Subcapsular local anesthesia approach in percutaneous liver biopsy: less pain, more comfort
Yıl: 2021 Cilt: 51 Sayı: 1 Sayfa Aralığı: 342 - 347 Metin Dili: İngilizce DOI: 10.3906/sag-2006-346 İndeks Tarihi: 26-01-2022
Subcapsular local anesthesia approach in percutaneous liver biopsy: less pain, more comfort
Öz: Background/aim: To compare the subjective level of pain in patients who underwent an ultrasound-guided percutaneous liver biopsy (PLB) after either pericapsular anesthesia (PA) or subcapsular anesthesia (SA), based on the numeric rating scale (NRS). Materials and methods: A total of 323 patients, mean age 51, range 21–82 years; 160 (49.5%) male, referred to the Interventional Radiology Clinic of Kocaeli University Faculty of Medicine for image-guided PLB, between June 2019 and May 2020 were included and randomized into two groups by anesthetic type; the first (n = 171) consisted of patients undergoing SA while the second (n = 152) included patients undergoing PA. The intensity of pain at 0, 1, and 6 h after PLB was evaluated between the groups using NRS. Results: At hours 0, 1, and 6, the median [range] NRS scores in the subcapsular and pericapsular groups were 2 [1–2] versus 3 [2–4] (P < 0.001), 1 [0–1] versus 1 [1–2] (P < 0.001), and 0 [0–0] versus 1 [0–1] (P < 0.001), respectively. Subgroup analysis revealed that the patients who underwent the subcostal procedure with subcapsular anesthesia reported the lowest pain scores and intercostal procedure with pericapsular anesthesia reported the worst pain scores for each time point: 0 h 1 [1–2] versus 3 [3–4], P < 0.001; 1 h 1 [0–1] versus 1 [1–2], P < 0.001; and 6 h 0 [0–0] versus 0 [0–1], P < 0.001, respectively. Conclusion: Subcapsular anesthesia is a well-tolerated procedure compared to a pericapsular procedure. Furthermore, the application of a subcapsular anesthetic with a subcostal approach was reported to result in the lowest pain and greatest patient comfort.Key words: Biopsy, liver, pain, local anesthesia
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Çakır Ö, Aksu C (2021). Subcapsular local anesthesia approach in percutaneous liver biopsy: less pain, more comfort. , 342 - 347. 10.3906/sag-2006-346 |
| Chicago | Çakır Özgür,Aksu Can Subcapsular local anesthesia approach in percutaneous liver biopsy: less pain, more comfort. (2021): 342 - 347. 10.3906/sag-2006-346 |
| MLA | Çakır Özgür,Aksu Can Subcapsular local anesthesia approach in percutaneous liver biopsy: less pain, more comfort. , 2021, ss.342 - 347. 10.3906/sag-2006-346 |
| AMA | Çakır Ö,Aksu C Subcapsular local anesthesia approach in percutaneous liver biopsy: less pain, more comfort. . 2021; 342 - 347. 10.3906/sag-2006-346 |
| Vancouver | Çakır Ö,Aksu C Subcapsular local anesthesia approach in percutaneous liver biopsy: less pain, more comfort. . 2021; 342 - 347. 10.3906/sag-2006-346 |
| IEEE | Çakır Ö,Aksu C "Subcapsular local anesthesia approach in percutaneous liver biopsy: less pain, more comfort." , ss.342 - 347, 2021. 10.3906/sag-2006-346 |
| ISNAD | Çakır, Özgür - Aksu, Can. "Subcapsular local anesthesia approach in percutaneous liver biopsy: less pain, more comfort". (2021), 342-347. https://doi.org/10.3906/sag-2006-346 |
| APA | Çakır Ö, Aksu C (2021). Subcapsular local anesthesia approach in percutaneous liver biopsy: less pain, more comfort. Turkish Journal of Medical Sciences, 51(1), 342 - 347. 10.3906/sag-2006-346 |
| Chicago | Çakır Özgür,Aksu Can Subcapsular local anesthesia approach in percutaneous liver biopsy: less pain, more comfort. Turkish Journal of Medical Sciences 51, no.1 (2021): 342 - 347. 10.3906/sag-2006-346 |
| MLA | Çakır Özgür,Aksu Can Subcapsular local anesthesia approach in percutaneous liver biopsy: less pain, more comfort. Turkish Journal of Medical Sciences, vol.51, no.1, 2021, ss.342 - 347. 10.3906/sag-2006-346 |
| AMA | Çakır Ö,Aksu C Subcapsular local anesthesia approach in percutaneous liver biopsy: less pain, more comfort. Turkish Journal of Medical Sciences. 2021; 51(1): 342 - 347. 10.3906/sag-2006-346 |
| Vancouver | Çakır Ö,Aksu C Subcapsular local anesthesia approach in percutaneous liver biopsy: less pain, more comfort. Turkish Journal of Medical Sciences. 2021; 51(1): 342 - 347. 10.3906/sag-2006-346 |
| IEEE | Çakır Ö,Aksu C "Subcapsular local anesthesia approach in percutaneous liver biopsy: less pain, more comfort." Turkish Journal of Medical Sciences, 51, ss.342 - 347, 2021. 10.3906/sag-2006-346 |
| ISNAD | Çakır, Özgür - Aksu, Can. "Subcapsular local anesthesia approach in percutaneous liver biopsy: less pain, more comfort". Turkish Journal of Medical Sciences 51/1 (2021), 342-347. https://doi.org/10.3906/sag-2006-346 |
