rebound pain after peripheral nerve block
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients admitted to Xiangyang Central Hospital who are undergoing upper limb surgery for the first time, aged >= 18 years, with ASA physical status I-III, and scheduled to undergo unilateral upper limb surgery (involving the clavicle, shoulder joint, and below) under brachial plexus block.
Exclusion criteria
Exclusion criteria: 1. Patients with other site surgery; 2. Emergency patients; 3. Peripheral neuropathy, preoperative operative upper limb with nerve injury; 4. Previous axillary surgery on the operative side; 5. Multiple operations on the upper limb of the surgical side (>1); 6. Patients with contraindications of local anesthesia drug allergy and postoperative analgesics (such as NSAID and paracetamol); 7. Pregnant patients; 8. Patients with diabetes and vascular diseases; 9. Long-term use of opioids, antipsychotics, antidepressants; 10. Injection site infection, acute porphyria or kidney disease requiring dialysis; 11. Patients with contraindications to regional anesthesia, general anesthesia and nerve block insufficiency to assist general anesthesia or change general anesthesia; 12. Patients with chronic pain syndrome; 13. Patients who are unable to understand the perioperative questionnaire (language problems or cognitive impairments); 14. Have participated in similar studies in the past three months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| resting pain, average daily pain, most severe pain, and night pain scores;Area under the ROC curve;sensitivity;specificity; | — |
Secondary
| Measure | Time frame |
|---|---|
| NRS scores at 1,2 and 3 days after surgery(resting pain, average daily pain, most severe pain, and night pain scores);dosage of postoperative analgesics(opiods, NSAIDS);quality of sleep;postoperative side effects(headache, dizziness, nausea, vomiting);anxiety scores; | — |
Countries
China
Contacts
Xiangyang Central Hospital