Sick sinus syndrome, atrioventricular block and other arrhythmias requiring cardiac pacemaker implantation, as well as related cardiac diseases.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Age>=18 years; 2.Planned elective first-time single-chamber or dual-chamber permanent pacemaker implantation; 3.Voluntarily participate in this study and sign the informed consent form;
Exclusion criteria
Exclusion criteria: 1.History of ipsilateral thoracic or cervical surgery that may affect neural anatomy or block efficacy; 2.Infection at the block puncture site; 3.Pregnancy, lactation, or inability to sign informed consent that may affect neural anatomy or block efficacy; 4.Allergy to local anesthetics (e.g., bupivacaine, ropivacaine, lidocaine); 5.History of alcohol or substance abuse; 6.Undergoing treatment for psychiatric disorders, or having cognitive impairment that prevents cooperation or pain expression; 7.Presence of coagulation dysfunction;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Effective Block Extent; | — |
Secondary
| Measure | Time frame |
|---|---|
| Intraoperative hemodynamic status;Numerical Rating Scale pain score;Safety indicators: adverse events during and after surgery, abnormalities in pacemaker function;Time (in hours) since surgery until the first request for pain medication;Total consumption of postoperative analgesics (such as acetaminophen, tramadol, etc.);Patient satisfaction score;Surgeon’s satisfaction score regarding the surgical conditions;Number of days of hospital stay after surgery;Perioperative stress markers: serum cortisol, adrenaline, IL-6, blood glucose, WBC, CRP, and NEUT levels; | — |
Countries
China
Contacts
The First Affiliated Hospital of Wenzhou Medical University