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Surgical pain is a common complication after surgery, affecting patient recovery and treatment quality. >20% of patients suffer from chronic postoperative pain. China has >70 million surgeries yearly. Nerve block manages postoperative pain, with developing nerve block needles now used in clinics. Developed needles may have better pain management effects than non-developed ones, but their effect on reducing chronic pain remains unclear. This study aims to explore the effect of developed nerve block needles on postoperative pain and compare them to non-developed needles, providing new ideas and methods for pain management.
Surgical pain is one of the common complications after surgery, which seriously affects the recovery and treatment quality of patients. More than 20% of patients will suffer from postoperative chronic pain. According to the data of the National Bureau of Statistics, there are more than 70 million surgeries in China every year. Nerve block is one of the most commonly used methods for postoperative pain management in clinical practice. In recent years, the developing nerve block needle has gradually begun to be used in clinical practice. Compared with the ordinary non-developing nerve block needle, it may have a better effect on pain management after surgery, but whether it has a reduction effect on chronic pain after surgery is still unknown. The purpose of this study is to explore the effect of developing nerve block needle on postoperative pain, and to compare the difference between it and the common non-developing nerve block needle, so as to provide new ideas and methods for postoperative pain management.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Echogenic nerve block needle | Experimental | Using a echogenic nerve block needle. |
|
| Non-echogenic nerve block needle | Other | Using a common nerve block needle. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Echogenic nerve block needle | Procedure | A 22G 8-cm echogenic nerve block needle (LEAPMED, CHINA) is selected for the procedure, administered under ultrasound guidance. Subsequently, a volume of 20 ml 0.375% ropivacaine is injected at the needle's tip for analgesic effect. The spread of the medication will be assessed through short- and long-axis imaging perspectives. Following this, evaluations are conducted to assess acute postoperative pain as well as chronic postoperative pain. Parameters such as the duration of nerve blockade, the incidence of punctures, and any associated complications are all meticulously appraised. |
| Measure | Description | Time Frame |
|---|---|---|
| Chronic postoperative pain | Incidence of Chronic pain assessment from 3 months after surgery | The third month after surgery. |
| Moderate to severe pain | Pain intensity (assessed by number rating scale, 0 represents no pain, 10 represents intolerable pain) more than 4 | from end of surgery to 24 hours after surgery. |
| Measure | Description | Time Frame |
|---|---|---|
| Acute postoperative pain | Pain intensity (assessed by number rating scale, 0 represents no pain, 10 represents intolerable pain) more than 4 | From the ending of surgery to leaving the postanesthesia care unit, an average of 30 minutes |
| Acute postoperative pain |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| He Huang, ph.D | Contact | 13708385559 | huanghe@cqmu.edu.cn | |
| Da gang Wang, ph.D | Contact | 023 63693014 | kuanrenlunli@qq.com |
| Name | Affiliation | Role |
|---|---|---|
| He Huang, ph.D | The Second Affiliated Hospital, Chongqing Medical University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| He Huang | Recruiting | Chongqing | Chongqing Municipality | 4000000 | China |
The individual participant data for this study is available from the sponsor on reasonable request through email.
Within one year
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| D059787 | Acute Pain |
| D059350 | Chronic Pain |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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|
| Non-echogenic nerve block needle | Procedure | A 22G 8-cm thin wall low bottom nerve block needle (KDL, CHINA) is selected for the procedure, administered under ultrasound guidance. Subsequently, a volume of 20 ml 0.375% ropivacaine is injected at the needle's tip for analgesic effect. The distribution of the medication will be assessed using short- and long-axis imaging perspectives. Following this, evaluations are conducted to assess acute postoperative pain as well as chronic postoperative pain. Parameters such as the duration of nerve blockade, the number of punctures, and any associated complications are all meticulously appraised. |
|
Pain intensity (assessed by number rating scale, 0 represents no pain, 10 represents intolerable pain) more than 4 |
| From return to the ward to 12 hours after return to the ward |
| Acute postoperative pain | Pain intensity (assessed by number rating scale, 0 represents no pain, 10 represents intolerable pain) more than 4 | From 12 hours after return to the ward to 24 hours after return to the ward |
| Puncture operation time | Time from needle insertion to needle extraction | From the ending of surgery to leaving the postanesthesia care unit, an average of 30 minutes |
| Number of needle passes | The number of times the needle is withdrawn more than 2 cm and resited | From the ending of surgery to leaving the postanesthesia care unit, an average of 30 minutes |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |