Postoperative pain after thoracoscopic surgery
Conditions
Interventions
Intercostal pleural block group:The high-frequency linear array probe was used to locate the T4-T5 intercostal spaces at the level of the mid-clavicular line. Using the technique of needle insertion w
Paravertebral nerve block group:Low-frequency convex array probe is used to locate the T5 transverse process. The plane-outward puncture is performed to penetrate the transverse ligament of the ribs,
Sponsors
The Affiated Cancer Hospital of Guizhou Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1 Age range: 18 - 75 years old; 2 ASA classification: Grade I - III; 3 Planned for unilateral thoracoscopic lobectomy; 4 Signed the informed consent form.
Exclusion criteria
Exclusion criteria: 1 Infection at the puncture site; 2 Anaphylaxis to local anesthetic; 3 Long-term use of opioid drugs; 4 Severe cardiovascular and cerebrovascular diseases (such as NYHA classification >= III grade or LVEF = 160/100 mmHg); acute coronary syndrome or stroke occurred within 6 months); 5 Abnormal liver and kidney functions (ALT/AST > 2 times upper limit, eGFR 7.5%); 7 Abnormal coagulation function (INR > 1.5 or PLT < 80×10?/L).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Resting pain NRS score;Motion (coughing) NRS score;The dosage of sufentanil used during the operation;The dosage of remifentanil used during the operation; | — |
Secondary
| Measure | Time frame |
|---|---|
| Intraoperative vital signs;The time-consuming nature of ultrasound-guided puncture.;The success rate of the first ultrasound-guided puncture;Incidence of adverse reactions;The time of the first attempt to get out of bed for activities;Postoperative hospital stay;Operator difficulty VAS score; | — |
Countries
China
Contacts
Public ContactWan Qing
The Affiliated Cancer Hospital of Guizhou Medical University
Outcome results
None listed