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Thorac Cardiovasc Surg 2024; 72(06): 476-482
DOI: 10.1055/a-2168-9081
Original Thoracic

Continuous Analgesia with Intercostal Catheterization after Thoracoscopy

Yifei Wang   *
1   Department of Thoracic Surgery, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai, China
,
Qi Sun   *
1   Department of Thoracic Surgery, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai, China
,
Yiling Huang   *
2   Department of Nursing, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai, China
,
Qinghua Yang   *
3   Department of Cardiovascular Surgery, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai, China
,
Rong Chen
2   Department of Nursing, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai, China
,
Xianwei Zhang
1   Department of Thoracic Surgery, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai, China
,
Xuewei Zhao
1   Department of Thoracic Surgery, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai, China
,
Mingdong Wang
1   Department of Thoracic Surgery, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai, China
› Author Affiliations
Funding This work was supported by the Hongkou District Health and Family Planning Commission (2103-06), Shanghai, China.
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Abstract

Background There are few studies on continuous intercostal nerve block after single operation hole thoracoscopic surgery, that is, two-port thoracoscopic surgery.

Objective To evaluate the analgesic effect of continuous intercostal nerve block after thoracoscopic surgery.

Methods A total of 80 patients who underwent single operation hole thoracoscopic surgery in our hospital between September 2020 and June 2021 were enrolled and divided into two groups. Based on basic analgesia, an intercostal catheter was placed during the operation for continuous intercostal block analgesia after the operation in the experimental group (group A, n = 40). The control group (group B, n = 40) was treated with sufentanil intravenous analgesia after surgery, which is namely “basic analgesia.” The postoperative pain scores, restlessness during the recovery period, effect on reducing opioid use, postoperative chest complications, patient satisfaction, etc., were compared between the two groups.

Results The pain scores of patients in group A were significantly lower compared with those in group B at 12, 24, 36, and 48 hours after surgery (3.325 ± 1.163 vs. 4.550 ± 1.176, 2.650 ± 1.001 vs. 4.000 ± 1.038, 2.325 ± 0.917 vs. 3.700 ± 0.966, and 1.775 ± 1.050 vs. 3.150 ± 1.075, p < 0.001, respectively). Sufentanil consumption in group A was significantly lower than in group B at 48 hours after surgery (98.625 ± 4.158 vs. 106.000 ± 7.228, p < 0.001).

Conclusion Multimodal analgesia is ideal for early pain control after thoracotomy. A continuous intercostal nerve block can effectively reduce postoperative pain in patients.

Keywords

thoracoscopy/VATS - postoperative - lung - treatment

Data Availability Statement

The data that support the findings of this study are available from the corresponding authors, Mingdong Wang and Xuewei Zhao, upon reasonable request.


Ethical Approval Statement

Ethics committee of Shanghai Fourth People's Hospital and Internal Review Board of Shanghai Fourth People's Hospital have approved this study (NO.: 2020129-001). Declaration of Helsinki and International Ethical Guidelines for Health-related Research Involving Humans are followed. The patients have provided consent for participating the study and publication of the data on any journal.


Authors' Contribution

Y.W., Q.S., and Y.H. drafted the manuscript. They completed the manuscript with approximately the same number of words. Q.Y. performed statistical analysis. This is crucial for the article. M.W. and Y.W. performed analysis and interpretation of the data. X.Z. and R.C. collected data. M.W. and X.Z. designed the study. The research design and guidance implementation were both completed in close collaboration between the two individuals. Critical revision of the manuscript was done by M.W.


* These authors contributed equally to this work.




Publication History

Received: 03 May 2023

Accepted: 05 September 2023

Accepted Manuscript online:
06 September 2023

Article published online:
17 October 2023

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Letter to this article:

Comment on: “Continuous Analgesia with Intercostal Catheterization under the Thoracoscopy”Thorac Cardiovasc Surg 2024; 72(06): 483-484
DOI: 10.1055/a-2192-5837