gastric cancer
Conditions
Interventions
Group T:T group (subcostal TAP block), the patient is in a supine position, the probe is placed parallel to the midline of the abdomen under the costal margin, from the outside to the inside, using a
Group I:Group I (transverse process block): Patients undergoing endoscopic surgery underwent bilateral thoracic 6-7, 9-10 transverse process block, while those undergoing laparotomy underwent bilatera
Sponsors
Yancheng First Pelope‘s Hospital
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1: Age= 18 years 2: BMI:19-28kg/m² 3: Elective gastric cancer surgery 4: ASA:I-III 5: The duration of the operation = 2 hours
Exclusion criteria
Exclusion criteria: 1: Refusal to participate in this study 2: Contraindications to deep nerve block, including, but not limited to, anesthetic drug allergy, coagulopathy (INR > 1.5 and/or platelet count <70/mL), injection site infection 3: Chronic opioid dependence or chronic pain for more than 3 months 4: People with mental illness or those who cannot cooperate with the completion of the rating scale 5: Pregnant and lactating women 6: Intubated prior to induction of anesthesia 7: Nerve block surgery is not possible due to anatomical difficulties on ultrasound scans
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Opioid consumption 24 hours after surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| Intraoperative (induction of anesthesia to immediate extubation) opioid consumption;Perioperative heart rate and blood pressure fluctuations exceeding 20% of baseline values;VAS scores at different times after surgery (immediate postoperative awakening, 2 h, 24 h, 48 h) during rest and cough;IL-6 IL-10 TNF-a;The number of times the PCIA pump needs to be administered at different times after surgery (immediate postoperative awakening, 2 h, 24 h, 48 h) ;Incidence of complications (nausea, vomiting, pruritus, and urinary retention);Independent activity time (defined as the time from intervention to being able to move independently, e.g., getting out of bed and moving around.);Number of days in hospital;Anesthesia satisfaction; | — |
Countries
CHINA
Contacts
Public ContactDu Haiyun
Yancheng First Pelope‘s Hospital
Outcome results
None listed