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The goal of this clinical trial is to evaluate the efficacy and safety of liposomal bupivacaine for postoperative analgesia in adult patients undergoing lung transplantation. The main questions it aims to answer are:
Does liposomal bupivacaine reduce postoperative opioid consumption after lung transplantation? Does liposomal bupivacaine relieve postoperative pain without increasing adverse events?
Researchers will compare patients receiving liposomal bupivacaine combined with bupivacaine hydrochloride with patients receiving bupivacaine hydrochloride alone to see whether liposomal bupivacaine provides better postoperative analgesia and reduces opioid requirements after lung transplantation.
Participants will:
Receive lung transplantation under standard perioperative care. Receive intercostal nerve block with either liposomal bupivacaine combined with bupivacaine hydrochloride or bupivacaine hydrochloride alone.
Be assessed for postoperative opioid consumption, pain scores, recovery-related outcomes, and adverse events after surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| liposomal bupivacaine group | Experimental | Patients will receive an intercostal nerve block with a mixture of liposomal bupivacaine and bupivacaine hydrochloride after surgery. |
|
| control group | Active Comparator | Patients will receive an intercostal nerve block with bupivacaine hydrochloride after surgery. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LB/BH intercostal nerve block | Drug | Patients will receive an intercostal nerve block with a mixture of liposomal bupivacaine and bupivacaine hydrochloride immediately after lung transplantation. |
| Measure | Description | Time Frame |
|---|---|---|
| Opioid consumption within 72 hours after surgery | 72 hours after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| VAS pain scores | ranging from 0 to 100 mm, with 0 indicating no pain and 100 indicating the worst imaginable pain. | at 24 hours, 48 hours, 72 hours, and 1 week after surgery; |
| Area under the curve of VAS pain scores |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Min Yan | Contact | 13757118632 | zryanmin@zju.edu.cn |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Second Affiliated Hospital of Zhejiang University anesthesiology department | Hangzhou | Zhejiang | 310000 | China |
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| BH intercostal nerve block | Drug | Patients will receive an intercostal nerve block with bupivacaine hydrochloride immediately after lung transplantation. |
|
| within 72 hours and 1 week after surgery |
| Quality of recovery | assessed using the QoR-15 scale | within 1 week after surgery |
| Sleep quality within 1 week after surgery | assessed using the Insomnia Severity Index (ISI) | within 1 week after surgery |
| Anxiety and depression | Anxiety and depression symptoms were assessed using the Hamilton Anxiety Rating Scale and Hamilton Depression Rating Scale (HAMA/HAMD), respectively, with HAMA ranging from 0 to 56 and HAMD ranging from 0 to 52. | within 1 week after surgery |
| Length of ICU stay | within 90 days |
| total hospital stay | within 90 days |
| Incidence of chronic pain | Chronic pain was defined as the incidence of pain 3 months post-surgery, assessed using the VAS score. | at 3 months after surgery |
| sleep quality | Sleep quality was assessed using the Insomnia Severity Index. | at 3 months after surgery |
| anxiety and depression | assessed using the Hamilton Anxiety Rating Scale and Hamilton Depression Rating Scale (HAMA/HAMD); | at 3 months after surgery |
| quality of recovery | ssessed using the QoR-15 scale | at 3 months after surgery |
| Incidence of adverse events | including nausea, vomiting, dizziness, infection, pneumothorax, and other complications. | within 90 days |
| ID | Term |
|---|---|
| D000377 | Agnosia |
| ID | Term |
|---|---|
| D010468 | Perceptual Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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