Postoperative pain in patients undergoing median thoracotomy during cardiac surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Fully understand the purpose, process, potential benefits and risks of the study, and voluntarily sign informed consent; 2. Plan to undergo elective open heart surgery by the same medical team; 3. Age of 18-65 years old, both sexes; 4. Body weight meets the criteria: men >=50kg, women >=45kg, BMI between 19.0 and 26.0kg/m²; 5. ASA grade ?-?.
Exclusion criteria
Exclusion criteria: 1. Refusing to accept deep parasternal intercostal plane block; 2. previous history of allergic diseases (such as asthma, urticaria, eczema, etc.) or allergy to bupivacaine; 3. Skin damage or infection in the chest wall area; 4. abnormal coagulation function (APTT > 33.8S or PT > 12.1S, the reference value was based on the standards of the laboratory department of our hospital); 5. history of chronic neuropathic pain; 6. participating in other clinical research at the same time.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes in pain scores within 72 days after surgery;quality of recovery; | — |
Secondary
| Measure | Time frame |
|---|---|
| Mean arterial pressure;heart rate;Perioperative satisfaction;Time to first use of analgesics;Extubation time;Serum concentrations of TNF-a, IL-1ß and IL-6 were measured;ICU dwell time;Time to first exhaust bowel movements;Incidence of postoperative pruritus;the first time of out of bed;The amount of opioid analgesics used after surgery;Length of hospital stay;hospitalization expenses;Quality of sleep after surgery;Adverse event rate; | — |
Countries
China
Contacts
The First Affiliated Hospital of Nanchang University