지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.100 No.5
- 발행연도
- 2021.5
- 수록면
- 253 - 259 (7page)
이용수
초록· 키워드
오류제보하기
Purpose: Breast-conserving surgery (BCS) is a surgical method designed to minimize intraoperative tissue injury. Although this technique is minimally invasive, it can cause significant postoperative pain and may be a risk factor for persistent pain. Erector spinae plane block (ESPB) is an easy interfascial plane block for analgesia in patients undergoing breast surgery. The primary outcome was the numeric rating scale scores measured separately on the breast and axilla. Secondary outcomes included correlation between pain score and skin sensitivity test.
Methods: Forty patients were divided into 2 groups (ESPB group and control group). Patients in the ESPB group received an ESPB 30 minutes before the induction of general anesthesia, whereas patients in the control group did not receive any regional analgesia during the perioperative period.
Results: Median pain scores of the breast were significantly lower in the ESPB group than that in the control group at 12, 24, and 48 hours after surgery. However, the median pain scores of the axilla were not significantly different between the groups, and the pain score was unrelated to skin sensitivity.
Conclusion: ESPB can effectively alleviate acute postoperative pain with an opioid-sparing analgesic technique in patients undergoing BCS, and a strong correlation is lacking between pain scores and skin sensitivity test.
Methods: Forty patients were divided into 2 groups (ESPB group and control group). Patients in the ESPB group received an ESPB 30 minutes before the induction of general anesthesia, whereas patients in the control group did not receive any regional analgesia during the perioperative period.
Results: Median pain scores of the breast were significantly lower in the ESPB group than that in the control group at 12, 24, and 48 hours after surgery. However, the median pain scores of the axilla were not significantly different between the groups, and the pain score was unrelated to skin sensitivity.
Conclusion: ESPB can effectively alleviate acute postoperative pain with an opioid-sparing analgesic technique in patients undergoing BCS, and a strong correlation is lacking between pain scores and skin sensitivity test.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (28)
참고문헌 신청
Veronesi U / 2002 / Twenty-year follow-up of a randomized study comparing breast-conserving surgery with radical mastectomy for early breast cancer / N Engl J Med 347:1227~1232
Kashiwagi S / 2012 / Day surgery of early breast cancer treated with breast-conserving operation following sentinel lymph node navigation biopsy under local anesthesia / Gan To Kagaku Ryoho 39:1914~1916
Kehlet H / 2006 / Persistent postsurgical pain: risk factors and prevention / Lancet 367:1618~1625
Andersen KG / 2015 / Predictive factors for the development of persistent pain after breast cancer surgery / Pain 156:2413~2422
Janis JE / 2014 / Introduction to “current concepts in pain management in plastic surgery” / Plast Reconstr Surg 134(4Suppl 2):6S~7S
Kashiwagi S / 2012 / Day surgery of early breast cancer treated with breast-conserving operation following sentinel lymph node navigation biopsy under local anesthesia / Gan To Kagaku Ryoho 39:1914~1916
Kehlet H / 2006 / Persistent postsurgical pain: risk factors and prevention / Lancet 367:1618~1625
Andersen KG / 2015 / Predictive factors for the development of persistent pain after breast cancer surgery / Pain 156:2413~2422
Janis JE / 2014 / Introduction to “current concepts in pain management in plastic surgery” / Plast Reconstr Surg 134(4Suppl 2):6S~7S
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