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Use of the On-Q system for pain management after robot - assisted endoscopic transaxillary thyroidectomyomy
DC Field | Value | Language |
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dc.contributor.author | 김기준 | - |
dc.contributor.author | 민경태 | - |
dc.contributor.author | 이성진 | - |
dc.contributor.author | 정웅윤 | - |
dc.contributor.author | 최승호 | - |
dc.date.accessioned | 2014-12-18T09:34:10Z | - |
dc.date.available | 2014-12-18T09:34:10Z | - |
dc.date.issued | 2013 | - |
dc.identifier.issn | 1975-5171 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/88415 | - |
dc.description.abstract | Background: The robot-assisted transaxillary approach to thyroid surgery is a novel method that has recently been used to improve patient safety and cosmetic outcomes. We evaluated post-operative pain, following robot-assisted endoscopic transaxillary thyroid surgery, and pain relief using a continuous wound perfusion system with local anesthetics. Methods: In a control group of 25 female patients who underwent robot-assisted endoscopic transaxillary thyroidectomy, the post-ope-rative pain scores and characteristics as well as analgesic use were monitored. Fifty female patients undergoing robot-assisted endo-scopic transaxillary thyroidectomy were given the On-Q system. They were then randomly assigned to receive one of two different local anesthetic doses: Group I (0.25% Ropivacaine, n = 25); and Group II (0.375% Ropivacaine, n = 25). The pain score, pain site, analgesic requirements and side effects of each group were recorded during the 48 hour period post-surgery. Results: Post-operative pain scores and analgesic demand were lower in the On-Q groups than in the control group. No difference was found between Group I and Group II. Until 6?12 hours after surgery, pain was mainly located in the axilla, while after 6?12 hours, the primary location of pain had a tendency to move to the neck. Pain scores gradually decreased in time for all patients. Conclusions: Patients who underwent robot-assisted endoscopic transaxillary thyroidectomy with an On-Q system injecting 0.25% ropivacaine had lower pain scores, showing the effectiveness of the system. As a potential pain blocker, continuous wound perfusion with the On-Q system attenuates side effects. This could lead to shortened hospital stays after robot-assisted endoscopic transa-xillary thyroidectomy. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | Korean | - |
dc.publisher | Korean Society of Anesthesiologists | - |
dc.relation.isPartOf | Anesthesia and Pain Medicine | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | Use of the On-Q system for pain management after robot - assisted endoscopic transaxillary thyroidectomyomy | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Anesthesiology (마취통증의학) | - |
dc.contributor.googleauthor | Woo Young Park | - |
dc.contributor.googleauthor | Ki Jun Kim | - |
dc.contributor.googleauthor | Kyoung Tae Min | - |
dc.contributor.googleauthor | Seung Ho Choi | - |
dc.contributor.googleauthor | Sung Jin Lee | - |
dc.contributor.googleauthor | Woong Youn Chung | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00340 | - |
dc.contributor.localId | A01400 | - |
dc.contributor.localId | A02872 | - |
dc.contributor.localId | A03674 | - |
dc.contributor.localId | A04101 | - |
dc.relation.journalcode | J00145 | - |
dc.identifier.eissn | 2383-7977 | - |
dc.contributor.alternativeName | Kim, Ki Jun | - |
dc.contributor.alternativeName | Min, Kyeong Tae | - |
dc.contributor.alternativeName | Lee, Sung Jin | - |
dc.contributor.alternativeName | Chung, Woung Youn | - |
dc.contributor.alternativeName | Choi, Seung Ho | - |
dc.contributor.affiliatedAuthor | Kim, Ki Jun | - |
dc.contributor.affiliatedAuthor | Min, Kyeong Tae | - |
dc.contributor.affiliatedAuthor | Lee, Sung Jin | - |
dc.contributor.affiliatedAuthor | Chung, Woung Youn | - |
dc.contributor.affiliatedAuthor | Choi, Seung Ho | - |
dc.rights.accessRights | not available | - |
dc.citation.volume | 8 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 216 | - |
dc.citation.endPage | 221 | - |
dc.identifier.bibliographicCitation | Anesthesia and Pain Medicine, Vol.8(4) : 216-221, 2013 | - |
dc.identifier.rimsid | 32499 | - |
dc.type.rims | ART | - |
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