Comparison of Quality of Recovery between Modified Thoracoabdominal Nerves Block through Perichondrial Approach versus Oblique Subcostal Transversus Abdominis Plane Block in Patients Undergoing Total Laparoscopic Hysterectomy: A Pilot Randomized Controlled Trial 3

• 資料種別: 博士論文
• タイトル: Comparison of Quality of Recovery between Modified Thoracoabdominal Nerves Block through Perichondrial Approach versus Oblique Subcostal Transversus Abdominis Plane Block in Patients Undergoing Total Laparoscopic Hysterectomy: A Pilot Randomized Controlled Trial
• 巻次・部編番号: 13 3
• 著者・編者: Suzuka, Takanori; Tanaka, Nobuhiro; Kadoya, Yuma; Ida, Mitsuru; Iwata, Masato; Ozu, Naoki; Kawaguchi, Masahiko
• 著者標目: Suzuka, Takanori; Tanaka, Nobuhiro; Kadoya, Yuma; Ida, Mitsuru; Iwata, Masato; Ozu, Naoki; Kawaguchi, Masahiko
• 出版事項: MDPI
• 出版年月日等: 2024-01; 13 3
• 出版年（W3CDTF）: 2024-01
• 並列タイトル等: 腹腔鏡下子宮全摘出術における、M-TAPAと肋骨弓下斜角腹横筋膜面ブロックの回復の質の比較：パイロット無作為化比較試験
• タイトル（掲載誌）: Journal of Clinical Medicine
• 掲載ページ: 712-
• ISSN（掲載誌）: 20770383
• 授与機関名: 奈良県立医科大学
• 授与年月日: 2024-09-27
• 授与年月日（W3CDTF）: 2024-09-27
• 報告番号: 甲第937号
• 学位: 博士（医学）
• 本文の言語コード: eng
• 件名標目: nerve block; pain management; pain; postoperative period; postoperative complications; regional anesthesia
• 対象利用者: 一般
• 一般注記: type:Thesis; Modified thoracoabdominal nerves block through a perichondrial approach (M-TAPA) provides a wide analgesic range. Herein, we examined the quality of recovery (QoR) of M-TAPA for total laparoscopic hysterectomy (TLH) compared with oblique subcostal transversus abdominis plane block (OSTAPB) and measured plasma levobupivacaine concentrations (PClevo). Forty female patients undergoing TLH were randomized to each group. Nerve blocks were performed bilaterally with 25 mL of 0.25% levobupivacaine administered per side. The primary outcome was changes in QoR-15 scores on postoperative days (POD) 1 and 2 from the preoperative baseline. The main secondary outcomes were PClevo at 15, 30, 45, 60, and 120 min after performing nerve block. Group differences (M-TAPA-OSTAPB) in mean changes from baseline in QoR-15 scores on POD 1 and 2 were -11.3 (95% confidence interval (CI), -24.9 to 2.4, p = 0.104; standard deviation (SD), 22.8) and -7.0 (95% CI, -20.5 to 6.6, p = 0.307; SD, 18.7), respectively. Changes in PClevo were similar in both groups. The post hoc analysis using Bayesian statistics revealed that posterior probabilities of M-TAPA being clinically more effective than OSTAPB were up to 22.4 and 24.4% for POD 1 and 2, respectively. In conclusion, M-TAPA may not be superior to OSTAPB for TLH.; 権利情報：© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).; identifier:Journal of Clinical Medicine. 2024 Jan, vol.13, no.3, article no.712; identifier:2077-0383; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/4413; identifier:Journal of Clinical Medicine, 13(3): 712
• 国立国会図書館永続的識別子: info:ndljp/pid/13803536; https://dl.ndl.go.jp/pid/13803536
• コレクション（共通）: 障害者向け資料
• コレクション（障害者向け資料：レベル1）: テキストデータ
• コレクション（個別）: 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• 収集根拠: 博士論文（自動収集）
• 受理日（W3CDTF）: 2024-11-12T17:29:51+09:00
• 記録形式（IMT）: application/pdf
• オンライン閲覧公開範囲: 国立国会図書館内限定公開
• デジタル化資料送信: 図書館・個人送信対象外
• 遠隔複写可否（NDL）: 可
• 関連情報（URI）: https://doi.org/10.3390/jcm13030712
• 掲載誌（URI）: http://hdl.handle.net/10564/4413
• 連携機関・データベース: 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp