Long Thoracic Nerve Blockade for Pain Treatment After Video-Assisted Thoracoscopic Surgery
Investigation of Analgesic Effect of Long Thoracic Nerve Blockade After VATS (Video-Assisted Thoracoscopic Surgery) Operation
Video-assisted thoracoscopic surgery (VATS) provides an opportunity to penetrate the thoracic cavity by video through an incision into the chest wall and facilitate surgical operation of lung pathologies.Various regional methods of anesthesia are currently being used to achieve this goal.
The aim of the study was to assess the effectiveness of Long thoracic nerve bloc on postoperative VATS analgesia.
研究概览
研究类型
注册 (预期的)
阶段
- 不适用
联系人和位置
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Patients who were in the American Society of Anesthesiologists (ASA) I-III class and underwent video-assisted thoracoscopic surgery (VATS).
Exclusion Criteria:
- Previous history of opioid use preoperatively,
- Allergy to local anesthetics,
- The presence of any systemic infection,
- Uncontrolled arterial hypertension,
- Uncontrolled diabetes mellitus.
学习计划
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的：Grup L
IV patient-controlled analgesia (PCA) morphine + Ultrasound guided Long thoracic nerve blockage with 5 ml % 0.25 bupivacaine |
Intravenous morphine infusion with PCA: Solution was concentration of 0.5 mg/mL.
Loading dose of 1 mg, 0.5 mg of bolus dose and 20 min of locking time.
其他名称：
Ultrasound guided Long thoracic nerve blockage with 5 ml % 0.25 bupivacaine
|
|
有源比较器：Group P
IV patient-controlled analgesia (PCA) morphine
|
Intravenous morphine infusion with PCA: Solution was concentration of 0.5 mg/mL.
Loading dose of 1 mg, 0.5 mg of bolus dose and 20 min of locking time.
其他名称：
|
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
吗啡消耗量
大体时间：术后24小时
|
吗啡消耗量
|
术后24小时
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
视觉模拟量表
大体时间：术后24小时
|
视觉模拟量表用于疼痛。使用0-10cm视觉模拟量表(VAS)测量疼痛强度。
（0=无痛，10=难以忍受的痛）
|
术后24小时
|
|
额外使用镇痛药
大体时间：术后24小时
|
额外使用镇痛药
|
术后24小时
|
|
side effect (Hypotension)
大体时间：Postoperative 24 hours
|
side effect Hypotension
|
Postoperative 24 hours
|
|
side effect (Nausea and vomiting)
大体时间：Postoperative 24 hours
|
Nausea and vomiting scale 1. Nausea and vomiting scale (nausea-vomiting scale (NVS): 1. No nausea is present, 2. Mild nausea is present. 3. Severe nausea is present. 4. Vomiting is present) In case of a NVS score of >3, an anti-emetic drug was administered. |
Postoperative 24 hours
|
|
side effect (Ramsay Sedation Scale (RSS)
大体时间：Postoperative 24 hours
|
Ramsay Sedation Scale (Ramsay Sedation Scale (RSS) : 1. Anxiety, agitation are present; 2. Cooperated, awake; 3. Sedatized, response to commands; 4. Sleepy, immediately awoken by auditory stimulus or glabella tap; 5. Sleepy, deep response to auditory stimulus or glabella tap and 6.
Sleepy, no response to auditory stimulus or glabella tap)
|
Postoperative 24 hours
|
合作者和调查者
调查人员
- 首席研究员：Korgün Ökmen, M.D、University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital
研究记录日期
研究主要日期
学习开始 (预期的)
初级完成 (预期的)
研究完成 (预期的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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