关键词: erector spinae plane block infusion pump nerve block quality of recovery regional anaesthesia video-assisted thoracic surgery

来  源:   DOI:10.1016/j.bja.2024.07.006

Abstract:
Ni Eochagain and colleagues report that programmed intermittent bolus and continuous infusion regimens in continuous erector spinae plane (ESP) block catheters produced similar quality of recovery (QoR-15) scores, pain scores, and use of rescue opioids after video-assisted thoracic surgery. This is a reassuring finding for practitioners without access to pumps with programmed intermittent bolus functionality. Nevertheless, it remains plausible that the benefit of one regimen over another might vary depending on the specific infusion parameters. There continues to be scope for research into optimising programmed intermittent bolus delivery and dosing regimens and identifying the most appropriate clinical applications for this mode of infusion.
摘要:
NiEochagain及其同事报告说,在连续竖脊肌平面(ESP)阻滞导管中编程的间歇性推注和连续输注方案产生了相似的恢复质量(QoR-15)评分,疼痛评分,以及电视胸腔镜手术后救援阿片类药物的使用。对于没有使用具有编程的间歇性推注功能的泵的从业者来说,这是一个令人放心的发现。然而,根据具体的输注参数,一种方案相对于另一种方案的获益可能会有所不同,这仍然是合理的.对于优化编程的间歇推注递送和给药方案以及确定这种输注模式的最合适的临床应用仍有研究的余地。
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