Remifentanil-Sparing Effect of Pectoral Nerve Block Type II in Breast Surgery under Surgical Pleth Index-Guided Analgesia during Total Intravenous Anesthesia
Abstract
:1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Conflicts of Interest
References
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Variables | Control (n = 20) | Pecs (n = 19) | Standardized Differences |
---|---|---|---|
Age (year) | 52.7 ± 9.2 | 51.4 ± 7.7 | 2.7 (−4.2–6.8) |
Weight (kg) | 63.5 ± 8.0 | 59.4 ± 10.0 | 4.1 (−1.8–9.9) |
Height (cm) | 159.1 ± 5.7 | 158.8 ± 6.3 | 0.3 (−3.7–4.2) |
Variables | Control (n = 20) | Pecs (n = 19) | p-Value |
---|---|---|---|
During surgery | |||
Remifentanil consumption (μg/kg/h) | 10.1 ± 3.7 | 6.8 ± 2.2 | 0.001 |
Propofol consumption (mg/kg/h) | 6.4 ± 1.1 | 6.2 ± 1.1 | 0.515 |
Use of atropine (n) | 5 | 2 | 0.239 |
Use of ephedrine (n) | 6 | 6 | 0.915 |
Upon arrival at the PACU | |||
MBP (mmHg) | 103 ± 18 | 96 ± 5 | 0.210 |
HR (beats/min) | 76 ± 17 | 77 ± 10 | 0.830 |
Pain score (NRS) | 5 (4–7 (2–8)) | 3 (2–5 (0–6)) | 0.001 |
After 1 h in the PACU | |||
MBP (mmHg) | 106 ± 17 | 100 ± 20 | 0.310 |
HR (beats/min) | 66 ± 13 | 69 ± 10 | 0.478 |
Pain score (NRS) | 4 (2.25–5.75 (0–8)) | 3 (2–3 (1–5)) | 0.041 |
Rescue fentanyl requirement (n) | 9 | 2 | 0.017 |
POD 1 | |||
Pain score (NRS) | 3 (2–3 (0–6)) | 2 (1–3 (0–7)) | 0.236 |
POD 2 | |||
Pain score (NRS) | 1 (1–2 (0–3)) | 1 (1–2 (0–4)) | 0.681 |
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Choi, J.J.; Jo, Y.Y.; Kim, S.H.; Jung, W.S.; Lee, D.; Kim, K.Y.; Kwak, H.J. Remifentanil-Sparing Effect of Pectoral Nerve Block Type II in Breast Surgery under Surgical Pleth Index-Guided Analgesia during Total Intravenous Anesthesia. J. Clin. Med. 2019, 8, 1181. https://doi.org/10.3390/jcm8081181
Choi JJ, Jo YY, Kim SH, Jung WS, Lee D, Kim KY, Kwak HJ. Remifentanil-Sparing Effect of Pectoral Nerve Block Type II in Breast Surgery under Surgical Pleth Index-Guided Analgesia during Total Intravenous Anesthesia. Journal of Clinical Medicine. 2019; 8(8):1181. https://doi.org/10.3390/jcm8081181
Chicago/Turabian StyleChoi, Jung Ju, Youn Yi Jo, Seung Hwan Kim, Wol Seon Jung, Dongchul Lee, Kwan Yeong Kim, and Hyun Jeong Kwak. 2019. "Remifentanil-Sparing Effect of Pectoral Nerve Block Type II in Breast Surgery under Surgical Pleth Index-Guided Analgesia during Total Intravenous Anesthesia" Journal of Clinical Medicine 8, no. 8: 1181. https://doi.org/10.3390/jcm8081181