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Comparative study of the analgesic effect of different adjuvants combined with ropivacaine in thoracoscopic direct visualisation of thoracic paravertebral block in postoperative analgesia of thoracic surgery

Comparative study of the analgesic effect of different adjuvants combined with ropivacaine in thoracoscopic direct visualisation of thoracic paravertebral block in postoperative analgesia of thoracic surgery

Status
Recruiting
Phases
Early Phase 1
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2400086347
Enrollment
Unknown
Registered
2024-06-28
Start date
2024-01-01
Completion date
Unknown
Last updated
2024-07-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Thoracic tumor

Interventions

Dexamethasone group:Under direct thoracoscopic guidance, 0.1 mg/kg dexamethasone compounded with 0.375% ropivacaine 20 ml was injected into the paravertebral space between the thoracic 5 and 6 vertebr
Sufentanil group:Under direct thoracoscopic guidance, 0.2ug/kg sufentanil compounded with 0.375% ropivacaine 20ml was injected into the paravertebral space between the thoracic 5 and 6 vertebrae
Dexmedetomidine group:Under direct thoracoscopic guidance, 0.5ug/kg dexmedetomidine compounded with 0.375% ropivacaine 20 ml was injected into the paravertebral interspace between the thoracic 5 and 6
Aceketamine group:Under direct thoracoscopic guidance, 0.25 mg/kg esketamine compounded with 20 ml of 0.375% ropivacaine was injected into the paravertebral interspaces between the thoracic 5 and 6 ve

Sponsors

Ningbo Medical Center Li Huili Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
20 Years to 75 Years

Inclusion criteria

Inclusion criteria: Patients undergoing elective thoracoscopic lobectomy. Patients aged 20-75 years, American Society of Anaesthesiologists (ASA) class I-II, no neurological or muscular disorders, no spinal deformity, fracture, trauma or surgical history, who agreed to participate in this study.

Exclusion criteria

Exclusion criteria: Allergy to ropivacaine, dexamethasone, sufentanil, dexmedetomidine, and esketamine, coagulation abnormalities, history of spinal deformity, fracture, trauma, or surgery, history of thoracic aortic aneurysm, those who had a mid-operative thoracotomy, those who had severe adhesions in the thoracic cavity, and those who did not co-operate with or asked to withdraw from the study.

Design outcomes

Primary

MeasureTime frame
Rest and exercise (deep breathing or coughing) NRS score and Ramsay sedation score;

Secondary

MeasureTime frame
Duration of sensory blockade;Postoperative analgesia;Time to first postoperative bed movement, time to drain removal, postoperative hospital stay;

Countries

China

Contacts

Public ContactWU KEWEI

Li Huili Hospital, Ningbo Medical Centre

504986512@qq.com+86 188 5824 5554

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 5, 2026