Scoliosis
Conditions
Interventions
Intervention group:Ultrasound-guided procedure
Sponsors
Affiliated hangzhou first people's hospital, zhejiang university school of medicine
Eligibility
Sex/Gender
All
Age
80 Years to 105 Years
Inclusion criteria
Inclusion criteria: 1.Age >=80 years old, long-term bedridden (bedridden time >=3 months), need to perform pressure ulcer repair related surgery (such as necrotic tissue debridement, flap transfer, wound negative pressure drainage, etc.); 2.There are abnormal spinal anatomical structures (such as scoliosis, degenerative deformity, etc.) or limited body position, and it is difficult to puncture spinal anesthesia with traditional body surface markers after evaluation; 3.ASA grade ? - ?, combined with one or more basic diseases (such as hypertension, coronary heart disease, diabetes, Alzheimer's disease, etc.), the risk of general anesthesia is high; 4.No history of anesthetic allergy, normal coagulation function (prothrombin time and activated partial thromboplastin time are in the normal range); 5.The patient's family members gave informed consent and signed a written informed consent, which was approved by the hospital's medical ethics committee;
Exclusion criteria
Exclusion criteria: 1.Skin infection, damage or severe scar tissue exist at the puncture site, affecting the puncture operation; 2.Coagulation dysfunction (such as taking anticoagulants without reaching the safe withdrawal period, congenital coagulation factor deficiency, etc.) or bleeding tendency; 3.Allergic to ropivacaine and other amide local anesthetics, or there are contraindications of subarachnoid block (such as increased intracranial pressure, severe spinal infection, etc; 4.Severe heart, lung, liver and kidney failure, shock or serious disturbance of consciousness, unable to cooperate with body position and intraoperative monitoring; 5.Ultrasound can not identify the key anatomical structures such as intervertebral space and dural sac, and it does not have the conditions for ultrasound-guided puncture; 6.Family members refused to participate in the study or were unable to cooperate with postoperative follow-up;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| PAINAD - pain score; | — |
Secondary
| Measure | Time frame |
|---|---|
| Vital signs; | — |
Countries
China
Contacts
Public ContactHan Feng
Affiliated hangzhou first people's hospital, zhejiang university school of medicine
Outcome results
None listed