Radical mastectomy and heart surgery
Conditions
Interventions
Breast PECS group (P group):PECS II block
Breast PIFB combined with PECS group (P+P group):Breast PIFB combined with PECS
Cardiac Surgery Control Group:not have
Cardiac surgery PIFB group:Bilateral pecto-intercostal fascial block (PIFB)
Cardiac surgery bilateral transverse thoracic plane (TTP) block group:Bilateral transverse thoracic plane (TTP) block
Sponsors
Affiliated Hospital of Yangzhou University
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: Part I: To evaluate the analgesic effect of PIFB combined with pectoral muscle block in patients undergoing radical mastectomy Inclusion criteria: patients scheduled for unilateral radical mastectomy, aged 20-60 years, female, American Society of Anesthesiologists physical status ?-?, no serious systemic diseases, no allergy to local anesthetics and other anesthetics, no anticoagulant therapy or coagulation dysfunction, agreed to the anesthesia regimen of this study, and signed the informed consent form. Part II: To evaluate the analgesic effect of bilateral PIFB in cardiac surgery Inclusion criteria: age 18-70 years, median sternotomy, ASA classification: class III-IV
Exclusion criteria
Exclusion criteria: Part I: Exclusion criteria: local anesthetic poisoning, allergic reactions during anesthesia, postoperative cognitive dysfunction and unable to cooperate with follow-up. Part II: Exclusion criteria: emergency surgery, allergy to local anesthetics, congestive heart failure, liver or renal failure, history of substance abuse or chronic pain, psychiatric problems, secondary surgery, inability to provide informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intraoperative consumption of remifentanil;Postoperative Pain Score;Intraoperative consumption of sufentanil; | — |
Countries
China
Contacts
Public ContactYang Dawei
Affiliated Hospital of Yangzhou University
Outcome results
None listed