Pulmonary disease requires thoracoscopic lobectomy
Conditions
Interventions
PR group:0.2%Ropivacaine was used forT4-5?T7-8 paravertebral nerve block
PRH group:0.2% Ropivacaine and 5ug/kg Hydromorphone was used forT4-5?T7-8 paravertebral nerve block
Sponsors
Hainan General Hospital
Eligibility
Sex/Gender
All
Age
20 Years to 70 Years
Inclusion criteria
Inclusion criteria: 1. ASA grades I-III,; 2. aged 20-70 years; 3. underwent elective thoracoscopic lobectomy. 4. The patients had no history of cardiovascular disease, sinus bradycardia, sinus node dysfunction, severe arrhythmia, or thoracic deformities.
Exclusion criteria
Exclusion criteria: 1. Known chronic pain and opioid use; 2. Local anesthetic allergy; 3. History of dementia, mental illness, or other central nervous system disorders or drug dependence, with poor compliance; 4. Video-assisted thoracoscopic lobectomy or conversion to thoracotomy was not performed under general anesthesia;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| First time to apply the analgesic pump after surgery;VAS scores and Ramsay scores; | — |
Secondary
| Measure | Time frame |
|---|---|
| Intraoperative consumption of remifentanil;Intraoperative Methoxymine Dosage;Intraoperative Methoxymine Dosage;hypotension;PONV;Respiratory depression (SPO2 less than 85%);urinary retention;Blood pressure fluctuation value;pruritus;astriction;shiver;Time of first feeding after surgery;The first time to get out of bed after surgery;Number of analgesic pump compressions; | — |
Countries
China
Contacts
Public ContactGao Wei
Hainan General Hospital
Outcome results
None listed