Uterine fibroids, adenomyosis, endometriosis, etc
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients undergoing elective total hysterectomy; 2. aged 18-65 years old; 3. body mass index:19-28kg/m²; 4. American Society of Anesthesiology class (ASA) IIIIII;
Exclusion criteria
Exclusion criteria: 1.Declined to participate in this study; 2. Contraindications for deep nerve blocks,including, but not limited to, allergy to narcotic drugs,coagulopathy (INR > 1.5 and/or platelet count 180mmHg); 4. Long-term oral analgesics; 5. Patients with mental illness or who were unable to complete the rating scale; 6. Nerve block cannot be performed due to the difficulty of ultrasound scanning anatomy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| morphine equivalent of opioid consumption within 24 hours after surgery (PACU sufentanil, therapeutic analgesia tramadol); | — |
Secondary
| Measure | Time frame |
|---|---|
| intraoperative remifentanil dosage;area under the curve of VAS scores for abdominal wall incision pain and visceral pain during 24h after surgery:when pulling out the endotracheal tube(T0)?2h(T1)?4h(T2)?6h(T3)?8h (T4)?10h(T5)?12h(T6)?1;Satisfaction with anesthesia.;the incidence of perioperative tachycardia,bradycardia,hypertension and hypotension (defined as an increase or decrease in heart rate and MAP by at least 20% of the baseline value);the time of first rescue analgesia and the dose of rescue analgesic drug (tramadol) after sugery;QoR-15 score at 24 h postoperatively;incidence of postoperative complications (nausea, vomiting, pruritus, dizziness and other adverse reactions);;complications associated with the block;time to first postoperative independent movement;Range of sensory block in both groups; | — |
Countries
China
Contacts
Yancheng First People's Hospital