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    Please use this identifier to cite or link to this item: https://ir.cnu.edu.tw/handle/310902800/34614


    標題: Effect of Intraoperative Phrenic Nerve Infiltration on Postoperative Ipsilateral Shoulder Pain After Thoracic Surgeries: A Systematic Review and Meta-Analysis of Randomized Controlled Studies
    作者: Hung, Yi-An
    Sun, Cheuk-Kwan
    Chiang, Min-Hsien
    Chen, Jui-Yi
    Ko, Ching-Chung
    Chen, Chih-Chun
    Chen, Yu
    Teng, I-Chia
    Hung, Kuo-Chuan
    貢獻者: Taichung Veterans General Hospital
    E-Da Hospital
    I Shou University
    Chi Mei Hospital
    Department of Health and Nutrition, Chia Nan University of Pharmacy & Science
    Chi Mei Hospital
    Chang Gung Memorial Hospital
    Chang Gung University
    Chang Gung Memorial Hospital
    Chi Mei Hospital
    National Sun Yat Sen University
    Department of Hospital and Health Care Administration, Chia Nan University of Pharmacy & Science
    關鍵字: brachial-plexus anesthesia
    double-blind
    epidural-analgesia
    local-anesthetics
    thoracotomy
    block
    mechanoreceptors
    ropivacaine
    0.5-percent
    bupivacaine
    日期: 2022
    上傳時間: 2023-12-11 14:00:48 (UTC+8)
    出版者: W B SAUNDERS CO-ELSEVIER INC
    摘要: Objectives: This meta-analysis was aimed at investigating the effectiveness and safety of phrenic nerve infiltration (PNI) against ipsilateral shoulder pain (ISP) after thoracic surgery. Design: A systematic review and meta-analysis of randomized controlled trials (RCTs). Setting: Operating room. Participants: Patients undergoing thoracic surgery. Interventions: PNI. Measurements and Main Results: MEDLINE, Cochrane Library, and EMBASE databases were searched from inception through December 2021. The primary outcome was the overall incidence of ISP, with secondary outcomes including incidence and severity of ISP at postoperative 6, 24, and 48 hours. Six RCTs involving 482 patients undergoing thoracic surgery were included. Pooled results found a significantly lower incidence of overall ISP in patients with PNI (ie, 23.6%) compared to those without (ie, 53.2%; risk ratio: 0.46, 95% confidence interval: 0.34-0.61; 1 2 = 19%; 6 RCTs; n = 474; certainty of evidence = high). At postoperative 6, 24, and 48 hours, there was also a significantly lower incidence of ISP in the PNI group than in the control group (certainty of evidence for all outcomes = high). Besides, the severity of ISP was lower in the PNI group at 6 (certainty of evidence = moderate) and 24 hours (certainty of evidence = high), with insufficient data for analysis at 48 hours because of only 1 trial. Conclusion: This meta-analysis showed that PNI not only reduced the incidence but also improved the severity of ipsilateral shoulder pain after thoracic surgery with a prophylactic effect lasting up to 48 hours. The limited number of included studies warrants further research to support these findings. (C) 2022 Elsevier Inc. All rights reserved.
    關聯: Journal of Cardiothoracic and Vascular Anesthesia, v.36, n.8, Part B, pp.3334-3343
    Appears in Collections:[保健營養系(所) ] 期刊論文
    [醫務管理系(所)] 期刊論文

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