Multimodality anesthesia for modified intercostal nerve block is used in thoracic surgery
Conditions
Interventions
intercostal block + venous maintenance group:Ultrasound-guided intercostal plane block + vein maintenance
Venous maintenance group:Propofol, remifentanil pumping and cis-atracurium muscle relaxant pumping
Sponsors
Department of anesthesiology, the First Affiliated Hospital of Anhui Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Sign the informed consent; 2. Aged 18-75 years; 3. ASA grades II~III; 4. A total of 40 patients were scheduled to undergo open thoracic surgery.
Exclusion criteria
Exclusion criteria: 1. Patients with contraindications to the regional block technique (allergy to local anesthetic, infection around the puncture site and coagulation disorders); 2. A history of dependence on painkillers; 3. Patients with dementia or severe cognitive dysfunction; 4. Any cerebrovascular accident occurred within 3 months, such as stroke, transient ischemic attack (TIA), etc. 5. Any communication difficulties.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intraoperative opioid demand; | — |
Secondary
| Measure | Time frame |
|---|---|
| During the operation, the dosage of anesthetic drugs and vasoactive drugs, the amount of liquid in and out;Intraoperative hemodynamic fluctuation;The incidence, duration and duration of postoperative delirium;Wake time, extubation time and PACU time;Dosage of additional analgesics and score of resting and exercise pain at each time point of postoperative follow-up (NRS score, 0-10);The number of analgesic pump presses and effective times 24h and 48h after operation;Major postoperative complications and hospital stay;Mortality at 30 days after surgery (telephone follow-up); | — |
Countries
China
Contacts
Public ContactXu Guanghong
Department of Anesthesiology, The First Affiliated Hospital of Anhui Medical University
Outcome results
None listed