{"title":"使用超声引导脊柱平面阻滞治疗胸廓切开术后疼痛的 2% 阿替卡因镇痛效果比较研究","authors":"Elsayed Abdelazeem, Neveen Kohaf, Mohamed Emeliegy, Mohamed Elmeliegy","doi":"10.21608/ijma.2023.239251.1823","DOIUrl":null,"url":null,"abstract":"Article information Background: Articaine has been used as a local anesthetic for dental procedures, but studies about articaine used as a local anesthetic for regional block after thoracic surgeries are limited. Aim of the Study: Our study compares the postoperative analgesic efficacy of articaine 2% and bupivacaine 0.25% through erector spinae block for after thoracic surgeries. Patients and Methods: All patients were divided into two groups. Group I [20 patients] [erector spinae block with bupivacine 0.25%] was performed before extubation with an injection of 30 ml of 0.25% bupivacine. Group II [20 patients] [erector spinae block with articaine 2%] was performed before extubation with an injection of 30 ml of articaine 2%. Results: As regard the visual analogue scale at 8 h and 12 h, postoperatively, there was significant variance among the 2 groups [p value=0.045, p value=0.002]. Also, with regard to first-rescue analgesia and the total dose of morphine, there was significant variance among the 2 groups [p value=0.006, p value=0.02]. Conclusion: Articaine is a reliable local anesthetic agent when compared to bupivacaine for regional","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Comparative Study of The Analgesic Effect of Articaine 2% for Management of Postoperative Pain after Thoracotomy Using Ultrasound-Guided Erector Spinae Plane Block\",\"authors\":\"Elsayed Abdelazeem, Neveen Kohaf, Mohamed Emeliegy, Mohamed Elmeliegy\",\"doi\":\"10.21608/ijma.2023.239251.1823\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Article information Background: Articaine has been used as a local anesthetic for dental procedures, but studies about articaine used as a local anesthetic for regional block after thoracic surgeries are limited. Aim of the Study: Our study compares the postoperative analgesic efficacy of articaine 2% and bupivacaine 0.25% through erector spinae block for after thoracic surgeries. Patients and Methods: All patients were divided into two groups. Group I [20 patients] [erector spinae block with bupivacine 0.25%] was performed before extubation with an injection of 30 ml of 0.25% bupivacine. Group II [20 patients] [erector spinae block with articaine 2%] was performed before extubation with an injection of 30 ml of articaine 2%. Results: As regard the visual analogue scale at 8 h and 12 h, postoperatively, there was significant variance among the 2 groups [p value=0.045, p value=0.002]. Also, with regard to first-rescue analgesia and the total dose of morphine, there was significant variance among the 2 groups [p value=0.006, p value=0.02]. Conclusion: Articaine is a reliable local anesthetic agent when compared to bupivacaine for regional\",\"PeriodicalId\":53130,\"journal\":{\"name\":\"International Journal of Medical Arts\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Medical Arts\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.21608/ijma.2023.239251.1823\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Medical Arts","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.21608/ijma.2023.239251.1823","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
A Comparative Study of The Analgesic Effect of Articaine 2% for Management of Postoperative Pain after Thoracotomy Using Ultrasound-Guided Erector Spinae Plane Block
Article information Background: Articaine has been used as a local anesthetic for dental procedures, but studies about articaine used as a local anesthetic for regional block after thoracic surgeries are limited. Aim of the Study: Our study compares the postoperative analgesic efficacy of articaine 2% and bupivacaine 0.25% through erector spinae block for after thoracic surgeries. Patients and Methods: All patients were divided into two groups. Group I [20 patients] [erector spinae block with bupivacine 0.25%] was performed before extubation with an injection of 30 ml of 0.25% bupivacine. Group II [20 patients] [erector spinae block with articaine 2%] was performed before extubation with an injection of 30 ml of articaine 2%. Results: As regard the visual analogue scale at 8 h and 12 h, postoperatively, there was significant variance among the 2 groups [p value=0.045, p value=0.002]. Also, with regard to first-rescue analgesia and the total dose of morphine, there was significant variance among the 2 groups [p value=0.006, p value=0.02]. Conclusion: Articaine is a reliable local anesthetic agent when compared to bupivacaine for regional