Anesthesia plan for pulmonary surgery under single - hole thoracoscope
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 18 to 65 years, BMI 18-25kg/m2; 2. ASA I to II; 3. It is planned to perform single-hole thoracoscopic pulmonary surgery under spontaneous respiratory and laryngeal mask airway anesthesia. The surgical types include: pneumothorax, hand hyperhidrosis, wedge resection of the lung, segmental resection of the lung and other relatively simple operations.
Exclusion criteria
Exclusion criteria: 1. History of allergy or contraindications to ropivacaine hydrochloride, esketamine, dexmedetomidine (serious risk of increased blood pressure and intracranial pressure, poorly controlled or untreated hypertension, untreated or undertreated hyperthyroidism, gastrointestinal bleeding); 2. Mental illness and other chronic pain or other conditions that may confuse analgesic response 3. Unable to read and write Chinese, communication barrier; 4. Emergency surgery or trauma patients; 5. Previous intraoperative knowledge; 6. Patients who is admitted to ICU after operation; 7. Patients with alcohol or drug dependence or a history of drug abuse; 8. Patients who refuse to attend.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The opioid dosage during the perioperative period, as well as the times and frequency of postoperative analgesia pump pressure;Hemodynamics and arterial blood gas changes; | — |
Secondary
| Measure | Time frame |
|---|---|
| Scores of acute pain at 12h, 24h and 48h after operation;Scores of mental state at 24h and 48h after operation;Scores of depression at 24h and 48h after operation;Chronic pain at 1, 3, 6 and 12 months after the operation;Changes of inflammatory factors (IL12, IL-6, TNF-alpha) at 12h, 24h, 48h after surgery; | — |
Countries
China
Contacts
The First Affiliated Hospital of Zhengzhou University