Cholelithiasis accompanied by cholecystitis.
Conditions
Interventions
RT group:One-shot rectus sheath combined with transversus abdominis plane block
M group:Modified ?thoracoabdominal?nerves block through perichondrial approach
C group:No neural blockade (blank control)
Sponsors
Dazhou Central Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: 1.Patients undergoing elective laparoscopic cholecystectomy; 2.There is no gender limitation, and the age ranges from 18 to 70 years old. 3.American Society of Anesthesiologists (ASA) Classification Grade I-II. 4.BMI18.5-28kg/m^2; 5.Those undergoing abdominal surgery for the first time;
Exclusion criteria
Exclusion criteria: 1.Those with preoperative communication disorders or those who refuse; 2.Those allergic to local anesthetics or opioid drugs; 3.Those with infection or damage at the puncture site; 4.People with coagulation disorders; 5.Patients with a history of obvious pain or painful diseases, psychiatric disorders, Patients with a history of obvious pain or painful diseases, psychiatric disorders, alcoholism, and long-term use of analgesic drugs before surgeryalcoholism, and long-term use of analgesic drugs before surgery; 6.Pregnant women and lactating women;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative VAS static and cough analgesia scores were assessed at 2, 6, 12, and 24 hours.;Record the range of nerve block after completion of the block in patients within 30 minutes.; | — |
Secondary
| Measure | Time frame |
|---|---|
| Intraoperative sufentanil and remifentanil dosage;Anesthesia recovery indicators: time to respiratory recovery, time to eye opening, time to consciousness, and extubation time.;Nausea Severity Score, Vomiting Severity Score, Analgesia Satisfaction Score, Ramsay Sedation Score;Time to Relief of Pain, Amount of Medication Used;The incidence of complications associated with the block (such as local anesthetic toxicity, damage to internal organs, formation of hematoma or bleeding, etc.), as well as the occurrence of adverse r; | — |
Countries
China
Contacts
Public ContactFuping Wang
Dazhou Central Hospital
Outcome results
None listed