Cancer of the stomach
Conditions
Interventions
Incision-based rectus sheath nerve block combined with general anesthesia group:Guided by the surgical incision, the rectus sheath block was performed by ultrasound (0.4% ropivacaine 40-50ml at the na
General anesthesia group:Propofol pumping combined with sevoflurane inhalation, dexmedetomidine and remifentanil pumping were maintained, with intermittent administration of cisatracuramine
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 informed consent; 2. Aged 18-75 years; 3. ASA grading II~III; 4. Patients planning to undergo elective laparoscopic surgery for gastric cancer.
Exclusion criteria
Exclusion criteria: 1. People with contraindications to regional block techniques (allergic to local anesthetics, infection around the puncture site, and coagulation disorders); 2. A history of painkiller dependence; 3. Patients with dementia or severe cognitive impairment; 4. Any cerebrovascular accidents occurred within 5.3 months, such as stroke, transient ischemic attack (TIA), etc. 5. Patients with severe hypertension or unstable preoperative blood pressure control; 6. Anyone who has difficulty communicating; 7. The incision is beyond the rectus sheath.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intraoperative remifentanil requirement; | — |
Secondary
| Measure | Time frame |
|---|---|
| The amount of anesthetic drugs, vasoactive drugs and fluid in and out during operation;The severity, duration, and duration of delirium;Intraoperative hemodynamic fluctuations;Resting and exercise pain scores at each follow-up time point (NRS score, 0-10);Postoperative main organ complications and length of hospital stay;Mortality at 30 days after surgery (telephone follow-up);Patients' waking time, extubation time, and time to and from PACU;The dosage of sufentanil 24h and 48h after operation and the dosage of other analgesic drugs;The first time of ventilation and the first time of getting out of bed after surgery; | — |
Countries
China
Contacts
Public ContactGuang-hong Xu
Department of Anesthesiology, The First Affiliated Hospital of Anhui Medical University
Outcome results
None listed