Pub Date : 2021-09-01DOI: 10.1136/rapm-2021-esra.233
J. Pinho, J. Moita, N. Veiga
{"title":"233 PECS II block for oncologic breast surgery during pregnancy: a patient-centered case report","authors":"J. Pinho, J. Moita, N. Veiga","doi":"10.1136/rapm-2021-esra.233","DOIUrl":"https://doi.org/10.1136/rapm-2021-esra.233","url":null,"abstract":"","PeriodicalId":184382,"journal":{"name":"Postoperative pain management","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133200243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-01DOI: 10.1136/rapm-2021-esra.216
A. Abraham, P. Mehta
{"title":"216 Comparing the efficacy and safety of USG guided modified pectoral block vs. erector spinae block for postoperative pain management in patients undergoing modified radical mastectomy","authors":"A. Abraham, P. Mehta","doi":"10.1136/rapm-2021-esra.216","DOIUrl":"https://doi.org/10.1136/rapm-2021-esra.216","url":null,"abstract":"","PeriodicalId":184382,"journal":{"name":"Postoperative pain management","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128858133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-01DOI: 10.1136/rapm-2021-esra.234
A. Pereira, C. Lobo, F. Teixeira, R. Abrunhosa
{"title":"234 Continuous erector spinae plane block for pain management in open resection of locally recurrent renal cell carcinoma – a case-report","authors":"A. Pereira, C. Lobo, F. Teixeira, R. Abrunhosa","doi":"10.1136/rapm-2021-esra.234","DOIUrl":"https://doi.org/10.1136/rapm-2021-esra.234","url":null,"abstract":"","PeriodicalId":184382,"journal":{"name":"Postoperative pain management","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122547923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-01DOI: 10.1136/rapm-2021-esra.221
S. Van Migem, N. Parisi, L. Van Der Essen, V. Marneffe, H. Dehbi, G. Samouri
{"title":"221 Impact of the erector spinae plane block on the postoperative pain of lumbar spinal stenosis surgery. A single blind RCT- a 70% patient’s interim analysis","authors":"S. Van Migem, N. Parisi, L. Van Der Essen, V. Marneffe, H. Dehbi, G. Samouri","doi":"10.1136/rapm-2021-esra.221","DOIUrl":"https://doi.org/10.1136/rapm-2021-esra.221","url":null,"abstract":"","PeriodicalId":184382,"journal":{"name":"Postoperative pain management","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127213539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-01DOI: 10.1136/rapm-2021-esra.218
J. Bordoni, S. Siew, C. Buffery, M. Goulden
Registry of India (CTRI/2019/06/019656) following approval from Max Healthcare Ethics Committee. 80 adult female patients (ASA grades I&II) undergoing modified radical mastectomy were randomly allocated into two groups to receive PECS block and ESP block with 30 ml of 0.375% Levobupivacaine, after induction of anaesthesia. Fentanyl was administered for postoperative pain relief via PCA pump. Outcomes such as Numerical Rating Scale (NRS) scores to assess pain, time to first rescue analgesia, intraoperative and postoperative fentanyl requirement, incidence of PONV, patient satisfaction etc. were statistically analysed. Results Patients given modified PECS block experienced significantly better quality of analgesia and perceived the block to be more satisfactory with respect to pain relief and ability to sleep (p < 0.001). With PECS block, patients showed significantly lower mean NRS scores at 24-hours postoperatively (1.18 ±1.13 vs 2.65 ±0.98)(p<0.001) and total fentanyl consumed was considerably lesser (61.25 ± 41.58 mcg vs 183.75 ± 51.13 mcg)(p<0.001). Conclusions We found that modified PECS block provided superior postoperative analgesia than ESP block in patients undergoing MRM without any adverse effects.
