Adult heart disease
Conditions
Interventions
GA:Inhalation and intravenous general anesthesia
SPB:serratus anterior plane block
PVB:Thoracic paravertebral block
Sponsors
Tianjin Chest Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients younger than 65 years old are male or female; 2. Patients with preoperative sinus heart rate meeting the surgical indications include coronary heart disease, patent ductus arteriosus, atrial and ventricular septal defects, moderate and severe mitral, tricuspid and aortic stenosis or insufficiency, benign cardiac tumors, etc.; 3. Patients who plan to undergo intercostal off-pump coronary artery bypass grafting or minimally invasive cardiopulmonary bypass through right or left atrium.
Exclusion criteria
Exclusion criteria: 1. Severe obesity (BMI > 32); 2. Patients with severe thoracic deformity, such as pectus excavatum, whose heart is completely located in the left chest, can not provide the best surgical exposure; 3. Patients with severe adhesion of thoracic cavity through approach; 4. Patients with severe vascular diseases, including abdominal aorta, iliac artery or femoral artery disease, or severe aortic atherosclerosis, ascending aorta diameter greater than 40mm, aortic coarctation, and arterial duct calcification; 5. Patients with NYHA grade IV, low cardiac output syndrome, liver and kidney dysfunction, and recent neurological signs such as embolism; 6. Patients with congenital shunt heart disease complicated with severe pulmonary hypertension, bi-directional shunt or - 13 cyanosis, or complicated with other severe intracardiac malformations; 7. Patients with common femoral artery stenosis > 50%; 8. Patients with common femoral artery hematoma, pseudoaneurysm and arteriovenous fistula; 9. Patients with severe calcification of common femoral artery wall; 10. Patients with common femoral artery diameter less than 7 mm; 11. Patients whose puncture site is artificial blood vessel or great saphenous vein bypass; 12. Patients with severe coagulation dysfunction; 13. Patients with skin infection around the puncture point.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| perioperative new-onset atrial fibrilation; | — |
Secondary
| Measure | Time frame |
|---|---|
| Time of onset of nerve block;Nerve block range;postoperative visual analog pain scores;Opioid use doses;Chronic pain 2 months after operation;arterial blood gas analysis; | — |
Countries
China
Contacts
Public ContactEr Jianxu
Tianjin Chest Hospital
Outcome results
None listed