A Study on Anesthetic Drug Dosage in Ultrasound-Guided Nerve Blockade Combined with General Anesthesia
Release date:
2021-07-26 16:29
Source:
| Single-disease charge items | Type of surgery | Anesthesia method | Neural block technique | Anesthetic dosage | |||
| Total hip arthroplasty (for femoral head necrosis) + total hip replacement surgery | Total Hip Arthroplasty | Total fentanyl usage (μg) | Fentanyl additional dose (μg) after intubation | Total volume of PCIA administered at 48 hours postoperatively (ml) | |||
| General anesthesia | 485±45 | 135±35 | 117.7±6.5 | ||||
| General anesthesia plus ultrasound-guided nerve block | Lumbar plexus and sacral plexus nerve blocks | 105±42 | 46±14 | 102.4±4.2 | |||
| Vasotropic drugs | Postoperative pain scores and the incidence of adverse reactions | Hospital operational efficiency | Data Source | ||||
| Dose of perindopril (μg) | Ephedrine dosage (ml) | Postoperative VAS pain scores at each time point | PONV The incidence of | Shanghai Sixth People’s Hospital: “Effectiveness Rating of Laryngeal Mask Airway–Based General Anesthesia Combined with Ultrasound-Guided Lumbar and Sacral Plexus Blocks for Anesthesia and Postoperative Analgesia in Total Hip Arthroplasty” | Author: Zhu Xiaolan Supervisors: Director Jiang Wei, Associate Professor Wang Xuemin |
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| 31.5±5.5 | 6.3±1.2 | High | 12/20 | Meanwhile, effective analgesia enables the early initiation of passive rehabilitation exercises and early mobilization after surgery, creating favorable conditions that significantly reduce postoperative complications, shorten hospital stays, and accelerate bed turnover. | |||
| 5.6±1.0 | 1.2±0.5 | Low | 3/20 | ||||
| Single-disease charge items | Type of surgery | Anesthesia method | Neural block technique | Anesthetic dosage | |||
| Breast cancer/benign breast tumors, rheumatic heart disease with mitral valve disease, tuberculous pleurisy/spontaneous pneumothorax, and upper abdominal surgery, among others. | Live laparoscopic visceral surgery | Total fentanyl usage (μg) | Cumulative morphine consumption (ml) at 48 hours postoperatively | ||||
| General anesthesia | 1310±240.39 | 7.25±1.55 | |||||
| General anesthesia plus combined spinal-epidural anesthesia | 441.5±204.77 | 3.50±1.67 | |||||
| General anesthesia plus ultrasound-guided nerve block | Paravertebral nerve block | 344.0±191.46 | 1.00±1.17 | ||||
| Vasotropic drugs | Postoperative pain scores and the incidence of adverse reactions | Hospital operational efficiency | Data Source | ||||
| Atropine dosage (mg) | Ephedrine dosage (ml) | Postoperative VAS pain scores at each time point | Author: Chen Yanjia Supervisors: Director Liu Kexuan and Professor Lin Chunshui |
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| 0.9 | 18 | High | With regard to PACU length of stay and postoperative hospitalization duration, the general anesthesia group was significantly longer than both the combined general–spinal anesthesia group and the general anesthesia–ultrasound-guided nerve block group. | Application of Ultrasound-Guided Paravertebral Nerve Blockade Combined with General Anesthesia in Laparoscopic Surgery for Visceral Organs at the Southern Hospital, Southern Medical University | |||
| 0.9 | 24 | middle | |||||
| 0.6 | 18 | Low | |||||