgical intervention is difficult. We report successful extra-anatomical cerebrovascular reconstruction in a patient with Takayasu's arteritis involving the aortic arch. A 27-year-old woman was dia...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1007/s10016-005-7714-7

    authors: Hosaka A,Miyata T,Momose T,Nakazawa T,Shigematsu H,Nagawa H

    更新日期:2005-11-01 00:00:00

  • Clinical Outcomes of Surgical Resection for Leiomyosarcoma of the Inferior Vena Cava.

    abstract:BACKGROUND:Leiomyosarcoma of the inferior vena cava (IVC) is a rare mesenchymal tumor with poor prognosis. Surgical resection is currently the only potential curative treatment. This study analyzed long-term outcomes of patients who underwent surgical resection of leiomyosarcoma of the IVC. METHODS:The charts of 12 pa...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.avsg.2019.05.053

    authors: Jeong S,Han Y,Cho YP,Kwon TW

    更新日期:2019-11-01 00:00:00

  • A Rare Case of Dysplastic Axillary Artery Aneurysm Associated with Arteriovenous Malformation.

    abstract:BACKGROUND:Axillary artery aneurysms are rare conditions, and their causes are various. They can determine severe complications, so the treatment is extremely important. METHODS:We report the case of a young man affected by a saccular axillary artery aneurysm associated with intramuscular arteriovenous malformation, w...

    journal_title:Annals of vascular surgery

    pub_type:

    doi:10.1016/j.avsg.2020.09.053

    authors: Montanari F,Codispoti FA,Tinelli G,Minelli F,Tshomba Y

    更新日期:2020-11-04 00:00:00

  • Duplex Ultrasound Surveillance after Transcarotid Artery Revascularization (TCAR) in Clinical Practice.

    abstract:BACKGROUND:To propose a protocol for the routine clinical use of duplex ultrasound (DUS) assessment after transcarotid artery revascularization (TCAR) procedures, with its specific point of vascular access, based on DUS data from routine clinical practice. METHODS:DUS data were retrospectively collected at 2 centers f...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.avsg.2020.09.065

    authors: Beeman BR,Kuhn BA,Recht MH,Muck PE,Schneider PA

    更新日期:2020-11-24 00:00:00

  • Antiplatelet therapy in endovascular surgery: the RENDOVASC study.

    abstract:BACKGROUND:Antiplatelet treatment prevents cardiovascular events and thrombosis during the endovascular surgery procedure. The aim of this study is to analyze the different antiplatelet treatment used in endovascular procedures in Spain. METHODS:In this investigation we included observational, retrospective, and multi...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.avsg.2011.11.045

    authors: Matas M,Domínguez González JM,Montull E

    更新日期:2013-02-01 00:00:00

  • Neural damage biomarkers during open carotid surgery versus endovascular approach.

    abstract:BACKGROUND:Carotid endarterectomy (CEA) is the gold standard for treating severe carotid artery stenosis, whereas carotid artery stenting (CAS) represents an endovascular alternative. The objective of this study was to assess the potential neural damage following open or endovascular carotid surgery measured by periphe...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.avsg.2014.05.006

    authors: Giuliani E,Genedani S,Moratto R,Veronesi J,Carone C,Bonvecchio C,Mosca F,Coppi G,Barbieri A

    更新日期:2014-10-01 00:00:00

  • An Accumulated Deficits Model Predicts Perioperative and Long-term Adverse Events after Carotid Endarterectomy.

    abstract:BACKGROUND:There is increasing recognition that decreased reserve in multiple organ systems, known as accumulated deficits (AD), may better stratify perioperative risk than traditional risk indices. We hypothesized that an AD model would predict both perioperative adverse events and long-term survival after carotid end...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.avsg.2017.06.150

    authors: Sridharan ND,Chaer RA,Wu BB,Eslami MH,Makaroun MS,Avgerinos ED

    更新日期:2018-01-01 00:00:00

  • Presentation, diagnosis, and management of arterial mycotic pseudoaneurysms in injection drug users.

    abstract::Injection drug users frequently present with abscess, cellulitis, and endocarditis. The development of arterial mycotic pseudoaneurysm (AMP) as a sequela of injection drug use, however, is much less frequently reported. We undertook a study to determine the prevalence and presenting clinical characteristics of AMP, ut...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1007/s10016-001-0124-6

    authors: Tsao JW,Marder SR,Goldstone J,Bloom AI

    更新日期:2002-09-01 00:00:00

  • The importance of thrombophilia in the treatment of Paget-Schroetter syndrome.

    abstract::Venous thoracic outlet syndrome (V-TOS) and associated subclavian vein thrombosis (SVT) result in significant patient morbidity and can be difficult to manage. Previous studies have suggested that both mechanical compressive factors and pathological alterations in patient coagulation may contribute to the development ...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1007/s10016-006-9106-z

    authors: Cassada DC,Lipscomb AL,Stevens SL,Freeman MB,Grandas OH,Goldman MH

    更新日期:2006-09-01 00:00:00

  • Chronic False Aneurysm after a Healed Rupture of the Aortic Isthmus: TEVAR, Hybrid Surgery, or Open Arch Repair?

    abstract::We report a case of post-traumatic chronic false aneurysm of the aortic isthmus in a 34-year-old man who had been involved in a car accident 10 years earlier. An initial chest X-ray demonstrated a calcified mass in the upper mediastinum and computed tomography scan revealed a false aneurysm of the aortic isthmus arisi...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.avsg.2015.07.048

    authors: Nizet C,Van Damme H,Boesmans E,Lavigne JP,Creemers E,Defraigne JO

    更新日期:2016-02-01 00:00:00

  • Should white blood cell scan be replaced by (18)F-FDG PET-CT in the diagnosis of prosthetic vascular graft infection?

