Video-assisted Thoracoscopic Surgery
Conditions
Keywords
vagus nerve block
Brief summary
Currently, there is a trend toward non-intubated anesthesia methods for video-assisted thoracic surgery in our hospital. During the surgery, intrathoracic vagus nerve blockade is suggested for inhibit cough reflex in previous paper. However, right and left side of vagus nerves both deep near the aorta or trachea respectively. To achieving the procedure may induce cough reflex by lobar traction even result vital organ damage. This study aims to apply alternative vagus nerve blockade at neck level via ultrasound guidance and test if the procedure real reduce cough reflex then previous method. We also follow up the patient's vital sign, vocal cord and diaphragm movement, horner syndrome and hoarseness to evaluating if cervical vagal blockade has the potential risk involve other surrounding nerves
Interventions
PROCEDURECervical Vagal Blockade
Cervical Vagal Blockade with 0.5 % ropivacaine 2.5 ml and 2% xylocaine 2.5 ml
PROCEDUREWithout Blockade
Without Blockade
Sponsors
Taipei Medical University WanFang Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 79 Years
Healthy volunteers
Yes
Inclusion criteria
* Adults younger than 80 years old are scheduled for one-port video assisted thoracic surgery
Exclusion criteria
* Anticipated difficult airway, Respiratory insufficiency,Vocal cord palsy,diaphragm palsy parkinsonism,previous stroke,tachycardia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effect of Cervical Vagal Blockade on Cough Incidence | During the VATS procedure | number of coughing episodes |
Contacts
Primary ContactLin Jui An, PhD
Outcome results
None listed