Video-Assisted Thoracoscopic Surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients scheduled for elective thoracoscopic unilateral lobectomy or wedge resection of the lung; 2. Gender is not limited, age 45 to 65 years old; 3. ASA grade I to III, 18.5 <= BMI <= 27 kg/m^²;
Exclusion criteria
Exclusion criteria: 1 Infection at the puncture site; 2 Anaphylaxis to local anesthetic; 3 Long-term use of opioid drugs; 4 Severe cardiovascular and cerebrovascular diseases (such as NYHA classification >= III grade or LVEF = 160/100 mmHg); acute coronary syndrome or stroke occurred within 6 months); 5 Abnormal liver and kidney functions (ALT/AST > 2 times upper limit, eGFR 7.5%); 7 Abnormal coagulation function (INR > 1.5 or PLT < 80×10^9/L).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| first-attempt rate;overall block success rate;ultrasound-guided procedure time;operator-rated difficulty on a numerical rating scale (NRS);block-related complications;Methylene blue staining area; | — |
Secondary
| Measure | Time frame |
|---|---|
| The NRS pain scores at rest and during coughing at 2 hours, 24 hours and 48 hours after the operation; number of effective PCA presses and use of rescue analgesics at 2, 24, and 48 hours postoperatively;the amount of opioid drugs used during the operation;incidence of hypertension/hypotension ;the use of vasoactive drugs; | — |
Countries
None
Contacts
The Affiated Cancer Hospital of Guizhou Medical University