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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/2237/0003165433d2cd71-1551-4b74-9dff-c9c1963a9729
名前 / ファイル | ライセンス | アクション |
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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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× Shibata, Yasuyuki× Ban, Yasutaka× Shitaokoshi, Akira× Takahashi, Kunihiko× Matsui, Shigeyuki× Nishiwaki, Kimitoshi |
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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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著者版フラグ | ||||||
値 | author |