Abstract
Postoperative pain in elderly patients with lung cancer after thoracoscopic surgery is still an important factor affecting the prognosis of patients. In this study, 200 elderly patients with lung cancer who were positive and planned to undergo video-assisted thoracoscopic surgery were randomly divided into four groups: control group, SAPB (serratus anterior plane block) group, Nalbuphine group and Nalbuphine + SAPB group. The effects of drugs and nerve block on the perioperative indexes of elderly patients were observed. The results showed that ① The VAS and SAS scores of postoperative analgesia in the Nalbuphine + SAPB group were lower than those in the single group and the control group. ② The postoperative spontaneous respiratory recovery time, extubation time, resuscitation room stay time, extubation cough, restlessness and respiratory depression in the Nalbuphine + SAPB group were lower than those in the single group and the control group. ③ The heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP) and blood oxygen saturation (SpO2) of patients in Nalbuphine + SAPB group before induction, T2 after intubation, T3 before skin incision, T4 after skin incision, T5 after chest closure and T6 after extubation were lower than those in single group and control group. Therefore, this study concluded that Nabufine combined with SAPB can make the vital signs of intraoperative patients more stable, which is worthy of clinical promotion.
Highlights
VATS (Video-assisted thoracoscopic operation) has grown gradually and allows mediastinal tumor resection and wedge resection
Setting and Study Design. e elderly patients were put in the control group, SAPB group, Nalbuphine group and Nalbuphine + SAPB group through an arbitrary minute table, as well the group work kept in a closed wrapper, referred just to the doctors doing the nerve block surgeries [6]. e grouping of the patients was based on the simple randomization. e surgeons and elderly patients undergoing the intraoperative anesthesia procedure, as well as the doctors doing postoperative pain, and valuations were unaware of the task assignments, as they were not opened and the lumps were done away from the operating theater
The main indicators were heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), and blood oxygen saturation (Sp02) in patients T1 before induction, T2 after intubation, T3 before skin incision, T4 after skin incision, T5 after chest closure, and T6 after extubation. e elderly patients were presented with hypoxaemia, for managing severe respiratory distress
Summary
VATS (Video-assisted thoracoscopic operation) has grown gradually and allows mediastinal tumor resection and wedge resection. Over-all management of Nalbuphine analgesia treatment, that is widely the core of pain monitor procedures, may involve intravenous opioids regional blocks and oral non-steroidal anti-seditious medicines [1]. TEB is a technique in which analgesia is produced by injecting local anesthetic agent by itself or combined with additives or alone into the epidural space. SAPB is a local block initially established for analgesia after breast operation, and more recently as Nalbuphine treatment for the elderly undergoing thoracoscopic surgery. The thoracoscopic surgery makes a comparison of the time, mostly within a period of 48 hours postoperatively to the overview of the analog pain notch (VAS) ≥4.01 between local infiltration Nalbuphine treatment and SABP. Is is crucial in ascertaining the SAPB in combination with Nalbuphine treatment in offering more safeguards among the elderly patients undergoing thoracoscopic surgery The thoracoscopic surgery makes a comparison of the time, mostly within a period of 48 hours postoperatively to the overview of the analog pain notch (VAS) ≥4.01 between local infiltration Nalbuphine treatment and SABP. is is mostly among the elderly persons undergoing VATS for lung malignance to see how it affects them over a specific period. is aids in correlating the usage of postoperative Nalbuphine treatment among the elderly patients. is is crucial in ascertaining the SAPB in combination with Nalbuphine treatment in offering more safeguards among the elderly patients undergoing thoracoscopic surgery
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