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Stellate Ganglion Block on Tourniquet Response

Not Applicable
Conditions
Stellate Ganglion Block
Interventions
Procedure: Stellate ganglion block
Procedure: control group
Registration Number
NCT03181672
Lead Sponsor
The Affiliated Hospital of Xuzhou Medical University
Brief Summary

To investigate the influence of stellate ganglion block on tourniquet response during surgery in patients undergoing elective lower limb Department of orthopedics.

Detailed Description

Select elective general anesthesia in 100 cases of lower extremity Department of orthopedics surgery patients were randomly divided into SGB group and control group, SGB group received anesthesia before the right stellate ganglion block intervention, the control group underwent right deltoid muscle injection, changes in hemodynamics in two groups were recorded in heart rate, blood pressure, and before anesthesia, after intubation 3min 1H, a tourniquet, tourniquet release before and after tourniquet release 3min, 30min, changes in blood physiological analysis. The effect of stellate ganglion block on tourniquet response during perioperative period was observed.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
100
Inclusion Criteria
  • American Society of anesthesiologists Grade 1-3 Patients
  • undergoing lower limb surgery under general anesthesia
  • should be treated with tourniquet
Exclusion Criteria
  • Tourniquet application time is less than 1h, greater than 1.5h
  • Abnormal coagulation function
  • perioperative application of hormone
  • lidocaine allergy
  • can not cope with nerve block
  • nerve block failure
  • minimally invasive surgery

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Stellate ganglion blockStellate ganglion blockStellate ganglion block
control groupcontrol groupDeltoid muscle injection
Primary Outcome Measures
NameTimeMethod
heart rate2 hours in perioperative period

bpm

ET-1One minute after the radial artery puncture, one minute after intubation, tourniquet application 1 hour, one minute before tourniquet, loose after a tourniquet for 3 minutes, 30 minutes after a tourniquet

ELISA ng/L

SODOne minute after the radial artery puncture, one minute after intubation, tourniquet application 1 hour, one minute before tourniquet, loose after a tourniquet for 3 minutes, 30 minutes after a tourniquet

ELISA μg/L

IL-6One minute after the radial artery puncture, one minute after intubation, tourniquet application 1 hour, one minute before tourniquet, loose after a tourniquet for 3 minutes, 30 minutes after a tourniquet

ELISA pg/ml

cTn-TOne minute after the radial artery puncture, one minute after intubation, tourniquet application 1 hour, one minute before tourniquet, loose after a tourniquet for 3 minutes, 30 minutes after a tourniquet

ELISA μg/L

blood pressure2 hours in perioperative period

mmHg

LacOne minute after the radial artery puncture, the tourniquet was applied for 1 hours and the tourniquet was released 3 minutes after the tourniquet release 30 minutes

blood gas analysis mmol/L

norepinephrineOne minute after the radial artery puncture, one minute after intubation, tourniquet application 1 hour, one minute before tourniquet, loose after a tourniquet for 3 minutes, 30 minutes after a tourniquet

ELISA nmol/L

cortisolOne minute after the radial artery puncture, one minute after intubation, tourniquet application 1 hour, one minute before tourniquet, loose after a tourniquet for 3 minutes, 30 minutes after a tourniquet

ELISA ng/ml

postoperative painhour 1、hour 6、hour 24、hour 48 after operation

VAS score

MDAOne minute after the radial artery puncture, one minute after intubation, tourniquet application 1 hour, one minute before tourniquet, loose after a tourniquet for 3 minutes, 30 minutes after a tourniquet

ELISA nmol/ml

Secondary Outcome Measures
NameTimeMethod
Complication of puncture2 hours in perioperative period

bleeding、nerve injury、

Trial Locations

Locations (1)

The Affiliated Hospital of Xuzhou Medical University

🇨🇳

Xuzhou, Jiangsu, China

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