Thoracoscopic surgery
Conditions
Interventions
TPVB group:Prior to surgical incision, ultrasound-guided thoracic paravertebral block was performed using ropivacaine injection.
ICNB group:Prior to surgery, ultrasound-guided intercostal nerve block was performed using ropivacaine injection.
Sponsors
Capital Center for Children’s Health, Capital Medical University
Eligibility
Sex/Gender
All
Age
1 Years to 7 Years
Inclusion criteria
Inclusion criteria: 1 Legal guardians signed informed consent; 2 Aged 1-7 years; 3 ASA (American Society of Anesthesiologists) physical status I-II; 4 Anticipated surgical duration <2 hours; 5 Undergoing thoracic or pulmonary surgery.
Exclusion criteria
Exclusion criteria: 1 Anticipated blood loss exceeding 10% of total blood volume 2 Contraindications to thoracic nerve blocks 3 History of respiratory tract infection within 2 weeks before surgery 4 Patients with difficult airway 5 Psychiatric disorders or intellectual developmental abnormalities 6 Allergy to anesthetic agents (including dexmedetomidine, sufentanil, ropivacaine, etc.)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative 24-hour FLACC score; | — |
Secondary
| Measure | Time frame |
|---|---|
| Operative duration and success rate of nerve blockade;Total anesthetic consumption;Hemodynamic parameters;respiratory parameters;use of vasoactive drugs;number of body movements;surgical duration, anesthesia duration, emergence time, post-anesthesia care unit stay duration;occurrence of coughing;ICU transfer requirement;time to first oral intake;24-hour cumulative PCA usage and analgesic consumption;postoperative nausea and vomiting;duration of chest tube placement;postoperative pulmonary complications;hospital discharge time;hospitalization costs; | — |
Countries
China
Contacts
Public ContactYing Chen
Capital Center for Children’s Health, Capital Medical University
Outcome results
None listed