{"_buckets": {"deposit": "ac798ea5-a86e-4017-b878-6b0faf5dc0d9"}, "_deposit": {"id": "31326", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "31326"}, "status": "published"}, "_oai": {"id": "oai:nagoya.repo.nii.ac.jp:00031326", "sets": ["501"]}, "author_link": ["103397", "103398", "103399", "103400"], "item_10_biblio_info_6": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2020-09", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "9", "bibliographicPageEnd": "757", "bibliographicPageStart": "752", "bibliographicVolumeNumber": "37", "bibliographic_titles": [{"bibliographic_title": "European Journal of Anaesthesiology", "bibliographic_titleLang": "en"}]}]}, "item_10_description_4": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "BACKGROUND: Several approaches have been proposed for ultrasound-guided thoracic paravertebral block, but the best approach remains unclear.OBJECTIVE: We compared two ultrasound-guided in-plane approaches using a microconvex probe, transverse and parasagittal. We assessed whether either approach would facilitate successful catheter placement in the paravertebral space.DESIGN: Randomised controlled trial.SETTING: University hospital, July 2015 to March 2016.PATIENTS: Sixty patients scheduled to undergo thoracotomy were randomly allocated into two groups.INTERVENTIONS: A microconvex probe was placed transversely between adjacent ribs (transverse) or sagittally between adjacent transverse processes (parasagittal). When the Tuohy needle reached the paravertebral space, a catheter was inserted to a depth of 4 cm. Then, 0.5-ml radiocontrast was injected through the catheter under fluoroscopy.MAIN OUTCOME MEASURES: The primary outcome was successful catheter placement in the paravertebral space; secondary outcomes were 0 to 100 mm visual analogue scale pain score and morphine consumption in the first 24 h.RESULTS: All patients received the allocated paravertebral block. Correct catheter placement occurred in 23 (77%) and 24 patients (80%) using the transverse (n=30) and parasagittal approaches (n=30), respectively (P = 1.00). Five patients were excluded due to changes in surgical procedure. Postoperative pain, represented by median [IQR] visual analogue scale score, was 19.5 [12 to 25] at rest and 55 [44 to 77] on movement with the transverse approach (n=28) vs. 22 [12 to 33.5] at rest and 59 [41.5 to 75] on movement with the parasagittal approach (n=27) (P = 0.57 at rest, P = 0.76 on movement). Median morphine consumption was 11.5 [5 to 21] and 11 [5 to 18] mg in the transverse and parasagittal approaches, respectively (P = 0.99).CONCLUSION: There were no clinically significant differences between approaches for continuous ultrasound-guided thoracic paravertebral block using a microconvex probe, and both approaches achieved a high rate of correct catheter placement.TRIAL REGISTRATION: UMIN Clinical Trials Registry identifier: UMIN000015988.", "subitem_description_language": "en", "subitem_description_type": "Abstract"}]}, "item_10_publisher_32": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "Wolters Kluwer Health", "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/10.1097/EJA.0000000000001223", "subitem_relation_type_select": "DOI"}}]}, "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": "0265-0215", "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": "103397", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Shibata, Yasuyuki", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "103398", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Shinya, Sonoe", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "103399", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Nishiwaki, Kimitoshi", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "103400", "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": "2021-02-09"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "Manuscript_Eur_J_Anaesthesiol_2020_nagoya-u.pdf", "filesize": [{"value": "1.1 MB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_note", "mimetype": "application/pdf", "size": 1100000.0, "url": {"label": "Manuscript_Eur_J_Anaesthesiol_2020_nagoya-u", "objectType": "fulltext", "url": "https://nagoya.repo.nii.ac.jp/record/31326/files/Manuscript_Eur_J_Anaesthesiol_2020_nagoya-u.pdf"}, "version_id": "0ef5be60-da1f-4b24-8a83-9ec253818298"}]}, "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": "Transverse vs. parasagittal in-plane approaches in ultrasound-guided paravertebral block using a microconvex probe", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "Transverse vs. parasagittal in-plane approaches in ultrasound-guided paravertebral block using a microconvex probe", "subitem_title_language": "en"}]}, "item_type_id": "10", "owner": "1", "path": ["501"], "permalink_uri": "http://hdl.handle.net/2237/00033506", "pubdate": {"attribute_name": "PubDate", "attribute_value": "2021-02-09"}, "publish_date": "2021-02-09", "publish_status": "0", "recid": "31326", "relation": {}, "relation_version_is_last": true, "title": ["Transverse vs. parasagittal in-plane approaches in ultrasound-guided paravertebral block using a microconvex probe"], "weko_shared_id": -1}