Preoperative versus Postoperative Rectus Sheath Block for Acute Postoperative Pain Relief after Laparoscopic Cholecystectomy: A Randomized Controlled Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Patients
2.2. Randomization
2.3. Surgical Technique
2.4. Anesthesia and Analgesia
2.5. Ultrasound-Guided RSB and ICNB
2.6. Outcome Measures and Data Collection
2.7. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Conflicts of Interest
References
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Pre-RSB Group (n = 82) | Post-RSB Group (n = 80) | p-Value | |
---|---|---|---|
Age | 57.0 (47.0–63.0) | 55.0 (42.0–64.0) | 0.327 |
Sex (female) | 43 (52.4%) | 45 (56.2%) | 0.742 |
Body mass index (kg/m2) | 24.6 (22.9–26.2) | 24.2 (21.9–26.3) | 0.469 |
ASA PS | 0.593 | ||
I | 32 (39.0%) | 27 (33.8%) | |
II | 50 (61%) | 53 (66.2%) | |
Hypertension | 7 (8.5%) | 11 (13.8%) | 0.420 |
Diabetes mellitus | 20 (24.4%) | 22 (27.5%) | 0.785 |
Pathologic diagnosis | 0.955 | ||
Acute cholecystitis | 63 (76.8%) | 60 (75.0%) | |
Chronic cholecystitis | 11 (13.4%) | 12 (15.0%) | |
Gallbladder polyp | 8 (9.8%) | 8 (10.0%) | |
Biliary drainage | 0.702 | ||
None | 69 (84.1%) | 70 (87.5%) | |
ENBD | 9 (11.0%) | 8 (10.0%) | |
PTBD | 4 (4.9%) | 2 (2.5%) |
Pre-RSB Group (n = 82) | Post-RSB Group (n = 80) | p-Value | |
---|---|---|---|
MBP change after incision (%) | 0.0 (−2.9–2.9) | 10.6 (5.4–18.9) | <0.001 |
HR change after incision (%) | 0.0 (−2.1–1.7) | 5.6 (1.4–12.8) | <0.001 |
Duration of surgery (min) | 36.0 (30.0–45.0) | 40.0 (30.0–47.5) | 0.275 |
Duration of anesthesia (min) | 70.0 (60.0–80.0) | 70.0 (65.0–85.0) | 0.252 |
Intraoperative remifentanil requirement (µg) | 451.0 (360.0–540.0) | 490.0 (406.5–597.5) | 0.012 |
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Jeong, H.-W.; Kim, C.S.; Choi, K.T.; Jeong, S.-M.; Kim, D.-H.; Lee, J.-H. Preoperative versus Postoperative Rectus Sheath Block for Acute Postoperative Pain Relief after Laparoscopic Cholecystectomy: A Randomized Controlled Study. J. Clin. Med. 2019, 8, 1018. https://doi.org/10.3390/jcm8071018
Jeong H-W, Kim CS, Choi KT, Jeong S-M, Kim D-H, Lee J-H. Preoperative versus Postoperative Rectus Sheath Block for Acute Postoperative Pain Relief after Laparoscopic Cholecystectomy: A Randomized Controlled Study. Journal of Clinical Medicine. 2019; 8(7):1018. https://doi.org/10.3390/jcm8071018
Chicago/Turabian StyleJeong, Hye-Won, Chan Sik Kim, Kyu Taek Choi, Sung-Moon Jeong, Doo-Hwan Kim, and Jong-Hyuk Lee. 2019. "Preoperative versus Postoperative Rectus Sheath Block for Acute Postoperative Pain Relief after Laparoscopic Cholecystectomy: A Randomized Controlled Study" Journal of Clinical Medicine 8, no. 7: 1018. https://doi.org/10.3390/jcm8071018