Postoperative pain after thoracoscopic surgery
Conditions
Interventions
group L:Participants in the LB group will receive an ultrasound-guided paravertebral block on the surgical side using liposomal bupivacaine (133 mg/20 mL), with 10 mL administered at each of the T4 an
Group R:Participants in the R group will receive an ultrasound-guided paravertebral block on the surgical side using 0.5% ropivacaine, with 10 mL administered at each of the T4 and T6 vertebral levels
Group P:PCIA only
Sponsors
The Affiliated Hospital of Qingdao University
Eligibility
Sex/Gender
All
Age
18 Years to 90 Years
Inclusion criteria
Inclusion criteria: 1. Age 18 to 90 years 2. American Society of Anesthesiologists (ASA) physical status I-III 3. Written informed consent obtained
Exclusion criteria
Exclusion criteria: 1. Allergy to local anesthetics, NSAIDs, or opioid analgesics 2. Pre-existing chronic pain from thoracic/back surgery, coagulopathy, or psychiatric disorders 3. Ipsilateral thoracotomy history 4. Conversion to thoracotomy during procedure 5. Regular preoperative opioid use 6. Bilateral thoracic procedures
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Quality of Recovery-15; | — |
Secondary
| Measure | Time frame |
|---|---|
| Onset of pain;The visual analogue scale pain score, evaluated at rest and during coughing;VAS score at worst pain;Frequency of additional analgesic requests;Anxiety Score;Postoperative Sleep Quality Score;Postoperative Pain Management Experience Assessment;Length of hospital stay;Sufentanil consumption;Postoperative nausea and vomiting;Frequency of emergency antiemetic use;Subjective Confidence Score for Postoperative Cough;Subjective Confidence Score for Postoperative Mobility; | — |
Countries
China
Contacts
Public ContactWang Peng
The Affiliated Hospital of Qingdao University
Outcome results
None listed