Thoracic paraspinal block puncture pain
Conditions
Interventions
Esketamin Group:0.2mg·kg-1 Esketamin
Saline group:saline equivalent
Sponsors
DEYANG PEOPLE'S HOSPITAL
Eligibility
Sex/Gender
All
Age
18 Years to 60 Years
Inclusion criteria
Inclusion criteria: ? Age 18~60 years old; ? ASA classification of grade I~II; ? Elective thoracoscopic partial lung resection (including lobectomy, segmental resection, wedge resection); ? Able to understand the study process, communicate effectively with the researchers and sign the informed consent form.
Exclusion criteria
Exclusion criteria: ? Patients who are hypersensitive to the active ingredient of esketamine or any of the components of this product; ? Patients at serious risk of elevated blood pressure or intracranial pressure; ? Patients with poorly controlled or untreated hypertension (arterial hypertension with resting systolic/diastolic blood pressure exceeding 180/100 mmHg); ? Patients with untreated or inadequately treated hyperthyroidism; ? Those who require other surgical procedures during the same period as the surgery, or those who have intra- and post-operative complications that affect the evaluation of the study; ? Those who do not wish to participate in the study after informed notification; ? Patients admitted to the intensive care unit after surgery; (viii) Patients who were admitted to the intensive care unit after surgery; (ix) Patients who had or had had a history of severe mental disorders; ? Patients with congestive heart failure, previous severe angina, unstable angina or myocardial infarction within the past six months; ? Prior to inclusion in the study, each patient was tested for his or her ability to perform visual analog scores (VAS), patient-controlled analgesia (PCA) pump operation, answer the telephone, and understand the Neuropathic Pain Syndrome Inventory (NPSI), and patients who did not meet these criteria were excluded from the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| incidence of pain at the puncture site of thoracic paravertebral block at 24h postoperatively; | — |
Secondary
| Measure | Time frame |
|---|---|
| Patient's 24-h postoperative thoracic paraspinal block puncture site McGill score;The incidence of pain during the puncture of thoracic paravertebral block;VAS score of the puncture site during the puncture;the number of somatic reactions of the patients during the puncture;the time of the puncture (the time between the skin-breaking and the removal of the nerve block needle);the number of cases of hematoma at the puncture site; | — |
Countries
China
Contacts
Public ContactXianjie Zhang
DEYANG PEOPLE'S HOSPITAL
Outcome results
None listed