end stage renal disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. The enrolled patients were aged 20-50 years; 2. Sign informed consent; 3. ASA III-IV?; 4. Perfect preoperative examination, composite kidney transplantation operation indication.
Exclusion criteria
Exclusion criteria: 1. Patients with poor general condition and unsuitable for surgery, severe cardiac and pulmonary dysfunction, and insufficiency of vital organ and palace functions, are difficult to tolerate surgery; Severe anemia. 2. Abnormal coagulation, respiratory failure, and a history of previous kidney transplantation. 3. Communication disorders (language/physical defects/culture) affect information collection. 4. Puncture site/site to block - peripheral neuropathy or sensory abnormalities in the innervated skin area. 5. There is infection at the puncture site. 6. For patients with previous abdominal surgery, surgical sores may affect the spread of local anesthetics. 7. Patients allergic to lorazepam or dexmedetomidine.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intraoperative anesthetic dosage; | — |
Secondary
| Measure | Time frame |
|---|---|
| Intraoperative hemodynamic parameters;The earliest distance between pressing the analgesic pump and pulling the tube after operation;Total number of analgesic pump presses within 3 days after surgery;Total number of effective times of analgesic pump press 3 days after operation;Postoperative 1-3 to sleep quality evaluation;Delirium evaluation 1-7 days after surgery;Postoperative pain VAS assessment;Use of remedial analgesics in the postoperative ward; | — |
Countries
China
Contacts
Department of Anesthesiology, the First Affiliated Hospital of Anhui Medical University