Please use this identifier to cite or link to this item: http://cmuir.cmu.ac.th/jspui/handle/6653943832/58995
Full metadata record
DC FieldValueLanguage
dc.contributor.authorTanyong Pipanmekapornen_US
dc.contributor.authorYodying Punjasawadwongen_US
dc.contributor.authorSomrat Charuluxanananen_US
dc.contributor.authorWorawut Lapisatepunen_US
dc.contributor.authorPavena Bunburaphongen_US
dc.contributor.authorSettapong Boonsrien_US
dc.contributor.authorApichat Tantraworasinen_US
dc.contributor.authorNutchanart Bunchungmongkolen_US
dc.date.accessioned2018-09-05T04:36:07Z-
dc.date.available2018-09-05T04:36:07Z-
dc.date.issued2018-02-01en_US
dc.identifier.issn15328422en_US
dc.identifier.issn10530770en_US
dc.identifier.other2-s2.0-85041410863en_US
dc.identifier.other10.1053/j.jvca.2017.05.048en_US
dc.identifier.urihttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85041410863&origin=inwarden_US
dc.identifier.urihttp://cmuir.cmu.ac.th/jspui/handle/6653943832/58995-
dc.description.abstract© 2018 Elsevier Inc. Objectives: To determine the incidence of ipsilateral shoulder pain (ISP) with the therapeutic use of parecoxib compared with a placebo after thoracotomy. Design: A prospective, randomized, double-blind, placebo-controlled trial. Setting: A tertiary-care university hospital. Participants: Adult patients undergoing an elective thoracotomy between June 2011 and February 2015. Interventions: Patients were allocated randomly into the parecoxib group (n = 80) and the control group (n = 80). In the parecoxib group, 40 mg of parecoxib was diluted into 2 mL and given intravenously 30 minutes before surgery and then every 12 hours postoperatively for 48 hours. In the control group, 2 mL of normal saline was given to the patients at the same intervals. Measurements and Main Results: A numerical rating scale was used to assess the intensity of ISP at 2, 6, 12, 24, 48, 72, and 96 hours after surgery. Intravenous morphine (0.05 mg/kg) was used as the rescue medication for ISP during the 96-hour period. Baseline characteristics of patients in both groups were comparable. Patients in the parecoxib group had a significantly lower incidence of ISP, both overall (42.5% v 62.0%, p = 0.014) and of moderate-to-severe ISP when compared with the control group (26.2% v 49.4%, p = 0.003). Parecoxib reduced the risk of ISP by a statistically significant 32% (risk ratio, 0.68; 95% confidence interval, 0.50-0.93, p = 0.016). There were no significant differences in the occurrence of adverse effects between the groups. Conclusions: Intravenous parecoxib significantly can reduce the incidence and severity of ISP after thoracotomy.en_US
dc.subjectMedicineen_US
dc.titleThe Effectiveness of Intravenous Parecoxib on the Incidence of Ipsilateral Shoulder Pain After Thoracotomy: A Randomized, Double-Blind, Placebo-Controlled Trialen_US
dc.typeJournalen_US
article.title.sourcetitleJournal of Cardiothoracic and Vascular Anesthesiaen_US
article.volume32en_US
article.stream.affiliationsChiang Mai Universityen_US
article.stream.affiliationsChulalongkorn Universityen_US
Appears in Collections:CMUL: Journal Articles

Files in This Item:
There are no files associated with this item.


Items in CMUIR are protected by copyright, with all rights reserved, unless otherwise indicated.