Myocardial injury after noncardiac surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Older than 45 years old; 2. Cardiac function I-II; 3. Patients underwent elective high-risk surgery in non-cardiac surgery under general anesthesia (the estimated operation time is 3-6h); 4. Informed consent was signed before operation. 5. At least one of the following high-risk factors: (1) History of coronary heart disease; (2) History of stroke or transient ischemic attack; (3) Diabetes requiring drug control; (4) Preoperative renal insufficiency 175 umol/L (>2.0 mg/dl); (5) Peripheral vascular disease; (6) Hypertension requiring medication control; (7) Smoking history in the previous year; (8) Older than 65 years old.
Exclusion criteria
Exclusion criteria: 1. Allergic to local anesthetic drugs; 2. Anatomical abnormalities of the anterior neck or cervical spine; 3. BMI>30 kg/m2; 4. Patients with severe hypertension (more than 180/100mmHg); 5. Pregnant woman; 6. Active heart disease; 7. Preoperative high-sensitivity troponin (hsTnT) >=65ng/L; 8. Patients with arrhythmia or other contraindications; 9. Right heart failure caused by pulmonary embolism; 10. Sepsis, systemic inflammatory response syndrome; 11. The anesthesiologist determined that there was an important coagulation disorder.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of myocardial injury after noncardiac surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| General condition of patients;The operation time;Intraoperative blood loss;Incidence of ECG-ST changes within 48 hours after operation;Incidence of serious adverse cardiovascular events within 48 hours after operation;30-day mortality after surgery;Incidence of recurrent laryngeal nerve block;VAS score and remedial pain rate; | — |
Countries
China
Contacts
First People's Hospital of Foshan