Transversus Thoracis Muscle Plane Block in Paediatric Patients Who Underwent Minimally Invasive Closure of Transthoracic Ventricular Septal Defect: A Retrospective Study.

IF 2.5 3区医学 Q2 CLINICAL NEUROLOGY Pain Research & Management Pub Date : 2023-01-01 DOI:10.1155/2023/3488552

Qiong Ling, Shuhua Zhao, Yongyong Shi, Xiangyu Li, Ping Li, Gaofeng Zhao, Qianqian Zhu

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Abstract

Objective: Minimally invasive closure of transthoracic ventricular septal defect (VSD) has been widely used in paediatric patients. This retrospective study aimed to explore the use of transversus thoracis muscle plane block (TTMPB) in the minimally invasive closure of transthoracic VSD in paediatric patients.

Methods: From September 28, 2017, to July 25, 2022, a total of 119 paediatric patients scheduled for minimally invasive transthoracic VSD closure were considered for inclusion.

Results: In total, 110 patients were included in the final analysis. Perioperative fentanyl consumption of the TTMPB group was not different from that of the non-TTMPB group (5.90 ± 1.32 μg/kg vs. 6.25 ± 1.74 μg/kg, p = 0.473). Both the time to extubation and postanesthesia care unit (PACU) stay were significantly shorter in the TTMPB group than in the non-TTMPB group (10.94 ± 10.31 min vs. 35.03 ± 23.52 min for extubation, and 42.55 ± 16.83 min vs. 59.98 ± 27.94 min for PACU stay, both p < 0.001). Furthermore, the postoperative paediatric intensive care unit (PICU) stay in the TTMPB group was significantly shorter than in the non-TTMPB group (1.04 ± 0.28 d vs. 1.34 ± 1.05 d, p = 0.005). Multivariate analysis demonstrated that TTMPB was significantly associated with shorter time to extubation (p < 0.001) and PACU stay (p = 0.001) but not postoperative PICU stay (p = 0.094). Discussion. This study showed that TTMPB was a beneficial and safe regional anaesthesia technique for paediatric patients who underwent minimally invasive closure of transthoracic VSD, although prospective randomized controlled trials are needed to confirm the results.

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经胸室间隔缺损微创闭合术患儿的胸肌平面阻滞:一项回顾性研究。

目的:经胸室间隔缺损(VSD)的微创闭合术已广泛应用于儿科患者。本回顾性研究旨在探讨经胸肌平面阻滞(TTMPB)在儿科经胸室间隔缺损微创封闭中的应用。方法:2017年9月28日至2022年7月25日，共纳入119例拟行微创经胸室间隔封堵术的儿科患者。结果:共有110例患者纳入最终分析。TTMPB组围手术期芬太尼用量与非TTMPB组比较差异无统计学意义(5.90±1.32 μg/kg∶6.25±1.74 μg/kg, p = 0.473)。TTMPB组拔管时间和麻醉后护理单位(PACU)停留时间均显著短于非TTMPB组(拔管时间10.94±10.31 min vs. 35.03±23.52 min; PACU停留时间42.55±16.83 min vs. 59.98±27.94 min, p = 0.005)。多因素分析显示，TTMPB与拔管时间缩短(p p = 0.001)显著相关，但与术后PICU停留时间无关(p = 0.094)。讨论。本研究表明，TTMPB是一种有益且安全的区域麻醉技术，适用于经胸室间隔缺损微创闭合术的儿科患者，尽管需要前瞻性随机对照试验来证实结果。

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来源期刊

Pain Research & Management CLINICAL NEUROLOGY-

CiteScore

5.30

自引率

0.00%

发文量

109

审稿时长

>12 weeks

期刊介绍： Pain Research and Management is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of pain management. The most recent Impact Factor for Pain Research and Management is 1.685 according to the 2015 Journal Citation Reports released by Thomson Reuters in 2016.