Ultrasound-Guided Caudal Block for Anal Canal Surgery : A Prospective Cohort Study
ABSTRACT: Introduction: Postoperative pain is an important symptom in patients after non-oncological anal canal surgery. A caudal block has shown to be an effective analgesic technique in this type of surgery, and ultrasound facilitates its performance and increases the rate of a successful block. W...
- Autores:
-
Cadavid Puentes, Adriana Margarita
Martínez, Sandra
Joaqui, William H
Escobar, J.
Botero, J.
Mavarez Martínez, A.
Bergese, SD
- Tipo de recurso:
- Article of investigation
- Fecha de publicación:
- 2018
- Institución:
- Universidad de Antioquia
- Repositorio:
- Repositorio UdeA
- Idioma:
- eng
- OAI Identifier:
- oai:bibliotecadigital.udea.edu.co:10495/32007
- Acceso en línea:
- https://hdl.handle.net/10495/32007
- Palabra clave:
- Anestesia Caudal
Anesthesia, Caudal
Dolor Postoperatorio
Pain, Postoperative
Canal Anal
Anal Canal
Ultrasonografía
Ultrasonography
Procedimientos Quirúrgicos Ambulatorios
Ambulatory Surgical Procedures
- Rights
- openAccess
- License
- http://creativecommons.org/licenses/by/2.5/co/
id |
UDEA2_83d2a84df7b98f3f84af6a3a00b01af0 |
---|---|
oai_identifier_str |
oai:bibliotecadigital.udea.edu.co:10495/32007 |
network_acronym_str |
UDEA2 |
network_name_str |
Repositorio UdeA |
repository_id_str |
|
dc.title.spa.fl_str_mv |
Ultrasound-Guided Caudal Block for Anal Canal Surgery : A Prospective Cohort Study |
title |
Ultrasound-Guided Caudal Block for Anal Canal Surgery : A Prospective Cohort Study |
spellingShingle |
Ultrasound-Guided Caudal Block for Anal Canal Surgery : A Prospective Cohort Study Anestesia Caudal Anesthesia, Caudal Dolor Postoperatorio Pain, Postoperative Canal Anal Anal Canal Ultrasonografía Ultrasonography Procedimientos Quirúrgicos Ambulatorios Ambulatory Surgical Procedures |
title_short |
Ultrasound-Guided Caudal Block for Anal Canal Surgery : A Prospective Cohort Study |
title_full |
Ultrasound-Guided Caudal Block for Anal Canal Surgery : A Prospective Cohort Study |
title_fullStr |
Ultrasound-Guided Caudal Block for Anal Canal Surgery : A Prospective Cohort Study |
title_full_unstemmed |
Ultrasound-Guided Caudal Block for Anal Canal Surgery : A Prospective Cohort Study |
title_sort |
Ultrasound-Guided Caudal Block for Anal Canal Surgery : A Prospective Cohort Study |
dc.creator.fl_str_mv |
Cadavid Puentes, Adriana Margarita Martínez, Sandra Joaqui, William H Escobar, J. Botero, J. Mavarez Martínez, A. Bergese, SD |
dc.contributor.author.none.fl_str_mv |
Cadavid Puentes, Adriana Margarita Martínez, Sandra Joaqui, William H Escobar, J. Botero, J. Mavarez Martínez, A. Bergese, SD |
dc.subject.decs.none.fl_str_mv |
Anestesia Caudal Anesthesia, Caudal Dolor Postoperatorio Pain, Postoperative Canal Anal Anal Canal Ultrasonografía Ultrasonography Procedimientos Quirúrgicos Ambulatorios Ambulatory Surgical Procedures |
topic |
Anestesia Caudal Anesthesia, Caudal Dolor Postoperatorio Pain, Postoperative Canal Anal Anal Canal Ultrasonografía Ultrasonography Procedimientos Quirúrgicos Ambulatorios Ambulatory Surgical Procedures |
description |
ABSTRACT: Introduction: Postoperative pain is an important symptom in patients after non-oncological anal canal surgery. A caudal block has shown to be an effective analgesic technique in this type of surgery, and ultrasound facilitates its performance and increases the rate of a successful block. We aimed to determine the effectiveness of ultrasound-guided caudal block (UGCB) in anesthesia and postoperative analgesia in patients scheduled for benign anal surgery. Methods: This was a prospective interventional cohort study in adult patients who underwent benign anal surgery under UGCB. We evaluated the effectiveness of the intervention based on postoperative pain intensity measured with the numeric rating scale (NRS) at the following postoperative