heart failure
Conditions
Interventions
Control group:Conventional intravenous analgesia combined with tracheal intubation general anesthesia.
TTMP group:Ultrasound-guided bilateral transverse thoracic muscle plane block
PIFB group:Ultrasound-guided pectoralis major intercostal muscle plane block group
Sponsors
The first affiliated hostipal of nanchang university
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Patients undergoing elective open heart surgery; 2.Aged 18-75 years, male or female; 3. ASA class II ~ III, NYHA class II ~ III; 4.There was no serious liver, lung and kidney disease; 5.Patients who can be followed up regularly according to the time required for this study;
Exclusion criteria
Exclusion criteria: 1.Poor general condition or severe liver, lung and kidney diseases; 2. Allergic to ropivacaine; 3.TTMP block and PIFB puncture site infection; 4.Patients with chest deformity who could not undergo TTMP block and PIFB; 5.Operations lasting more than 6 hours; 6.The life expectancy is no more than 3 months. 7.Have a history of mental illness or cognitive dysfunction; 8.Patients who cannot be followed up on time according to the requirements of the study;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| visual analogue scale;Nerve block plane;puncturetime;Minimum Mental State Examination score; | — |
Secondary
| Measure | Time frame |
|---|---|
| Tracheal intubation removal time;Postoperative independent standing time;Sufentanil, remifentanil, propofol dosage;Drainage tube removal time;Incidence of postoperative nausea and vomiting;Retention time in intensive care unit;Intraoperative cyclic fluctuations;Postoperative analgesic drug dose; | — |
Countries
China
Contacts
Public ContactYang Zhang
The first affiliated hostipal of nanchang university
Outcome results
None listed