Perioperative major cardiac adverse events, pulmonary complications, delirium, kidney injury, etc
Conditions
Interventions
General anesthesia with peripheral nerve block group:None
General anesthesia only group:None
Sponsors
Peking University First Hospital
Eligibility
Sex/Gender
All
Age
65 Years to 90 Years
Inclusion criteria
Inclusion criteria: The inclusion criteria were elderly patients (Age = 65 and < 90 years old) who underwent major (=2 h) thoracoscopic and abdominal non-cardiac surgery.
Exclusion criteria
Exclusion criteria: 1) At that time, conventional surgeries that did not involve nerve block included median thoracotomy, mediastinal surgery, obstetrics and gynecology surgery, etc; 2) Surgery with general anesthesia combined with epidural analgesia; 3) Organ transplantation surgery; 4) Second surgery during this hospitalization period; 5) Preoperative presence of schizophrenia, epilepsy, Parkinson's syndrome, and myasthenia gravis; 6) Unable to communicate due to coma, severe dementia, or language barriers; 7) The condition is critical (NYHA heart function grade>III or LVEFIV, or expected survival<24 hours); 8) Transferred to the ICU due to serious adverse events such as massive bleeding, anaphylactic shock, and cardiac arrest during surgery; 9) Individuals with a history of alcohol consumption and currently using sedatives, hypnotics, or antihistamines; 10) The perioperative medical records are incomplete.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| postoperative length of hospital stay; | — |
Secondary
| Measure | Time frame |
|---|---|
| incidence of postoperative major adverse cardiovascular events;incidence of postoperative pulmonary complications;incidence of postoperative delirium;incidence of postoperative acute kidney injury ;incidence of postoperative other complications;unplanned transfer to ICU;in-hospital mortality ;NRS; | — |
Countries
China
Contacts
Public ContactZhen Zhang
Peking University First Hospital
Outcome results
None listed