postoperative atrial fibrillation of cardiosurgery
Conditions
Interventions
Experimental group:Participants received a right-sided ultrasound-guided stellate ganglion block at the C6–C7 level with injection of 7 mL of 0.5% Ropivacaine.
Control group:Participants underwent the same ultrasound-guided procedure at the C6–C7 level with injection of 7 mL of normal saline (sham block).
Sponsors
Sir Run Run Shaw Hospital of Zhejiang University School of Medicine
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Aged >= 18 years; 2. American Society of Anesthesiologists (ASA) grade 1-3; 3. Mitral valve or aortic valve surgery planned under cardiopulmonary bypass, with or without coronary artery bypass grafting; 4. Patients voluntarily participated in this study and signed an informed consent form.
Exclusion criteria
Exclusion criteria: 1. With permanent AF, left or right ventricular assist device implantation; 2. Patients who do not need extracorporeal circulation; 3. Patients who need deep hypothermic circulatory arrest; 4. Patients with active infection or sepsis; 5. The use of immunosuppressive drugs (including the use of steroids) before surgery; 6. Preoperative use of antiarrhythmic drugs (except ß-blockers); 7. Patients with immunodeficiency syndrome; 8. Patients with known neurological diseases; 9. Patients who need to place a central catheter in the left internal jugular vein; 10. Vulnerable groups, including the mentally ill, cognitively impaired, seriously ill, minors, pregnant women, illiterate, etc.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the incidence of atrial fibrillation after cardiosurgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| duration of atrial fibrillation after cardiosurgery;C reaction protein;preoperative hemoglobin concentration and postoperative hemoglobin concentration;operation record: operation time, crystalloid infusion volume, blood transfusion volume, intraoperative defibrillation, urine output, duration of respiratory support in the ICU;vital sign: blood pressure and heart rate;Surgical prognosis: pulmonary complications, cardiovascular complications, AKI, and other adverse events.; | — |
Countries
China
Contacts
Public ContactGang Chen
Sir Run Run Shaw Hospital of Zhejiang University School of Medicine
Outcome results
None listed