经Max Healthcare伦理委员会批准，印度注册中心(CTRI/2019/06/019656)将80例接受改良根治性乳房切除术的成年女性患者(ASA分级为i和ii级)随机分为两组，分别在麻醉诱导后使用0.375%左布比卡因30 ml进行PECS阻滞和ESP阻滞。芬太尼通过PCA泵缓解术后疼痛。统计分析疼痛评分、首次抢救镇痛时间、术中术后芬太尼用量、PONV发生率、患者满意度等结果。结果改良PECS阻滞的患者镇痛质量明显提高，疼痛缓解和睡眠能力更令人满意(p < 0.001)。PECS阻滞组患者术后24小时平均NRS评分显著降低(1.18±1.13 vs 2.65±0.98)(p<0.001)，芬太尼总消耗显著降低(61.25±41.58 mcg vs 183.75±51.13 mcg)(p<0.001)。结论改良PECS阻滞在MRM患者术后镇痛效果优于ESP阻滞，且无不良反应。
{"title":"218 Let’s talk about rectus sheath catheters. A retrospective audit of analgesic techniques used in emergency laparotomy","authors":"J. Bordoni, S. Siew, C. Buffery, M. Goulden","doi":"10.1136/rapm-2021-esra.218","DOIUrl":"https://doi.org/10.1136/rapm-2021-esra.218","url":null,"abstract":"Registry of India (CTRI/2019/06/019656) following approval from Max Healthcare Ethics Committee. 80 adult female patients (ASA grades I&II) undergoing modified radical mastectomy were randomly allocated into two groups to receive PECS block and ESP block with 30 ml of 0.375% Levobupivacaine, after induction of anaesthesia. Fentanyl was administered for postoperative pain relief via PCA pump. Outcomes such as Numerical Rating Scale (NRS) scores to assess pain, time to first rescue analgesia, intraoperative and postoperative fentanyl requirement, incidence of PONV, patient satisfaction etc. were statistically analysed. Results Patients given modified PECS block experienced significantly better quality of analgesia and perceived the block to be more satisfactory with respect to pain relief and ability to sleep (p < 0.001). With PECS block, patients showed significantly lower mean NRS scores at 24-hours postoperatively (1.18 ±1.13 vs 2.65 ±0.98)(p<0.001) and total fentanyl consumed was considerably lesser (61.25 ± 41.58 mcg vs 183.75 ± 51.13 mcg)(p<0.001). Conclusions We found that modified PECS block provided superior postoperative analgesia than ESP block in patients undergoing MRM without any adverse effects.","PeriodicalId":184382,"journal":{"name":"Postoperative pain management","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125778881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-01DOI: 10.1136/rapm-2021-esra.213
Laurens Peene, P. Le Cacheux, A. Sauter, GP Joshi, H. Beloeil
{"title":"213 Pain management after laminectomy: a systematic review and procedure-specific post-operative pain management (PROSPECT) recommendations","authors":"Laurens Peene, P. Le Cacheux, A. Sauter, GP Joshi, H. Beloeil","doi":"10.1136/rapm-2021-esra.213","DOIUrl":"https://doi.org/10.1136/rapm-2021-esra.213","url":null,"abstract":"","PeriodicalId":184382,"journal":{"name":"Postoperative pain management","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133207302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-01DOI: 10.1136/rapm-2021-esra.211
P. Waelkens, E. Alsabbagh, A. Sauter, G. Joshi, H. Beloeil
{"title":"211 Pain management after complex spine surgery: a systematic review and procedure-specific postoperative pain management (PROSPECT) recommendations","authors":"P. Waelkens, E. Alsabbagh, A. Sauter, G. Joshi, H. Beloeil","doi":"10.1136/rapm-2021-esra.211","DOIUrl":"https://doi.org/10.1136/rapm-2021-esra.211","url":null,"abstract":"","PeriodicalId":184382,"journal":{"name":"Postoperative pain management","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131555594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-01DOI: 10.1136/rapm-2021-esra.222
C. Hopkins, C. Broe, B. Bellew
{"title":"222 The use of regional anaesthesia and identifying compartment syndrome: a case report","authors":"C. Hopkins, C. Broe, B. Bellew","doi":"10.1136/rapm-2021-esra.222","DOIUrl":"https://doi.org/10.1136/rapm-2021-esra.222","url":null,"abstract":"","PeriodicalId":184382,"journal":{"name":"Postoperative pain management","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124614003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-01DOI: 10.1136/rapm-2021-esra.217
E. Lin, J. Serafin, A. Vickers, B. Simon, R. Twersky
{"title":"217 Effectiveness of transversus abdominis plane (TAP) blocks in ambulatory laparoscopic and robotic nephrectomies","authors":"E. Lin, J. Serafin, A. Vickers, B. Simon, R. Twersky","doi":"10.1136/rapm-2021-esra.217","DOIUrl":"https://doi.org/10.1136/rapm-2021-esra.217","url":null,"abstract":"","PeriodicalId":184382,"journal":{"name":"Postoperative pain management","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129494561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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