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A Study on Anesthetic Drug Dosage in Ultrasound-Guided Nerve Blockade Combined with General Anesthesia


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
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
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  

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