The Efficacy of Ultrasound-Guided Paravertebral Block in Laparoscopic Cholecystectomy

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dc.contributor.authorAydin, Gulcin
dc.contributor.authorAydin, Oktay
dc.date.accessioned2020-06-25T18:29:21Z
dc.date.available2020-06-25T18:29:21Z
dc.date.issued2018
dc.departmentKırıkkale Üniversitesi
dc.descriptionAydin, Oktay/0000-0001-5728-0128; Aydin, Gulcin/0000-0001-9672-7666
dc.description.abstractBackground and objectives: Despite its wide use in thoracic procedures, to date, few studies have assessed the effectiveness of paravertebral block (PVB) in laparoscopic cholecystectomy (LC) in an adult population. In these studies, PVB was performed bilaterally using nerve stimulator guidance. To the best of our knowledge, the effectiveness of unilateral preoperative and postoperative ultrasound-guided PVB has not been evaluated in patients undergoing elective LC. The aim of this study was to evaluate the efficacy of single-dose unilateral paravertebral block (PVB) in patients undergoing laparoscopic cholecystectomy (LC) under general anesthesia. Materials and Methods: Patients undergoing LC were randomly separated into control, preoperative block, and postoperative block groups. PVB was performed unilaterally using bupivacaine under ultrasound guidance. Postoperative pain within the first 24 h, side effects, intraoperative opioid and postoperative analgesic requirements were noted. Evaluation was made of a total of 90 patients (25 males, 65 females) with a mean age of 45.78 +/- 14.0 years (range, 19-74 years). Results: Opioid and additional analgesic needs and nausea/vomiting rates were significantly reduced in the preoperative block group compared to the other groups (p < 0.05). Visual Analog Scale (VAS) scores were significantly lower in the preoperative and postoperative block groups compared to the control group (p < 0.05 for all). When the VAS scores were compared between the preoperative and postoperative block groups, a significant difference in favor of the preoperative group was observed in terms of the zero minute-, 1st and 2nd h assessments (p < 0.05 for all). Conclusions: Ultrasound-guided PVB is a useful and safe approach for pain management during and after LC. Preoperative block can also reduce the rate of requirement for intraoperative opioid and postoperative analgesia.en_US
dc.identifier.citationAydin G, Aydin O. The Efficacy of Ultrasound-Guided Paravertebral Block in Laparoscopic Cholecystectomy. Medicina. 2018; 54(5):75.en_US
dc.identifier.doi10.3390/medicina54050075
dc.identifier.issn1010-660X
dc.identifier.issn1648-9144
dc.identifier.issue5en_US
dc.identifier.pmid30360531
dc.identifier.scopus2-s2.0-85055618550
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.3390/medicina54050075
dc.identifier.urihttps://hdl.handle.net/20.500.12587/7261
dc.identifier.volume54en_US
dc.identifier.wosWOS:000451163200010
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherMdpien_US
dc.relation.ispartofMedicina-Lithuania
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectultrasonographyen_US
dc.subjectultrasounden_US
dc.subjectperipheral nerve blocken_US
dc.subjectultrasound-guided injectionen_US
dc.titleThe Efficacy of Ultrasound-Guided Paravertebral Block in Laparoscopic Cholecystectomyen_US
dc.typeArticle

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