Riccardo Gambaretti1, Vincenzo Damico 2 1 Infermiere neo-laureato, CDL Infermieristica, Università di Milano Bicocca-Sede di Lecco 2 Dottore di Ricerca in Scienze Infermieristica e Sanità…
Leggi tutto Valutazione e strategie di gestione non farmacologica del dolore nel paziente ustionato. Una revisione narrativa di letteratura
Assessment and management of pain and anxiety in a child with burn injuries Riassunto Introduzione: l’ustione è una patologia molto complessa che può coinvolgere tutto…
Leggi tutto La valutazione e la gestione del dolore e dell’ansia nel bambino ustionato
Michela Marconi (1), Chiara Gatti (2), Sara Mozzoni (3), Mara Marchetti (3), Maurizio Mercuri (3) (1) Centro Clinico NEMO, Ancona; (2) AOU delle…
Leggi tutto Valutazione e gestione del dolore postoperatorio in cardiochirurgia pediatrica: revisione della letteraturaIntroduction Abdominal surgeries requiring extended midline incisions are associated with severe postoperative pain (1). Postoperative pain was observed in 59 patients (40%) (95% CI =…
Leggi tutto The effect of ultrasound guided rectus sheath block on postoperative pain and opioid consumption. A review and implication for nursing clinical practiceABSTRACT
Background: pectoralis nerve and serratus plane blocks (PECS) are newer ultrasound guided regional anesthesia techniques of the thorax. Aim: evaluate and consolidate scientific evidence of ultrasound-guided thoracic PECS or modified PECS block-serratus anterior plane block effect on postoperative pain in comparison with other comparison intervention. Methods: we searched 8 electronic databases: Medline, Cochrane, Scopus, Embase, Web of Science, CINAHL, ESCI and ILISI. Three of the authors independently selected trials, assessed the risk of bias, and extracted data. Results: final analysis included thirteen trials. When the PECS block is effective, an optimal duration of analgesia has been reported in the first 24 hours after surgery. PECS block (or its modifications) has a significant pain effect in the postoperative period. However, paravertebral block (PVB) has slightly better efficacy at 18 h and 24 h (p = 0.008 and <0.001 respectively) compared with PECS block. Conclusions: the PECS block produced excellent analgesia, often if combined with general anesthesia for breast surgery. PECS block could be recommended as an alternative to intravenous normal anesthesia in certain breast surgeries for pain postoperative management.
Key words: thoracic surgery, pectoral blocks, serratus plane block, postoperative pain, regional anesthesia, opioid.
Received: September 10, 2018
Accepted: October 10, 2018
DOI: 10.19190/PNM2018.1_ra10
Leggi tutto Ultrasound-guided thoracic pectoral and serratus plane blocks: new approaches to reducing postoperative pain