postoperative analgesic and early rehabilitation
Conditions
Interventions
OSTAPB+PCIA Group:Perform OSTAP block after anesthesia induction
PCIA Group:Not performing OSTAP block after anesthesia induction
Sponsors
The First Affiliated Hospital of Sun Yat-Sen University
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Patients undergoing elective epigastrium surgery; 2. Patients aged 18-75; 3. American Society of Anesthesiologists (ASA) I–III; 4. Patients receiving bilateral OSTAP block without contraindications to local anesthetics; 5. The patient is able to understand the written informed consent document and has the willingness to sign it;
Exclusion criteria
Exclusion criteria: 1. Patients with cardiac, pulmonary, and renal dysfunction, as well as patients with Uncontrollable hypertension and diabetes, history of digestive hemorrhage, blood system diseases; 2. Emergency patients and patients with preoperative infections, or patients with a history of immune diseases, endocrine system diseases, or chemotherapy; 3.body mass index 30 kg/m2; 4. Surgery duration >8 hours; 5. Patients with allergic reactions to non-steroidal anti-inflammatory drugs (NSAIDs) or ropivacaine and bronchial asthma; 6. Long term use of painkillers (NSAIDs, opioids) or steroids for treatment, as well as patients with sensory abnormalities or peripheral neuropathy;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mean VAS for rest and movement states at 0-3 days after surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| VAS of rest and movement at different time points after surgery;Intraoperative and postoperative opioid dosage;Dosage of various vasoactive drugs used during surgery;First self-controlled analgesia time;adverse events;Rehabilitation indicators;hospital stay; | — |
Countries
China
Contacts
Public ContactAn Ke
The First Affiliated Hospital of Sun Yat-Sen University
Outcome results
None listed