Sacrospinal anesthesia for perianal surgery
Conditions
Interventions
Experimental group:In the experimental group (Group A), 1 ml of nalbuphine at 10 mg/ml was combined with 15 ml of 0.375% ropivacaine.
Control group:In the control group (Group B), 1 ml of normal saline was combined with 15 ml of 0.375% ropivacaine.
Sponsors
Yongkang First People's Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: 1. Age range: 18–65 years old, regardless of gender; 2. ASA classification: Grades I–II; 3. Surgery duration <= 3 hours; 4. Underlying diseases are well-controlled, with no allergy to anesthetics; 5. Informed consent form signed; 6. Procedures involving anorectal surgery (mainly external dissection and internal ligation for hemorrhoids, anal fistulectomy, and incision and drainage of perianal abscesses)
Exclusion criteria
Exclusion criteria: 1. Infection at the puncture site; 2. Blood disorders; 3. Malignant tumors; 4. Mental abnormalities preventing normal communication; 5. Disorders of the central or peripheral nervous system; 6. Co-existing conditions at other surgical sites; 7. Long-term use of analgesics; 8. Need for a second surgery within 48 hours after the initial operation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Resting VAS pain scores at different time points after surgery (3h, 6h, 12h, 24h post-surgery); | — |
Secondary
| Measure | Time frame |
|---|---|
| Onset time of sensory block;Intraoperative hemodynamic changes;Motion VAS pain score at the same time point;Proportion of patients who first requested analgesic relief and those who required emergency analgesics;Incidence of adverse reactions;VAS score for the first independent walk after surgery and proportion of patients who were able to walk with a VAS pain score = 4; | — |
Countries
China
Contacts
Public ContactZhu Luyao
Yongkang First People's Hospital
Outcome results
None listed