Ultrasound‐guided selective supraclavicular nerve block for postoperative pain control in children receiving Hickman catheter or chemoport insertion: A randomized controlled trial

医学 麻醉 罗哌卡因 止痛药 随机对照试验 外科 导管 神经阻滞 类阿片 受体 内科学
作者
Jung‐Bin Park,In‐Sun Song,Po Soon Kang,Sang‐Hwan Ji,Young Eun Jang,Eun‐Hee Kim,Ji‐Hyun Lee,Hee‐Soo Kim,Jin‐Tae Kim
出处
期刊:Pediatric Anesthesia [Wiley]
卷期号:34 (1): 35-41 被引量:2
标识
DOI:10.1111/pan.14745
摘要

Optimal pain management after insertion of a central venous catheter in children remains unclear.This study aimed to evaluate the effects of a selective supraclavicular nerve block on postoperative analgesia in pediatric patients undergoing hickman catheter or chemoport insertion.Fifty patients aged 3-18 years scheduled for elective Hickman or chemoport insertion were randomized into two groups of 25 each: one group received an ultrasound-guided selective supraclavicular nerve block with 0.1 mL/kg of 0.5% ropivacaine (SSCNB group), and the other group did not receive a nerve block (control group). The primary outcome was the postoperative Wong-Baker Faces Pain Rating Scale score measured between 10 and 30 min after surgery. Secondary outcomes included pain scores at 1, 3, and 24 h after the surgery, block-related complications, length of stay in the postanesthesia care unit, postoperative analgesic consumption, and time to first analgesic use 24 h after surgery.The worst pain score within 30 min in the recovery room was significantly lower in the SSCNB group compared to the control group (6 [5-7] vs. 3 [2-4]; median difference, -3; 95% CI, -4 to -1; p < .001). Pain scores at 1, 3, and 24 h after surgery were also significantly lower in the SSCNB group. The need for both opioid and non-opioid analgesics in the postoperative period was significantly lower in the SSCNB group (36.0% vs. 0%; p = .002 and 44.0% vs. 16.0%; mean difference, -28%; 95% CI, -56 to 0.19; p = .033, respectively), while other secondary outcomes were not significantly different between the two groups.Ultrasound-guided SSCNB is an effective method for managing postoperative pain in children undergoing Hickman catheter or chemoport insertion, reducing the need for analgesics within 24 h after 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
大幅提高文件上传限制,最高150M (2024-4-1)

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
傻傻的盛男完成签到,获得积分10
1秒前
3秒前
mengzhonghunli完成签到,获得积分20
4秒前
单纯的寄云完成签到 ,获得积分10
7秒前
和谐的醉山完成签到,获得积分10
8秒前
田様应助慕航采纳,获得30
10秒前
15秒前
Shabby0-0完成签到,获得积分10
16秒前
老衲完成签到,获得积分10
16秒前
yan完成签到 ,获得积分10
17秒前
义气绿柳发布了新的文献求助10
18秒前
雅2018完成签到 ,获得积分10
20秒前
21秒前
慕航完成签到,获得积分10
21秒前
陈少华完成签到 ,获得积分10
22秒前
慕航发布了新的文献求助30
24秒前
大模型应助Denmark采纳,获得30
26秒前
星希完成签到 ,获得积分10
31秒前
圭义完成签到 ,获得积分10
33秒前
耍酷雁风完成签到,获得积分10
36秒前
00完成签到 ,获得积分10
40秒前
wanci应助LJJ采纳,获得10
40秒前
Rebeccaiscute完成签到 ,获得积分10
42秒前
JUGG完成签到,获得积分10
44秒前
cmwang完成签到,获得积分10
46秒前
全问筠完成签到,获得积分10
47秒前
cmwang发布了新的文献求助20
50秒前
50秒前
孔刚完成签到 ,获得积分10
51秒前
51秒前
rid4iuclous2完成签到,获得积分10
54秒前
Denmark发布了新的文献求助30
54秒前
JasonTrue完成签到,获得积分10
54秒前
lipo发布了新的文献求助10
55秒前
57秒前
子不语完成签到 ,获得积分10
1分钟前
小西完成签到 ,获得积分10
1分钟前
科研通AI2S应助郑宏威采纳,获得20
1分钟前
1分钟前
科研通AI2S应助科研通管家采纳,获得10
1分钟前
高分求助中
Un calendrier babylonien des travaux, des signes et des mois: Séries iqqur îpuš 1036
Sustainable Land Management: Strategies to Cope with the Marginalisation of Agriculture 1000
Corrosion and Oxygen Control 600
Python Programming for Linguistics and Digital Humanities: Applications for Text-Focused Fields 500
Heterocyclic Stilbene and Bibenzyl Derivatives in Liverworts: Distribution, Structures, Total Synthesis and Biological Activity 500
重庆市新能源汽车产业大数据招商指南(两链两图两池两库两平台两清单两报告) 400
Division and square root. Digit-recurrence algorithms and implementations 400
热门求助领域 (近24小时)
化学 材料科学 医学 生物 有机化学 工程类 生物化学 纳米技术 物理 内科学 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 电极 光电子学 量子力学
热门帖子
关注 科研通微信公众号,转发送积分 2546270
求助须知:如何正确求助?哪些是违规求助? 2175702
关于积分的说明 5600512
捐赠科研通 1896445
什么是DOI,文献DOI怎么找? 946285
版权声明 565379
科研通“疑难数据库(出版商)”最低求助积分说明 503557