Pulmonary surgical diseases
Conditions
Interventions
Treatment group:Perform TPVB before surgical skin incision
Control group:Perform TPVB after surgical suturing of the skin
Sponsors
Zigong Fourth People's Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: 1. Accept elective VATS lobectomy or segmentectomy surgery, and routinely receive general anesthesia combined with thoracic paravertebral nerve block; 2. Age range: 18-65 years old; 3. ASA I-III level.
Exclusion criteria
Exclusion criteria: 1. Acute or chronic respiratory failure, chronic obstructive pulmonary disease GOLD grade = III, poor asthma control or acute respiratory distress syndrome patients; 2. Serious cardiovascular complications, such as NYHA = III, acute coronary syndrome, or persistent ventricular tachycardia; 3. Previous history of ipsilateral thoracic surgery or history of general anesthesia surgery under mechanical ventilation within one month prior to surgery; 4. Patients with contraindications for TPVB (coagulation dysfunction, anticoagulant or antiplatelet therapy, skin ulcer infection, local anesthetic allergy, spinal deformity, etc.); 5. Patients with tracheal malformation or difficulty in tracheal intubation; 6. Unable to provide written informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative 24-hour recovery quality score;Incidence of postoperative adverse reactions; | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative 48-hour recovery quality score;Postoperative pain score;Postoperative opioid consumption;Time of first postoperative rescue analgesia;Postoperative incidence of pulmonary complications; | — |
Countries
China
Contacts
Public ContactSong Jianli
Zigong Fourth People's Hospital
Outcome results
None listed