Effect of Preoperative Rectus Sheath Block on Quality of Recovery in Single Port Laparoscopic Adnexal Surgery: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 56
- 试验地点
- 1
- 主要终点
- Quality of Recovery 40 scale score at postoperative 24 hour
研究概览
简要总结
In this study, the investigators aimed to demonstrate if the quality of recovery in patients undergoing single-port laparoscopic adnexal surgery, with preoperative rectus sheath block and intraoperative opioid administration based on analgesia nociception index, improves compared to the patients without block.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
盲法说明
Investigator prepared the drug and participant and outcomes assessor were blind to the group allocation
入排标准
- 年龄范围
- 19 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult female patient aged 19 years or older undergoing elective single-port laparoscopic adnexal surgery under general anesthesia at Yonsei Cancer Center
- •patients with moderate to severe pain before surgery
- •patients with history of taking chronic analgesic use,
- •patients allergic or hypersensite to remifentanil or local anesthetic (ropivacaine),
- •patients with infection at the site of the block,
- •patietns who cannot communicate
排除标准
- 未提供
研究组 & 干预措施
dexmedetomidine infusion group
干预措施: Ultrasound guided rectus sheath block with dexmedetomidine (Drug)
normal saline infusion group
干预措施: Ultrasound guided rectus sheath block with normal saline (Drug)
结局指标
主要结局
Quality of Recovery 40 scale score at postoperative 24 hour
时间窗: 24 hours after the end of surgery
Postoperative quality of recovery according to the block performance
次要结局
- rescue analgesics administered up to 24 hours postoperatively(intraoprative and postoperative 24hours)
- Intraoperative remifentanil consumption,postoperative pain score(at 0, 1, 6, 12, and 24 hours postoperative)
- satisfaction with pain control(intraoprative and postoperative 24hours)
- serum cortisol level (μg/dL) before and after surgery(intraoprative and postoperative 24hours)
- leukocyte level (10^3/μL) before and after surgery(intraoprative and postoperative 24hours)
- arterial pH before and after surgery(intraoprative and postoperative 24hours)
- blood glucose level (mg/dL) before and after surgery(intraoprative and postoperative 24hours)
- measurement of adequate analgesia (NRS <4) before and after surgery(intraoprative and postoperative 24hours)
