Shoulder joint diseases (those requiring shoulder arthroscopic surgery)
Conditions
Interventions
Experimental Group (Remifentanil combined with nerve block group):Remifentanil combined with nerve block group: General anesthesia with remifentanil combined with upper trunk brachial plexus block (0.
Control group(Sufentanil group):None
Sponsors
Qilu Hospital (Qingdao), Cheeloo College of Medicine, Shandong University
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: Age: 18-65 years old. 2.ASA classification: Grades I-III. 3. Type of surgery: Elective arthroscopic shoulder surgery is scheduled. 4. Informed consent: Voluntarily participate in the research and sign the informed consent form. 5. Language proficiency: Be capable of understanding and completing pain assessment scores (NRS scores) and related questionnaires. 6.BMI: 18.5-30 kg/m ^2(Avoid the influence of obesity or low weight)
Exclusion criteria
Exclusion criteria: 1.Allergic to local anesthetics 2.Contraindications for brachial plexus block (such as infection at the puncture site, coagulation disorders) 3.Uncontrolled hypertension (>180/110 mmHg) 4.Severe cardiovascular and pulmonary diseases (NYHA Class III-IV heart failure, COPD GOLD 3-4 grade) 5.Chronic pain treated with long-term use of opioid drugs 6.Severe liver and kidney dysfunction (Child-Pugh C grade or eGFR < 30 mL/min) 7.History of peripheral nerve disease or brachial plexus nerve injury 8.Cognitive impairment (inability to cooperate with pain assessment) 9.History of alcohol abuse or drug addiction 10.Pregnant or lactating women
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The patient's resting pain score (NRS score) 5 minutes after awakening and extubation; | — |
Secondary
| Measure | Time frame |
|---|---|
| The amount of opioid drugs used during the operation;Postoperative remedial analgesic dosage;Awakening time;Incidence of adverse reactions;The time of the first intestinal exhaust after surgery;Pulmonary ventilation function; | — |
Countries
China
Contacts
Public ContactYulin Wang
Qilu Hospital (Qingdao), Cheeloo College of Medicine, Shandong University
Outcome results
None listed