Provision of supplementary pain relief and pre-emptive analgesia by injecting anesthetic drug in the pecto-intercostal fascial plane under ultrasound guidance for patients undergoing cardiac surgeries.
- Conditions
- Health Condition 1: I251- Atherosclerotic heart disease of native coronary artery
- Registration Number
- CTRI/2019/10/021591
- Lead Sponsor
- Shree Chitra Tirunal Institute for Medical Sciences and Technology
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Yet Recruiting
- Sex
- Not specified
- Target Recruitment
- 0
Inclusion criteria
Adult patients coming for elective cardiac
surgery having CAD for CABG.
> 40 years old and < 75 years old
Median sternotomy
Patient undergoing Coronary Artery bypass
surgery.
Emergency Surgeries.
Redo-surgeries.
Open Sternum
Left Ventricular Ejection Fraction < 35%
Preoperative use of narcotics or illicit drug
abuse.
History of chronic intractable non-cardiac pain.
Liver or Kidney disease
Allergy to Amide group of anaesthetics, Morphine
or Fentanyl.
Arrhythmia history or rhythm disturbances
documented in ECG.
Haemodynamically unstable patients, already on
preoperative inotropic support or Intraarterial
balloon pumps(IABP).
Anticipated surgery or Surgery lasting more than
6hrs.
Patient on ventilator time more than 12hrs or
planned for overnight ventilation.
Patients refusing to participate.
Patients refusing for parting with medical data
for analysis.
Patients refusing to participate after the start
of study and desire to leave the study at any
point of time.
Patients currently enrolled in another study.
Patients with inability to provide informed
written consent.
Inability to complete Pain assessments.
Post-operative complications with underlying
cardio-respiratory cause requiring return to
operative room for re-explorations or
reinstitution of mechanical ventilation.
Patients refusing the offered therapeutic
options in either group.
No bias against gender, class, caste, ethnicity,
race and will be considered as inclusion or
exclusion criteria.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method