{"created":"2021-03-01T06:37:39.789900+00:00","id":29468,"links":{},"metadata":{"_buckets":{"deposit":"420fd378-84b1-454a-83e8-d21cec282131"},"_deposit":{"id":"29468","owners":[],"pid":{"revision_id":0,"type":"depid","value":"29468"},"status":"published"},"_oai":{"id":"oai:nagoya.repo.nii.ac.jp:00029468","sets":["499:500:501"]},"author_link":["96849","96850","96851","96852","96853","96854","96855"],"item_10_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020-02","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"78","bibliographicPageStart":"72","bibliographicVolumeNumber":"34","bibliographic_titles":[{"bibliographic_title":"Journal of Anesthesia","bibliographic_titleLang":"en"}]}]},"item_10_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"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.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_10_description_5":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"ファイル公開：2021/02/01","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_10_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"Springer","subitem_publisher_language":"en"}]},"item_10_relation_11":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type":"isVersionOf","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.1007/s00540-019-02713-6","subitem_relation_type_select":"DOI"}}]},"item_10_rights_12":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"“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”.","subitem_rights_language":"en"}]},"item_10_select_15":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_select_item":"author"}]},"item_10_source_id_61":{"attribute_name":"ISSN（print）","attribute_value_mlt":[{"subitem_source_identifier":"0913-8668","subitem_source_identifier_type":"PISSN"}]},"item_1615787544753":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_ab4af688f83e57aa","subitem_version_type":"AM"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Fujii, Tasuku","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"96849","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Shibata, Yasuyuki","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"96850","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Ban, Yasutaka","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"96851","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Shitaokoshi, Akira","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"96852","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Takahashi, Kunihiko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"96853","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Matsui, Shigeyuki","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"96854","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Nishiwaki, Kimitoshi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"96855","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-02-01"}],"displaytype":"detail","filename":"A_single_paravertebral_injection_final_manuscript.pdf","filesize":[{"value":"337.4 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"A_single_paravertebral_injection_final_manuscript","objectType":"fulltext","url":"https://nagoya.repo.nii.ac.jp/record/29468/files/A_single_paravertebral_injection_final_manuscript.pdf"},"version_id":"5b257a98-a338-43e6-9784-a40c66b1fcb5"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Catheter","subitem_subject_scheme":"Other"},{"subitem_subject":"Needle","subitem_subject_scheme":"Other"},{"subitem_subject":"Paravertebral injection","subitem_subject_scheme":"Other"},{"subitem_subject":"Regional anesthesia","subitem_subject_scheme":"Other"},{"subitem_subject":"Thoracic paravertebral block","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"A single paravertebral injection via a needle vs. a catheter for the spreading to multiple intercostal levels: a randomized controlled trial","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"A single paravertebral injection via a needle vs. a catheter for the spreading to multiple intercostal levels: a randomized controlled trial","subitem_title_language":"en"}]},"item_type_id":"10","owner":"1","path":["501"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2020-03-24"},"publish_date":"2020-03-24","publish_status":"0","recid":"29468","relation_version_is_last":true,"title":["A single paravertebral injection via a needle vs. a catheter for the spreading to multiple intercostal levels: a randomized controlled trial"],"weko_creator_id":"1","weko_shared_id":-1},"updated":"2023-01-16T04:43:28.680594+00:00"}