video-assisted thoracic surgery
Conditions
Interventions
Intercostal nerve block group:On the first day after thoracoscopic surgery, if the NRS score of cough pain is =4, the remedial analgesia of this research scheme is given: ultrasound-guided intercosta
Serratus anterior plane block group:On the first day after thoracoscopic surgery, if the NRS score of cough pain is =4, the remedial analgesia of this research scheme is given: ultrasound-guided se
Sponsors
Department of Anesthesiology and Perioperative Medicine, Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. The NRS score of patients with pain after thoracoscopic lobectomy is =4; 2. Sex is not limited, and the age is =18 years old; 3. Those who voluntarily join and sign informed consent after fully explaining the contents of clinical trials.
Exclusion criteria
Exclusion criteria: 1. Patients in coma or mental disorder before operation; 2. patients with 2.ASA grade IV or v; 3. Patients with hemodynamic instability; 4. Patients who have recently taken analgesic and sedative drugs; 5. Patients with pre-existing disease-related pain; 6. Patients with past opioid abuse history; 7. Patients who are allergic to opioids or local anesthetics; 8. Patients with coagulation dysfunction; 9. Patients with infection or tumor at nerve block puncture point; 10. Patients during pregnancy or lactation; 11. Patients who have participated in other treatments in the last 6 months (when obtaining consent); 12. Patients who are judged to lack the ability to consent; 13. Other patients who are judged as unsuitable by the clinical responsible doctor or the clinical doctor in charge. 14. BMI>30Kg/m2
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Quality of life score; | — |
Secondary
| Measure | Time frame |
|---|---|
| Numerical rating scale (NRS) scores of rest pain;Numerical rating scale (NRS) scores of cough pain;Blood pressure;Heart rate;Pulse Oxygen Saturation;Arterial blood gas;Resting diaphragm activity;Deep breathing diaphragm activity;Breathing velocity of resting diaphragm;Resting diaphragmatic expiratory flow rate;Breathing diaphragm inspiratory flow rate;Breathing diaphragmatic expiratory flow rate;Number and duration of thoracic drainage tubes;Number and duration of thoracic drainage balls;Get out of bed time;AICU residence time;Length of hospital stay;first flatus after surgery;Sufentanil dosage;Dosage of non-steroidal drugs;the effective compression of patient controlled intravenous analgesia (PCIA);Antiemetic dosage;postoperative nausea and vomiting;Incidence of postoperative pulmonary complications;Postoperative radiotherapy and chemotherapy;Chronic pain;Duration of surgery;Duration of anesthesia;Interval between first block and second block; | — |
Countries
China
Contacts
Public ContactYun Wu
Department of Anesthesiology and Perioperative Medicine, Second Affiliated Hospital of Anhui Medical University
Outcome results
None listed