    abstract::Diagnosis of prosthetic vascular graft infection (PVGI) is a clinical challenge requiring accurate diagnostic methods for their optimal management. A 65-year-old patient with suspected PVGI was explored by fluorodeoxyglucose positron emission tomography combined with computed tomography ((18)F-FDG PET-CT) for pretreat...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.avsg.2015.03.053

    authors: Pinaquy JB,Berard X,Stecken L,Tlili G,M'zali F,Bordenave L,Pereyre S,Mayeux S,Cazanave C

    更新日期:2015-08-01 00:00:00

  • Thromboembolic Risk of Endovascular Intervention for Lower Extremity Deep Venous Thrombosis.

    abstract:BACKGROUND:This study evaluated the risk of thromboembolism during endovascular interventions in patients with symptomatic lower extremity deep vein thrombosis (DVT) METHODS: Clinical records of all patients who underwent endovascular interventions for symptomatic lower extremity DVT from 2001 to 2017 were retrospectiv...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.avsg.2017.10.004

    authors: Lindsey P,Echeverria A,Poi MJ,Matos J,Bechara CF,Cheung M,Lin PH

    更新日期:2018-05-01 00:00:00

  • Left Atrial Myxoma Presenting as an Embolic Shower: A Case Report and Review of Literature.

    abstract::Myxomas are the most common primary cardiac neoplasms. Multimodality imaging is essential for proper diagnosis and treatment. The cardiovascular manifestations depend on myxomas location and size. Intracardiac obstruction, constitutional symptoms, and infected myxomas have been described. Though uncommon, myxomas shou...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.avsg.2018.04.024

    authors: Bernatchez J,Gaudreault V,Vincent G,Rheaume P

    更新日期:2018-11-01 00:00:00

  • There Is Limited Value in the One Month Post Endovascular Aortic Aneurysm Repair Surveillance Computed Tomography Scan.

    abstract:BACKGROUND:Endovascular aortic aneurysm repair (EVAR) is the preferred first-line treatment for abdominal aortic aneurysms. Current postprocedure surveillance recommendations by manufacturers are a 1-month computed tomography angiography (CTA) followed by a 12-month CTA in most circumstances. The objective of this stud...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.avsg.2018.08.075

    authors: Soult MC,Cheng BT,Mansukhani NA,Rodriguez HE,Eskandari MK,Hoel AW

    更新日期:2019-01-01 00:00:00

  • Ultrasound screening for abdominal aortic aneurysm in medicare beneficiaries.

    abstract::Ultrasound screening for abdominal aortic aneurysm (AAA) has been shown to be beneficial and cost-effective for men aged 65-74. However, most screening studies have been conducted in Europe and Australia, where attendance for screening was higher than the single large U.S. study involving only veterans. The prevalence...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.avsg.2007.07.026

    authors: Schermerhorn M,Zwolak R,Velazquez O,Makaroun M,Fairman R,Cronenwett J

    更新日期:2008-01-01 00:00:00

  • Endovascular Management of a Ruptured Aortic Arch Pseudoaneurysm Using the Snorkel Technique and Coil Embolization.

    abstract::We report a reoperation case of a ruptured infectious aortic arch pseudoaneurysm, which was stabilized with thoracic endovascular aortic repair and snorkel bypass of the innominate artery (IA) and the left common carotid artery (LCCA). A 57-year-old Chinese woman with multiple comorbidities and previous open repair fo...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.avsg.2016.09.035

    authors: Ma T,Dong ZH,Fu WG,Chen B,Jiang JH,Shi Y

    更新日期:2017-05-01 00:00:00

  • Evaluation of Neuropathy, Glycemic Control, and Revascularization as Risk Factors for Future Lower Extremity Amputation among Diabetic Patients.

    abstract:BACKGROUND:Diabetes mellitus is a major risk factor for progression to lower extremity amputation (LEA) due to progressive neuropathy and glycemia-induced vasculopathy. In this study, we evaluated risk factors for incident LEA type 2 diabetics during a randomized controlled trial and extended post-trial follow-up. MET...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.avsg.2020.10.022

    authors: Goldman MP,Corriere MA,Craven T,Davis RP,Sheehan M,Hurie JB,Velazquez G,Williams TK,Chang K,Edwards MS

    更新日期:2020-11-26 00:00:00

  • Acceptable risk but small benefit of endovascular aneurysm repair in nonagenarians.

    abstract:BACKGROUND:We report the outcomes of a single-center experience with endovascular aneurysm repair (EVAR) in nonagenarians. METHODS:Via a retrospective medical records review, we identified all patients > or = 90 years old who underwent EVAR at a single university teaching hospital during a 5-year period (January 2004 ...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.avsg.2009.10.009

    authors: Jim J,Sanchez LA,Sicard GA,Curci JA,Choi ET,Geraghty PJ,Flye MW,Rubin BG

    更新日期:2010-05-01 00:00:00

  • Multistep and Multidisciplinary Management for Post-irradiated Carotid Blowout Syndrome in a Young Patient With Oropharyngeal Carcinoma: A Case Report.

    abstract:BACKGROUND:Carotid blowout syndrome is a severe complication of head and neck cancer, associated with high mortality and morbidity. METHODS:We present a case of acute hemorrhage from the carotid artery of a 59-year-old man with a history of chemoradiotherapy for lingual base and oropharyngeal squamous cell carcinoma. ...

    journal_title:Annals of vascular surgery

    pub_type:

    doi:10.1016/j.avsg.2020.02.023

    authors: Sallustro M,Abualhin M,Faggioli G,Pilato A,Dall'Olio D,Simonetti L,Astarita F,Amorosa L,Gargiulo M

    更新日期:2020-08-01 00:00:00