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Comprehensive Pain Control Strategy in Minimally Invasive Mitral Valve Repair
Purpose: The effect of our comprehensive strategy to reduce pain after minimally invasive mitral valve repair through a right mini-thoracotomy was assessed retrospectively. Methods: Our comprehensive strategy constituted the following: planned rib cutting to avoid rib injury, sufficient intercostal...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9209889/ https://www.ncbi.nlm.nih.gov/pubmed/34880158 http://dx.doi.org/10.5761/atcs.oa.21-00131 |
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author | Hosono, Mitsuharu Yasumoto, Hiroshi Kuwauchi, Shintaro Mitsunaga, Yoshino Tomohiko, Uetsuki Minato, Naoki Kawazoe, Kohei |
author_facet | Hosono, Mitsuharu Yasumoto, Hiroshi Kuwauchi, Shintaro Mitsunaga, Yoshino Tomohiko, Uetsuki Minato, Naoki Kawazoe, Kohei |
author_sort | Hosono, Mitsuharu |
collection | PubMed |
description | Purpose: The effect of our comprehensive strategy to reduce pain after minimally invasive mitral valve repair through a right mini-thoracotomy was assessed retrospectively. Methods: Our comprehensive strategy constituted the following: planned rib cutting to avoid rib injury, sufficient intercostal muscle division to mobilize the cut rib, limiting the number of intercostal ports, avoiding nerve entrapment, continuous extra-pleural intercostal nerve block, and regular use of oral non-steroidal anti-inflammatory drugs. We compared patients treated with this comprehensive strategy (Group S, n = 13) and patients before this strategy was implemented (Group C, n = 13). We used a numerical rating scale (NRS) as a pain scale during the first 3 days postoperatively. Results: The average NRS was significantly lower in Group S (0.82 ± 0.49) than in Group C (2.40 ± 1.46) (P <0.01). The maximum NRS was also significantly lower in Group S (3.23 ± 1.17) than in Group C (5.69 ± 2.43) (P <0.01). The number of patients using additional single-dose analgesic were significantly less in Group S (23.1%) than in Group C (84.6%) (P <0.01). Conclusion: Our comprehensive pain control strategy effectively reduced postoperative pain in minimally invasive mitral valve repair. |
format | Online Article Text |
id | pubmed-9209889 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-92098892022-07-06 Comprehensive Pain Control Strategy in Minimally Invasive Mitral Valve Repair Hosono, Mitsuharu Yasumoto, Hiroshi Kuwauchi, Shintaro Mitsunaga, Yoshino Tomohiko, Uetsuki Minato, Naoki Kawazoe, Kohei Ann Thorac Cardiovasc Surg Original Article Purpose: The effect of our comprehensive strategy to reduce pain after minimally invasive mitral valve repair through a right mini-thoracotomy was assessed retrospectively. Methods: Our comprehensive strategy constituted the following: planned rib cutting to avoid rib injury, sufficient intercostal muscle division to mobilize the cut rib, limiting the number of intercostal ports, avoiding nerve entrapment, continuous extra-pleural intercostal nerve block, and regular use of oral non-steroidal anti-inflammatory drugs. We compared patients treated with this comprehensive strategy (Group S, n = 13) and patients before this strategy was implemented (Group C, n = 13). We used a numerical rating scale (NRS) as a pain scale during the first 3 days postoperatively. Results: The average NRS was significantly lower in Group S (0.82 ± 0.49) than in Group C (2.40 ± 1.46) (P <0.01). The maximum NRS was also significantly lower in Group S (3.23 ± 1.17) than in Group C (5.69 ± 2.43) (P <0.01). The number of patients using additional single-dose analgesic were significantly less in Group S (23.1%) than in Group C (84.6%) (P <0.01). Conclusion: Our comprehensive pain control strategy effectively reduced postoperative pain in minimally invasive mitral valve repair. The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery 2021-12-07 2022 /pmc/articles/PMC9209889/ /pubmed/34880158 http://dx.doi.org/10.5761/atcs.oa.21-00131 Text en ©2022 Annals of Thoracic and Cardiovascular Surgery https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial-NonDerivatives International License (https://creativecommons.org/licenses/by-nc-nd/4.0/) |
spellingShingle | Original Article Hosono, Mitsuharu Yasumoto, Hiroshi Kuwauchi, Shintaro Mitsunaga, Yoshino Tomohiko, Uetsuki Minato, Naoki Kawazoe, Kohei Comprehensive Pain Control Strategy in Minimally Invasive Mitral Valve Repair |
title | Comprehensive Pain Control Strategy in Minimally Invasive Mitral Valve Repair |
title_full | Comprehensive Pain Control Strategy in Minimally Invasive Mitral Valve Repair |
title_fullStr | Comprehensive Pain Control Strategy in Minimally Invasive Mitral Valve Repair |
title_full_unstemmed | Comprehensive Pain Control Strategy in Minimally Invasive Mitral Valve Repair |
title_short | Comprehensive Pain Control Strategy in Minimally Invasive Mitral Valve Repair |
title_sort | comprehensive pain control strategy in minimally invasive mitral valve repair |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9209889/ https://www.ncbi.nlm.nih.gov/pubmed/34880158 http://dx.doi.org/10.5761/atcs.oa.21-00131 |
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