Postoperative pain after thoracoscopic surgery
Conditions
Interventions
Single-point blockade group:Position the high-frequency linear array probe at the level of the T4–T5 intercostal spaces along the anterolateral line
using an in-plane puncture technique, inject 30 mL of 0.25% ropivacaine into the space between the internal intercostal muscles and the pleura.
The two-point block group:Using a high-frequency linear array transducer, locate the T4–T5 and T5–T6 intercostal spaces at the level of the anterior axillary line. Employing an in-plane puncture techn
Sponsors
The Affiated Cancer Hospital of Guizhou Medical University
Eligibility
Sex/Gender
All
Age
45 Years to 65 Years
Inclusion criteria
Inclusion criteria: 1. Age range: 45 - 65 years old; 2. ASA classification: I - III; 3. BMI: 18.5 - 27.9 kg/m^2; 4. Planned for unilateral thoracoscopic lobectomy; 5. Able to cooperate with follow-up and sign the informed consent form.
Exclusion criteria
Exclusion criteria: 1. Infection at the puncture site; 2. Allergy to local anesthetic; 3. Recent use of opioid drugs; 4. Severe cardiovascular or cerebrovascular diseases (such as NYHA classification = III or LVEF 2 times upper limit, eGFR 7.5%); 8. Abnormal coagulation function (INR > 1.5 or PLT < 80×10^9/L).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Resting pain NRS score;Motion (coughing) NRS score;The dosage of sufentanil used during the operation;The dosage of remifentanil used during the operation; | — |
Secondary
| Measure | Time frame |
|---|---|
| Intraoperative vital signs;Incidence of adverse reactions;Management of postoperative pain;The time of the first attempt to get out of bed for activities;Postoperative hospital stay; | — |
Countries
China
Contacts
Public ContactChen Long
The Affiliated Cancer Hospital of Guizhou Medical University
Outcome results
None listed