Continuous thoracic paravertebral block
Conditions
Interventions
Continuous thoracic paravertebral block:Preoperative ultrasound-guided thoracic paravertebral block placement and continuous thoracic paravertebral analgesia during intraoperative and postoperative
Continuous epidural analgesia:Preoperative epidural catheter placement, continuous epidural analgesia during intraoperative and postoperative
Sponsors
Department of Anesthesiology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: a. Proposed elective thoracoscopic or robot-assisted thoracoscopic lobectomy, segmental resection, or wedge resection of the lungs b. Age 65 years and above c. American Society of Anesthesiology physical status classification of I-III d. Signed informed consent
Exclusion criteria
Exclusion criteria: a. Patient refusing to sign the consent form b. Obvious spinal deformity, trauma, previous history of spinal, ipsilateral chest, chest wall or pleural surgery c. Contraindications to regional anesthesia: e.g., coagulation abnormalities, puncture site infection d. Presence of pain or daily use of analgesic before surgery (>level 2 of the World Health Organization analgesic ladder) e. Allergy to local anesthetic drugs f. Conversion to thoracotomy during the intervention g. Failure to complete surgery due to disease progression or medical reasons h. Patients with cognitive dysfunction who are unable to cooperate, patients taking sedative-hypnotic, anxiolytic, antidepressant drugs before surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Quality of Recovery Score of patients at 24 hours postoperatively; | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain score at rest and coughing;Incidence of postoperative chronic pain;Quality of Recovery Score of patients at 48,72 hours postoperatively;Patient nighttime PCA counts, total PCA counts;Consumption of local anesthetic;Incidence of additional supplemental analgesics; | — |
Countries
China
Contacts
Public ContactYing Xiao
Department of Anesthesiology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
Outcome results
None listed