time points: 6, 12 and 24 hours. The following outcomes were included in our analysis: lower limbs motor block, urinary retention, rescue analgesia, and patient’s analgesia satisfaction. Results: A total of 23 patients were included for data analysis. At least 65% of the study population reported none to mild pain (NRS ≤ 3) during the first 24 hours after surgery. None of the study patients experienced complete motor block in lower extremities or urinary retention. The mean time for patients to request the first rescue analgesia was 6.4 hours. The survey results indicated that 22 patients (95.7%) out of 23 were satisfied with the postoperative pain control. Conclusions: UGCB is an effective, easy to perform intervention in patients with benign anal canal surgery. This technique offers an alternative multimodal pain control therapy with satisfactory analgesic effect and low rate of adverse events. |
publishDate |
2018 |
dc.date.issued.none.fl_str_mv |
2018 |
dc.date.accessioned.none.fl_str_mv |
2022-11-13T17:22:27Z |
dc.date.available.none.fl_str_mv |
2022-11-13T17:22:27Z |
dc.type.spa.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.coarversion.fl_str_mv |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
dc.type.hasversion.spa.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.coar.spa.fl_str_mv |
http://purl.org/coar/resource_type/c_2df8fbb1 |
dc.type.redcol.spa.fl_str_mv |
https://purl.org/redcol/resource_type/ART |
dc.type.local.spa.fl_str_mv |
Artículo de investigación |
format |
http://purl.org/coar/resource_type/c_2df8fbb1 |
status_str |
publishedVersion |
dc.identifier.citation.spa.fl_str_mv |
Adriana M Cadavid, Sandra M Martínez, William H Joaqui, Escobar J, Botero J, Mavarez-Martinez A, et al., Ultrasound-Guided Caudal Block for Anal Canal Surgery: A Prospective Cohort Study. Int J Anesth Res. 2018;6(7):532-536. doi: http://dx.doi.org/10.19070/2332-2780-18000107 |
dc.identifier.issn.none.fl_str_mv |
2332-2780 |
dc.identifier.uri.none.fl_str_mv |
https://hdl.handle.net/10495/32007 |
dc.identifier.doi.none.fl_str_mv |
10.19070/2332-2780-18000107 |
identifier_str_mv |
Adriana M Cadavid, Sandra M Martínez, William H Joaqui, Escobar J, Botero J, Mavarez-Martinez A, et al., Ultrasound-Guided Caudal Block for Anal Canal Surgery: A Prospective Cohort Study. Int J Anesth Res. 2018;6(7):532-536. doi: http://dx.doi.org/10.19070/2332-2780-18000107 2332-2780 10.19070/2332-2780-18000107 |
url |
https://hdl.handle.net/10495/32007 |
dc.language.iso.spa.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartofjournalabbrev.spa.fl_str_mv |
Int. J. Anesthesiol. Res. |
dc.rights.spa.fl_str_mv |
info:eu-repo/semantics/openAccess |
dc.rights.uri.*.fl_str_mv |
http://creativecommons.org/licenses/by/2.5/co/ |
dc.rights.accessrights.spa.fl_str_mv |
http://purl.org/coar/access_right/c_abf2 |
dc.rights.creativecommons.spa.fl_str_mv |
https://creativecommons.org/licenses/by/4.0/ |
eu_rights_str_mv |
openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by/2.5/co/ http://purl.org/coar/access_right/c_abf2 https://creativecommons.org/licenses/by/4.0/ |
dc.format.extent.spa.fl_str_mv |
5 |
dc.format.mimetype.spa.fl_str_mv |
application/pdf |
dc.publisher.spa.fl_str_mv |
Sci Doc Publishers |
dc.publisher.group.spa.fl_str_mv |
Grupo de Investigación en Medicina Perioperatoria (GRIMPA) |
dc.publisher.place.spa.fl_str_mv |
Lewes, Estados Unidos |
institution |
Universidad de Antioquia |
bitstream.url.fl_str_mv |
https://bibliotecadigital.udea.edu.co/bitstream/10495/32007/1/CadavidAdriana_2018_UltrasoundCanalSurgery.pdf https://bibliotecadigital.udea.edu.co/bitstream/10495/32007/2/license_rdf https://bibliotecadigital.udea.edu.co/bitstream/10495/32007/3/license.txt |
bitstream.checksum.fl_str_mv |
871077742ce31d611ce11671c8406015 1646d1f6b96dbbbc38035efc9239ac9c 8a4605be74aa9ea9d79846c1fba20a33 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositorio Institucional Universidad de Antioquia |
