Postoperative pain after robot - assisted radical prostatectomy
Conditions
Interventions
Group M-TAPA:Patients underwent bilateral ultrasound-guided transperichondral modified thoracoabdominal nerve block 30min preoperatively with 0.375% ropivacaine as local anesthetic with a total volume
Group PCIA:Postoperatively, patients were treated with intravenous self-controlled analgesia (PCIA), morphine 0.5mg/kg/d ondansetron hydrochloride injection 8mg, diluted with 0.9% sodium chloride inje
Group QLB:The patient underwent bilateral ultrasound-guided anterior quadratus lumbar muscle block 30min preoperatively with 0.375% ropivacaine as local anesthetic with a total volume of 40ml.
Postope
Sponsors
The First Affiliated Hospital of Wenzhou Medical University
Eligibility
Sex/Gender
Male
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1.Adult patients aged 18 - 80 years old; 2.ASA I~III; 3.Plan to undergo elective robot - assisted radical prostatectomy under general anesthesia;
Exclusion criteria
Exclusion criteria: Contraindications to peripheral nerve blocks (local or systemic infection; pre-existing neurological deficits or neuropathy); Any psychiatric or psychiatric illness that precludes the assessment; hypersensitivity to analgesic regimens or any component of local anesthesia; or chronic opioid use (preoperative >=4 weeks, daily morphine consumption dose >=30mg); suffering from chronic pain; People with severe cardiac, hepatic, renal disease, and alcohol and drug dependence are contraindicated for regional anesthesia (cardiac function index up to class III. or IV., LVEF3 times the upper limit of normal, serum albumin 1.5; renal function indexes: glomerular filtration rate 265 µmol/L (males) or > 221 µmol/L (females), urea nitrogen BUN> 21.4 mmol/L, urinary examination showed massive proteinuria or severe hematuria).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The morphine consumption within 24 hours; | — |
Countries
China
Contacts
Public ContactQuanguang Wang
The First Affiliated Hospital of Wenzhou Medical University
Outcome results
None listed