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  1. C100 医学部/医学系研究科
  2. C100a 雑誌掲載論文
  3. 学術雑誌

A single paravertebral injection via a needle vs. a catheter for the spreading to multiple intercostal levels: a randomized controlled trial

http://hdl.handle.net/2237/00031654
http://hdl.handle.net/2237/00031654
33d2cd71-1551-4b74-9dff-c9c1963a9729
名前 / ファイル ライセンス アクション
A_single_paravertebral_injection_final_manuscript.pdf A_single_paravertebral_injection_final_manuscript (337.4 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2020-03-24
タイトル
タイトル A single paravertebral injection via a needle vs. a catheter for the spreading to multiple intercostal levels: a randomized controlled trial
言語 en
著者 Fujii, Tasuku

× Fujii, Tasuku

WEKO 96849

en Fujii, Tasuku

Search repository
Shibata, Yasuyuki

× Shibata, Yasuyuki

WEKO 96850

en Shibata, Yasuyuki

Search repository
Ban, Yasutaka

× Ban, Yasutaka

WEKO 96851

en Ban, Yasutaka

Search repository
Shitaokoshi, Akira

× Shitaokoshi, Akira

WEKO 96852

en Shitaokoshi, Akira

Search repository
Takahashi, Kunihiko

× Takahashi, Kunihiko

WEKO 96853

en Takahashi, Kunihiko

Search repository
Matsui, Shigeyuki

× Matsui, Shigeyuki

WEKO 96854

en Matsui, Shigeyuki

Search repository
Nishiwaki, Kimitoshi

× Nishiwaki, Kimitoshi

WEKO 96855

en Nishiwaki, Kimitoshi

Search repository
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利
言語 en
権利情報 “This is a post-peer-review, pre-copyedit version of an article published in [Journal of Anesthesia]. The final authenticated version is available online at: http://dx.doi.org/10.1007/s00540-019-02713-6”.
キーワード
主題Scheme Other
主題 Catheter
キーワード
主題Scheme Other
主題 Needle
キーワード
主題Scheme Other
主題 Paravertebral injection
キーワード
主題Scheme Other
主題 Regional anesthesia
キーワード
主題Scheme Other
主題 Thoracic paravertebral block
抄録
内容記述 Purpose: Thoracic paravertebral block (TPVB) provides a unilateral nerve block at multiple intercostal levels allowing injection of a local anesthetic into paravertebral space (PVS) via a needle or catheter. However, the most effective injection method remains unclear. This study compared the real-time spread of ropivacaine between two paravertebral injection methods using thoracoscopy. Methods: Thirty-four patients scheduled for thoracoscopic surgery were randomly allocated into the Needle or Catheter groups, and performed transverse in-plane ultrasound-guided TPVB. The Needle group received 20 ml of 0.5% ropivacaine via a needle placed into the lateral edge of PVS; the Catheter group received the same dose of ropivacaine via a catheter inserted 5 cm into PVS. The primary outcome was the spreading pattern of ropivacaine in each group. The secondary outcome was intraoperative vasopressor requirement after paravertebral injection. Results: In the Needle group, all cases showed ropivacaine spread to multiple intercostal levels, mainly across the ribs. Contrastingly, the Catheter group showed variable spreading patterns; multiple intercostal levels (n = 10) [across the ribs (n = 4), anterolateral aspect of the vertebral bodies (n = 6)] or unobservable spreading (no change; n = 7) (P = 0.007). Vasopressors were required in two and ten cases in the Needle and Catheter groups, respectively (P = 0.010). Conclusion: Paravertebral injection via a needle typically resulted in spreading to multiple intercostal levels, especially across the ribs on the peripheral side of injection site, whereas injection via a catheter resulted in variable spreading patterns. Therefore, injections via needles are more stable.
言語 en
内容記述タイプ Abstract
内容記述
内容記述 ファイル公開:2021/02/01
言語 ja
内容記述タイプ Other
出版者
言語 en
出版者 Springer
言語
言語 eng
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
タイプ journal article
出版タイプ
出版タイプ AM
出版タイプResource http://purl.org/coar/version/c_ab4af688f83e57aa
DOI
関連タイプ isVersionOf
識別子タイプ DOI
関連識別子 https://doi.org/10.1007/s00540-019-02713-6
ISSN(print)
収録物識別子タイプ PISSN
収録物識別子 0913-8668
書誌情報 en : Journal of Anesthesia

巻 34, 号 1, p. 72-78, 発行日 2020-02
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