repository.mail.fl_str_mv |
andres.perez@udea.edu.co |
_version_ |
1812173160327413760 |
spelling |
Cadavid Puentes, Adriana MargaritaMartínez, SandraJoaqui, William HEscobar, J.Botero, J.Mavarez Martínez, A.Bergese, SD2022-11-13T17:22:27Z2022-11-13T17:22:27Z2018Adriana M Cadavid, Sandra M Martínez, William H Joaqui, Escobar J, Botero J, Mavarez-Martinez A, et al., Ultrasound-Guided Caudal Block for Anal Canal Surgery: A Prospective Cohort Study. Int J Anesth Res. 2018;6(7):532-536. doi: http://dx.doi.org/10.19070/2332-2780-180001072332-2780https://hdl.handle.net/10495/3200710.19070/2332-2780-18000107ABSTRACT: Introduction: Postoperative pain is an important symptom in patients after non-oncological anal canal surgery. A caudal block has shown to be an effective analgesic technique in this type of surgery, and ultrasound facilitates its performance and increases the rate of a successful block. We aimed to determine the effectiveness of ultrasound-guided caudal block (UGCB) in anesthesia and postoperative analgesia in patients scheduled for benign anal surgery. Methods: This was a prospective interventional cohort study in adult patients who underwent benign anal surgery under UGCB. We evaluated the effectiveness of the intervention based on postoperative pain intensity measured with the numeric rating scale (NRS) at the following postoperative time points: 6, 12 and 24 hours. The following outcomes were included in our analysis: lower limbs motor block, urinary retention, rescue analgesia, and patient’s analgesia satisfaction. Results: A total of 23 patients were included for data analysis. At least 65% of the study population reported none to mild pain (NRS ≤ 3) during the first 24 hours after surgery. None of the study patients experienced complete motor block in lower extremities or urinary retention. The mean time for patients to request the first rescue analgesia was 6.4 hours. The survey results indicated that 22 patients (95.7%) out of 23 were satisfied with the postoperative pain control. Conclusions: UGCB is an effective, easy to perform intervention in patients with benign anal canal surgery. This technique offers an alternative multimodal pain control therapy with satisfactory analgesic effect and low rate of adverse events.COL00943145application/pdfengSci Doc PublishersGrupo de Investigación en Medicina Perioperatoria (GRIMPA)Lewes, Estados Unidosinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARTArtículo de investigaciónhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by/2.5/co/http://purl.org/coar/access_right/c_abf2https://creativecommons.org/licenses/by/4.0/Ultrasound-Guided Caudal Block for Anal Canal Surgery : A Prospective Cohort StudyAnestesia CaudalAnesthesia, CaudalDolor PostoperatorioPain, PostoperativeCanal AnalAnal CanalUltrasonografíaUltrasonographyProcedimientos Quirúrgicos AmbulatoriosAmbulatory Surgical ProceduresInt. J. Anesthesiol. Res.International Journal of Anesthesiology & Research53253667ORIGINALCadavidAdriana_2018_UltrasoundCanalSurgery.pdfCadavidAdriana_2018_UltrasoundCanalSurgery.pdfArtículo de investigaciónapplication/pdf258340https://bibliotecadigital.udea.edu.co/bitstream/10495/32007/1/CadavidAdriana_2018_UltrasoundCanalSurgery.pdf871077742ce31d611ce11671c8406015MD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8927https://bibliotecadigital.udea.edu.co/bitstream/10495/32007/2/license_rdf1646d1f6b96dbbbc38035efc9239ac9cMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81748https://bibliotecadigital.udea.edu.co/bitstream/10495/32007/3/license.txt8a4605be74aa9ea9d79846c1fba20a33MD5310495/32007oai:bibliotecadigital.udea.edu.co:10495/320072022-11-13 12:22:28.078Repositorio Institucional Universidad de Antioquiaandres.perez@udea.edu.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 |