Hiệu quả giảm đau sau mổ phương pháp gây tê chọn lọc thân trên của đám rối thần kinh cánh tay một liều duy nhất dưới hướng dẫn của siêu âm ở bệnh nhân phẫu thuật nội soi khớp vai

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Hữu Hiếu Trần, Hoàng Phương Vũ

Ngôn ngữ: vie

Ký hiệu phân loại: 617.96 Anesthesiology

Thông tin xuất bản: Tạp chí y học việt nam (tổng hội y học việt nam), 2022

Mô tả vật lý: 193-196

Bộ sưu tập: Metadata

ID: 489606

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Đánh giá tác dụng giảm đau và các tác dụng không mong muốn sau mổ của phương pháp gây tê chọn lọc thân trên của đám rối thần kinh cánh tay một liều duy nhất dưới hướng dẫn của siêu âm ở bệnh nhân phẫu thuật nội soi khớp vai. 30 bệnh nhân phẫu thuật nội soi khớp vai theo chương trình được giảm đau sau mổ bằng phương pháp gây tê chọn lọc thân trên của đám rối thần kinh cánh tay một liều duy nhất dưới hướng dẫn của siêu âm tại Trung tâm Gây mê và Hồi sức ngooại khoa- Bệnh viện Việt Đức từ tháng 4 đến tháng 8 năm 2021. Thời gian thực hiện kĩ thuật, điểm đau VAS khi nghỉ và khi vận động, mức độ hài lòng của bệnh nhân và số lượng morphin tiêu thụ và một số tác dụng không mong muốn được ghi lại trong 24 giờ sau mổ. Thời gian thực hiện kĩ thuật trung bình là 5,12 ± 1,72 (phút). Điểm VAS trung bình khi nghỉ đều và lt
3 và khi vận động đều xấp xỉ 4 ở tất cả các thời điểm trong 24 giờ đầu sau mổ. Lượng morphin sử dụng trung bình là 16,56 ± 3,45 (mg) và 66,7% bệnh nhân có mức độ rất hài lòng và 23,3% ở mức độ hài lòng. Nghiên cứu của chúng tôi cho thấy phương pháp gây tê chọn lọc thân trên của đám rối thần kinh cánh tay một liều duy nhất ở bệnh nhân phẫu thuật nội soi khớp vaidưới hướng dẫn siêu âm có hiệu quả giảm đausau mổtrong 24 giờ đầu cho các phẫu thuậtnội soi khớp vai.The aim of the study was to evaluate the postoperative analgesic effect and undesirable effects of a single-shot of the selective supeior trunk brachial plexus under the guidance of ultrasound in patients undergoing arthroscopic shoulder surgery. 30 patients undergoing selective arthroscopic shoulder surgery received postoperative pain relief by single-shot of the selective supeior trunk brachial plexus under the guidance of ultrasound at the Center for Anesthesiavà amp
Surgical Intensive Care - Viet Duc University Hospital from April to August 2021. Duration of technique, VAS pain score at rest and during movement, patient satisfaction level and amount of morphin consumed and undesirable effects were recorded within 24 hours after surgery. The average time to perform was 5.12 ± 1.72 (minutes). The mean VAS score at rest và lt
3 and during movement was approximately 4 at all times during the first 24 hours after surgery. The average amount of morphine used was 16.56 ± 3.45 (mg) and 66.7% of patients were very satisfied and 23.3% were satisfied. Our study showed that a single-shot of the selective supeior trunk brachial plexus under the guidance of ultrasound may be reduced postoperative pain within 24 hoursin patients with arthroscopic shoulder surgery

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