Analgesic Effects of Erector Spinae Plane Block Versus Superficial Parasternal Intercostal Plane Block Combined With Rectus Sheath Block After Off Pump Cardiac Surgery: A Randomised Trial
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 22
- 试验地点
- 1
- 主要终点
- Total opioid consumption
研究概览
简要总结
This study aims to compare the analgesic effects of erector spinae plane block versus Superficial Parasternal Intercostal Plane Block block along with rectus sheath block after off-pump cardiac surgery
详细描述
General anaesthesia will be used for all patients. induction by midazolam 0.05-0.1 mg/kg, fentanyl 2-5 µ/kg, propofol 1-2 mg/kg, and atracurium 0.5 mg/kg for intubation. Maintenance by sevoflurane in oxygen-air mixture. regional blocks will be used after the induction of anaesthesia. Intraoperative analgesia will be maintained by fentanyl infusion 1-2 µ/kg/h while morphine sulphate 2.5-5mg will be used as rescue analgesia when pain score>4 beside acetaminophen 1000 mg /6 hours
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •American Society of anaesthesiologists physical status classification II-III
- •Elective off-pump cardiac surgery
排除标准
- •Cognitive impairment
- •Allergy to local anaesthetics
- •Renal and/or hepatic dysfunction
- •Ejection fraction< 45%
研究组 & 干预措施
Erector Spinae Plane Block group
Erector Spinae Plane Block
干预措施: Erector Spinae Plane Block (Other)
Superficial Parasternal Intercostal Plane Block and Rectus Sheath Block group
Superficial Parasternal Intercostal Plane Block and Rectus Sheath Block
干预措施: Superficial Parasternal Intercostal Plane Block combined with Rectus Sheath Block (Other)
结局指标
主要结局
Total opioid consumption
时间窗: Perioperative.
µg and mg
次要结局
- Extubation time(Perioperative)
- Duration of hospital stay(Postoperative up to 4 weeks)
- Postoperative vomiting(Perioperative)
- Pain intensity at rest and exercise(Perioperative.)
- Duration of post anaesthesia care unit stay(Perioperative)
- Postoperative nausea(Perioperative)
研究者
Abd-Elazeem Abd-Elhameed Elbakry
Professor
Menoufia University