Comparison of combined lumbar and PIP block versus general anesthesia on postoperative outcomes in hip surgery

doi:10.1016/j.pcorm.2023.100320

科研成果详情

题名	Comparison of combined lumbar and PIP block versus general anesthesia on postoperative outcomes in hip surgery
作者	Ye, Yingchao 1; Papadimos, Thomas J.2; Xia, Yun 2; Wang, Quanguang1
发表日期	2023-09-01
发表期刊	Perioperative Care and Operating Room Management 影响因子和分区
语种	英语
原始文献类型	Article
关键词	Anesthesia type Hip surgery Outcomes Sacral plexus block
摘要	Study objectives: To verify the clinical feasibility of parasacral ischial plane (PIP) block in hip surgery, we conducted a randomized controlled trial comparing the effects of combined lumbar and PIP block and general anesthesia on patient pain and outcomes. Design: Randomized controlled trial. Setting: Operating room. Patients: 60 participating patients scheduled for elective total hip arthroplasty. Interventions: All patients were divided into two groups. The first group (n=30) received general anesthesia, and the second group, the LPIP group (n=30), received a combined lumbar and parasacral ischial plane block. Measurements: Postoperative outcomes were investigated using Shapiro–Wilk test, X2 test and mixed model accounting. The primary outcome was total intravenous patient control analgesia (PCA) pump consumption of sufentanil in the first 24 h. Secondary outcomes included pain scores at 3, 6, 12, and 24 h after surgery; time to rehabilitation placement; hospital length of stay; and postoperative nausea and vomiting. Main results: There was significant difference in the postoperative 24-hour PCA pump consumption of sufentanil (general anesthesia group, median [interquartile range], 74 [66 to 87] μg versus LPIP group, 65 [57 to 72] μg; median difference, 12; 95% CI, 4 to 19; P =0.004). The pain scores (rest or movement) at 3h and 6h after surgery were significantly different between the two groups (p<0.001). There was no statistical difference between the two groups in time to rehabilitation placement (median difference, 1.3; 95% CI, 22.5 to 27.5; P = 0.155), hospital length of stay, and postoperative nausea and vomiting. Conclusions: The LPIP block facilitates comfortable and uneventful hip surgery, reduces the PCA consumption of sufentanil, and does not affect the postoperative recovery time.
ISSN	2405-6030
卷号	32
DOI	10.1016/j.pcorm.2023.100320
收录类别	SCOPUS
URL	查看原文
SCOPUSEID	2-s2.0-85158891645
通讯作者地址	[Wang, Quanguang]Department of Anesthesiology,The first affiliated hospital of Wenzhou medical university,South Baixiang Town,Wenzhou,China
Scopus学科分类	Surgery;Critical Care and Intensive Care Medicine;Medical and Surgical Nursing;Anesthesiology and Pain Medicine
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/184463
专题	第一临床医学院（信息与工程学院）、附属第一医院_麻醉科附属第一医院_麻醉科
通讯作者	Wang, Quanguang
作者单位	1.Department of Anesthesiology,The first affiliated hospital of Wenzhou medical university,South Baixiang Town,Wenzhou,China; 2.Department of Anesthesiology,Ohio State University Wexner Medical Center,Columbus,United States
第一作者单位	第一临床医学院（信息与工程学院）、附属第一医院_麻醉科; 附属第一医院_麻醉科
通讯作者单位	第一临床医学院（信息与工程学院）、附属第一医院_麻醉科; 附属第一医院_麻醉科
第一作者的第一单位	第一临床医学院（信息与工程学院）、附属第一医院_麻醉科; 附属第一医院_麻醉科
推荐引用方式 GB/T 7714	Ye, Yingchao,Papadimos, Thomas J.,Xia, Yun,et al. Comparison of combined lumbar and PIP block versus general anesthesia on postoperative outcomes in hip surgery[J]. Perioperative Care and Operating Room Management,2023,32.
APA	Ye, Yingchao, Papadimos, Thomas J., Xia, Yun, & Wang, Quanguang. (2023). Comparison of combined lumbar and PIP block versus general anesthesia on postoperative outcomes in hip surgery. Perioperative Care and Operating Room Management, 32.
MLA	Ye, Yingchao,et al."Comparison of combined lumbar and PIP block versus general anesthesia on postoperative outcomes in hip surgery".Perioperative Care and Operating Room Management 32(2023).