Renal carcinoma
Conditions
Interventions
DQ:Dexmedetomidine combined with ropivacaine for inferior psoas quadratus muscle block
Q:Simple ropivacaine for block of inferior psoas quadratus muscle
GA:Simple general anesthesia
Sponsors
The Second Hospital of Shandong University
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Three anesthesia methods, namely dexmedetomidine combined with ropivacaine for infracostal quadratus psoas block, ropivacaine alone for infracostal quadratus psoas block, and general anesthesia alone, were selected for laparoscopic radical nephrectomy; 2. The patients or their families signed the informed consent; 3. Aged 18-75; 4. ASA grade I-III.
Exclusion criteria
Exclusion criteria: 1. Severe heart, lung, liver and kidney and other important organ dysfunction; 2. Abnormal coagulation function; 3. Long-term opioid use history; 4. History of oxycodone or ropivacaine allergy; 5. BMI > 29kg/m2 (overweight patients, due to excessive subcutaneous fat, the display effect under ultrasound is poor); 6. Puncture site infection; 7. Social difficulties; 8. Conversion to laparotomy; 9. Other factors lead to incomplete data collection and postoperative follow-up patient.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative NRS pain score at rest and cough;Postoperative Ramsay Sedation Score;Time to get out of bed;Postoperative cognitive impairment;Adverse reactions;Renal function;Time to take fluid for the first time;Time to use urinary catheter;Time to exhaust; | — |
Countries
China
Contacts
Public ContactChang Feng
The Second Hospital of Shandong University
Outcome results
None listed