cholecystolithiasis
Conditions
Interventions
Intertransverse process block group (Group I):The patients in group I were in the right decubitus position, the conventional sterilization was spreaded, the ultrasound low-frequency convex array probe
Control group (Group C):The patients in group C were not subjected to block operation after being sedated and analgesic in the anesthesia induction room.
Sponsors
Yancheng First Pelope‘s Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: Age: 18-65 years old; BMI:19-28kg/m²; Elective laparoscopic cholecystectomy; American Society of Anesthesiologists (ASA):I,II
Exclusion criteria
Exclusion criteria: Refusal to participate in this study; Contraindications to deep nerve blocks, including but not limited to anesthetic drug allergies, coagulation disorders (INR > 1.5 and/or platelet count <70/mL), injection site infections; Chronic opioid dependence or chronic pain for more than 3 months; Patients with psychiatric disorders or patients who are unable to cooperate in completing rating scales; pregnant and lactating women; Intubated prior to anesthesia induction; Nerve block cannot be performed due to anatomical difficulties on ultrasound scans
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Opioid consumption; | — |
Secondary
| Measure | Time frame |
|---|---|
| Intraoperative (anesthesia induction to extubation) anesthetic drug consumption;Opioid consumption in the anesthesia resuscitation room;NRS scores of somatic pain and visceral pain at different times after surgery (immediately after wake-up, 10 mins, 20 mins, 30 mins, 60 mins, 6 mins, 2 h, 6 h, 24 h).;Change in acute mean arterial pressure of heart rate before and after skin incision;Incidence of perioperative heart rate and blood pressure fluctuations greater than 20% of the baseline value;Ratio of patients who were able to get out of bed and walk around unaided within 1 hour of resuscitation to those who were able to perform fine movements (e.g., twist buttons);Time to be independent (defined as the time from the time the intervention is performed to being able to move independently, e.g., getting out of bed and walking around);Block-related complications: local anesthetic poisoning, nerve damage, puncture site infection, etc;Anesthesia satisfaction;Length of hospital stay;Block-related complications: local anesthetic poisoning, nerve damage, puncture site infection, etc;Other need for rescue analgesia; | — |
Countries
China
Contacts
Public ContactDu Haiyun
Yancheng First Pelope‘s Hospital
Outcome results
None listed