Efeito do bloqueio do gânglio estrelado direito guiado por ultrassom na fibrilação atrial perioperatória em pacientes submetidos a lobectomia pulmonar: estudo controlado randomizado

IF 1 Q3 Medicine Revista brasileira de anestesiologia Pub Date : 2020-05-01 DOI:10.1016/j.bjan.2020.03.007

Ru Ouyang , Xinrui Li , Rui Wang , Qiqi Zhou , Yali Sun , Enjun Lei

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引用次数: 3

Abstract

Objective

To observe the effects of preoperative right stellate ganglion block on perioperative atrial fibrillation in patients undergoing lung lobectomy.

Methods

Two hundred patients who underwent a scheduled lobectomy were randomly divided into the S and C groups. The S group was injected with 4 mL of 0.2% ropivacaine under ultrasound guidance, and the C group did not receive stellate ganglion block. The patients underwent continuous ECG monitoring, and the incidences of atrial fibrillation and other types of arrhythmias were recorded from the start of surgery to 24 hours after surgery.

Results

The respective incidences of atrial fibrillation in the S group and the C group were 3% and 10% (p = 0.045); other atrial arrhythmias were 20% and 38% (p = 0.005); and ventricular arrhythmia were 28% and 39% (p = 0.09).

Conclusions

The results of the study indicated that preoperative right stellate ganglion block can effectively reduce the incidence of intraoperative and postoperative atrial fibrillation.

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超声引导下右星结阻滞对肺叶切除术围手术期心房颤动的影响：随机对照研究

目的观察右星状神经节阻滞对肺叶切除术围手术期心房颤动的影响。方法将200例常规肺叶切除术患者随机分为S组和C组。S组在超声引导下注射0.2%罗哌卡因4mL，C组不接受星状神经节阻滞。患者接受了持续的心电图监测，并记录了从手术开始到手术后24小时的心房颤动和其他类型心律失常的发生率。结果S组和C组心房颤动发生率分别为3%和10%（p=0.045）；其他房性心律失常分别为20%和38%（p=0.005）；结论术前右星状神经节阻滞能有效降低术中及术后心房颤动的发生率。

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来源期刊

Revista brasileira de anestesiologia ANESTHESIOLOGY-

CiteScore

1.50

自引率

0.00%

发文量

审稿时长

21 weeks

期刊介绍： The Brazilian Journal of Anesthesiology is the official journal of the Brazilian Anesthesiology Society. It publishes articles classified into the following categories: -Scientific articles (clinical or experimental trials)- Clinical information (case reports)- Reviews- Letters to the Editor- Editorials. The journal focuses primarily on clinical trials, with scope on clinical practice, aiming at providing applied tools to the anesthesiologist and critical care physician. The Brazilian Journal of Anesthesiology accepts articles exclusively forwarded to it. Articles already published in other journals are not accepted. All articles proposed for publication are previously submitted to the analysis of two or more members of the Editorial Board or other specialized consultants.