Structural abnormality of spine
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients in the People's Hospital of Ningxia Hui Autonomous Region who need lower extremity orthopedic surgery under lumbar anesthesia from February 2023 to September 2023, aged 18-100 years old, ASA: grade I-III, who are aware of the content and significance of this study, and sign the informed consent
Exclusion criteria
Exclusion criteria: Previous mental disorders, central nervous system diseases, myasthenia gravis, autoimmune diseases; blood coagulation disorders, puncture site infection or systemic infection, nervous system complications caused by spinal surgery or spinal structural abnormalities; those who were unable to communicate before operation due to coma, severe dementia, language disorder, end-stage diseases, and spinal injury within 72 hours. Critical condition (preoperative ASA grade = IV); severe renal function damage (need renal replacement therapy); severe liver function damage (Child-Pugh grade C); severe cardiac insufficiency (NYHA = grade ?); other conditions that the attending doctor or researcher considered unsuitable to participate in this study; those who refused to participate in this study and their families.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Neurological complications associated with intraspinal anesthesia (within one month); | — |
Secondary
| Measure | Time frame |
|---|---|
| Total duration of intraspinal anesthesia sensory block;Low back pain;Intraoperative hemodynamic changes;Number of puncture;Puncture space selection;Whether there was any abnormal sensation in the lower extremities during puncture;Highest anesthesia plane;Success rate of intraspinal anesthesia block;Score of motor block degree before operation;Score of sensory block before operation;Pain score during peeling (NRS score);Whether adverse reactions occurred during the operation;Adverse reactions to postoperative intraspinal anesthesia (within 3 days);Total duration of intraspinal anesthesia motor block;Total puncture time;Time to inject lumbar anesthesia drugs;Onset time of sensory block;Onset time of motor block; | — |
Countries
China
Contacts
Department of Anesthesiology, people's Hospital of Ningxia Hui Autonomous region