Orthopaedic anesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: A total of 72 patients who underwent total knee arthroplasty between March and May of the 2024 were reviewed and approved by the Hospital Ethics Committee, and all included patients signed an informed consent form. 1. Age 40-702. Asa Class I-III 3. Patients with anesthesia time > 45 min 4. At least 72 hours in hospital after surgery. Patients undergoing elective total knee arthroplasty agreed to use nerve blocks and postoperative analgesia pumps.
Exclusion criteria
Exclusion criteria: 1. The inflating time of tourniquet is less than 45 min or more than 150 min. 2. Previous history of neurological and psychiatric disorders: brain injury, seizures, epilepsy, intracranial hypertension, cerebrovascular accident history; Or schizophrenia, mania, long-term use of psychotropic drugs, cognitive impairment history, etc. , can not read, understand and communicate 3. History of allergy to local anesthetics, skin infection at the site of puncture, or contraindications to concurrent block anesthesia. 4. Complicated with severe primary diseases such as lung, liver, kidney, cardiovascular and hematopoietic system. 5. ASA grade IV or higher 6. Bleeding Tendency or Coagulopathy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mean arterial pressure;Systolic blood pressure;Heart rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| Operation Time;Anesthesia time;postoperative opioid consumption;The amount of liquid in and out;intraoperative esmolol consumption;intraoperative urapidil consumption;Time spent in recovery room;Postoperative Recovery Index;Highest Numerical Rating Scale score;Average Numerical Rating Scale score; PCA pressing frequency;sleep disturbance;Changes in inflammatory markers;Adverse reactions;POCD Incidence;Patient satisfaction;Physician satisfaction;Effective time and success rate; | — |
Countries
China
Contacts
The Second Hospital of Jiaxing