Effect of the PIEB Versus CEI on the Quality of Postoperative Recovery in Patients Undergoing VATS Lobectomy

• Status: Recruiting
• Trial end date: 2024-10-30
• Target enrollment: 0
• Participant gender: All

Summary

In recent years, lobectomy under VATS(Video-assisted thoracic surgery,VATS) has gradually emerged, but there is still a proportion of patients with postoperative pain that affects their postoperative recovery. Epidural analgesia (EA) , the gold standard for postoperative analgesia in thoracic surgery, is currently administered in two ways: 1) continuous epidural infusion 2) programmed intermittent epidural bolus. The former is currently the commonly used method of anesthetic infusion, while the latter has been better studied in obstetrics and major abdominal surgery, but is still unclear in thoracic medicine. This paper aims to investigate the impact of both drug delivery methods on the quality of postoperative recovery in patients undergoing lobectomy by VATS.

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Sun Yat-sen University
• Treatments: Ropivacaine; Sufentanil

Criteria

Inclusion Criteria:

1. Proposed lobectomy under VATS under general anesthesia with tracheal intubation

2. Agree to use epidural analgesia after surgery

3. ASA Ⅰ- Ⅲ grade

4. BMI 18.5-30 kg/m2

5. Age 18-65 years old

Exclusion Criteria:

1. Preoperative refusal of surgery due to accident or subjective

2. Neurological dysfunction

3. contraindications to intralesional anesthesia

4. history of preoperative opioid use

5. Patients with abnormal preoperative pain and pain score (NRS) > 3

6. Patients taking sedative hypnosis, anti-anxiety, and antidepressant drugs for a long time before surgery