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The goal of this clinical trial is to learn about the effect of preoperative administration of stellate ganglion block on postoperative sleep status in patients with prolonged disorders of consciousness. The main aims to answer are: • To explore the effect of preoperative administration of stellate ganglion block on postoperative polysomnography and total sleep time in patients with prolonged disorders of consciousness. • To explore the effect of preoperative administration of stellate ganglion block on postoperative cerebral oxygen saturation, cerebral hemodynamic parameters and recovery of consciousness. Participants will be pDoC patients with intact skulls after acquired brain injury who will undergo spinal cord electronic stimulator implantation under general anesthesia at Beijing Tiantan Hospital. Stellate ganglion block will be administrated before the surgery. Polysomnography, total sleep time, cerebral oxygen saturation, cerebral hemodynamic parameters, CRS-R scores, GCS scores, WHIM scores and NCS scores will be investigated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| stellate ganglion block | preoperative administration of stellate ganglion block |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| stellate ganglion block with 0.5% ropivacaine | Drug | A single dose of ultrasound-guided stellate ganglion block with 0.5% ropivacaine was administered to the pDoC patients after induction of general anesthesia but before surgical incision. |
| Measure | Description | Time Frame |
|---|---|---|
| Total sleep time | total sleep time on PSG | on the first postoperative night |
| Measure | Description | Time Frame |
|---|---|---|
| cerebral oxygen saturation | Regional cerebral oxygen saturation (rSO₂) measured by near-infrared spectroscopy (NIRS). | 30 minutes after stellate ganglion block |
| cerebral hemodynamic parameters |
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Inclusion Criteria:
Exclusion Criteria:
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pDOC Patients from Beijing Tian Tan Hospital
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Minyu Jian | Contact | +8613522550438 | yum1988@163.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Tian Tan Hospital | Beijing | 100070 | China |
All data generated or analysed during this study will be included in published article. The data that support the findings of this study are available from the corresponding author upon reasonable request.
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The data that support the findings of this study are available from the corresponding author upon reasonable request.
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cerebral hemodynamic parameters measured by Transcranial Doppler(TCD)
| 30 minutes after stellate ganglion block. |
| the recovery of consciousness | Consciousness recovery will be assessed using the Coma Recovery Scale-Revised (CRS-R). It assesses patients across six functional domains: auditory, visual, motor, oromotor/verbal, communication, and arousal. The total score ranges from 0 to 23, with higher scores indicating a higher level of consciousness. | 1 and 30 days postoperatively |
| Length of ICU stay | 30 days postoperatively |
| Costs of ICU stay | 30 days postoperatively |
| ID | Term |
|---|---|
| D000077212 | Ropivacaine |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
| D000588 | Amines |
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