scholarly journals Thoracic paravertebral block versus intravenous patient-controlled analgesia for pain treatment in patients with multiple rib fractures

2017 ◽  
Vol 45 (6) ◽  
pp. 2085-2091 ◽  
Author(s):  
Ge Yeying ◽  
Yuan Liyong ◽  
Chen Yuebo ◽  
Zhang Yu ◽  
Ye Guangao ◽  
...  
Keyword(s):  
Pain Relief ◽  
Pulmonary Function ◽  
Pain Treatment ◽  
Blood Gas Analysis ◽  
Gas Analysis ◽  
Rib Fractures ◽  
Paravertebral Block ◽  
Patient Controlled Analgesia ◽  
Thoracic Paravertebral Block ◽  
Multiple Rib Fractures

Objectives To assess the effect of thoracic paravertebral block (PVB) on pain management and preservation of pulmonary function compared with intravenous, patient-controlled analgesia (IVPCA) in patients with multiple rib fractures (MRFs). Methods Ninety patients with unilateral MRFs were included in this prospective study and randomly assigned to the TPVB or IVPCA group. The visual analogue scale (VAS) pain score, blood gas analysis, and bedside spirometry were measured and recorded at different time points after analgesia. Results TPVB and IVPCA provided good pain relief. VAS scores were significantly lower in the TPVB group than in the IVPCA group at rest and during coughing ( P < 0.05). Patients in the TPVB group had a higher PaO2 and PaO2/FiO2 and lower P(A–a)O2 compared with the IVPCA group ( P < 0.05). Moreover, patients in the TPVB group showed higher FVC, FEV1/FVC, and PEFR, and fewer complications than did the IVPCA group ( P < 0.05). Conclusion TPVB is superior to IVPCA in pain relief and preservation of pulmonary function in patients with MRFs.

scholarly journals The evaluation of pulmonary function and blood gas analysis in patients submitted to laparoscopic versus open nephrectomy

2015 ◽  
Vol 41 (6) ◽  
pp. 1202-1208 ◽  
Author(s):  
Ayfer Koc ◽  
Gozde Inan ◽  
Fusun Bozkirli ◽  
Demet Coskun ◽  
Lutfi Tunc
Keyword(s):  
Pulmonary Function ◽  
Blood Gas Analysis ◽  
Gas Analysis ◽  
Blood Gas ◽  
Open Nephrectomy

scholarly journals The Effect of Optimized Ultrafiltration on Perioperative Pulmonary Function During Cardiopulmonary Bypass in Infants Under 10 kg

2021 ◽  
Vol 9 ◽  
Author(s):  
Jianhong Niu ◽  
Guangdi Zhai ◽  
Aibin Zheng ◽  
Juanying Zhou ◽  
Shengqi Jiang ◽  
...  
Keyword(s):  
Cardiopulmonary Bypass ◽  
Treatment Group ◽  
Lung Function ◽  
Pulmonary Function ◽  
Blood Gas Analysis ◽  
Gas Analysis ◽  
Combination Method ◽  
Control Group ◽  
Acid Base Balance ◽  
Significant Difference

Objective: This study aims to investigate the effect of optimized ultrafiltration on perioperative electrolytes, acid–base balance, and pulmonary function during cardiopulmonary bypass (CPB) in infants with low body weight (under 10 kg), using traditional balanced ultrafiltration and modified ultrafiltration.Methods: A total of 30 children who underwent surgical correction for congenital heart disease in Changzhou Children's Hospital between January 2018 and December 2019 were randomly divided into two groups. In the treatment group, ultrafiltration pre-treatment was carried out with blood-containing priming fluid prior to CPB. Balanced ultrafiltration was performed during the operation, and optimized and modified ultrafiltration were conducted before closing and extubation. In the control group, traditional balanced ultrafiltration was used during the operation, and a modified ultrafiltration combination was used before closing and extubation. Indexes such as blood gas analysis and electrolytes were measured perioperatively, and pulmonary function was observed.Results: No deaths were reported in either group. The ventilator-assisted breathing time was shorter in the treatment group than in the control group (P &lt; 0.05). The indexes of the treatment group were closer than those of the control group to the optimal physiological values. The concentrations of potassium ion (K+), lactate (Lac), and blood glucose (Glu) decreased, and there was significant difference between the two groups (P &lt; 0.05) at the end of CPB. Hemoglobin (Hb) and hematocrit (HCT) in the treatment group increased (P &lt; 0.01). Alveolar-arterial differences for oxygen (A-aDO2) and respiratory index (RI) increased significantly in both groups after operation. Children in the treatment group began to recover lung function earlier than children in the control group. Both A-aDO2 and RI were lower in the treatment group than in the control group at each time point after operation (P &lt; 0.05).Conclusion: Optimizing and modifying the traditional ultrafiltration combination method can effectively shorten the ultrafiltration time, reduce the adverse impacts of the ultrafiltration technique, and improve the lung function of infants after operation.

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