Single-shot intercostal nerve block
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Elective lobe, lung segment and lung wedge resection of VATS or RATS; 2. Be 18 years of age and above; 3. ASA I-III; 4. Sign the informed consent form.
Exclusion criteria
Exclusion criteria: 1. The patient refuses to sign the informed consent form; 2. Previous history of ipsilateral thoracic, chest wall, and pleural surgery; 3. Contraindications to regional anesthesia: such as abnormal coagulation, infection at the puncture site, etc; 4. Those who are allergic to local anesthetic drugs; 5. Double chest tube drainage or transfer thoracotomy; 6. Failure to complete the surgery due to disease progression or medical reasons; 7. Presence of preoperative pain or daily use of analgesics (WHO analgesia ladder 2 or above); 8. Patients who are unable to cooperate with cognitive dysfunction and take sedative-hypnotic, anti-anxiety and antidepressant drugs before surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of postoperative chronic pain;Incidence of postoperative rebound tenderness; | — |
Secondary
| Measure | Time frame |
|---|---|
| Patient's quality of recovery score within 24, 48, 72 hours postoperatively;NRS scores at rest and cough at 24, 48, and 72 hours after surgery;Opioid consumption within 24, 48, and 72 hours postoperatively;Patient nighttime PCA counts, total PCA counts;Incidence of additional supplemental analgesics;Location of pain at 24, 48, and 72 hours postoperatively;Number of surgical incisions, number of chest tubes, and duration of chest tube drainage;Time to first patient-controlled analgesia (PCA) use; | — |
Countries
China
Contacts
Department of Anesthesiology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China