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
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Analgesia
- Sponsor
- Abd-Elazeem Abd-Elhameed Elbakry
- Enrollment
- 22
- Locations
- 1
- Primary Endpoint
- Total opioid consumption
- Status
- Active, not recruiting
- Last Updated
- 12 months ago
Overview
Brief Summary
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
Detailed Description
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
Investigators
Abd-Elazeem Abd-Elhameed Elbakry
Assistant professor
Menoufia University
Eligibility Criteria
Inclusion Criteria
- •American Society of anaesthesiologists physical status classification II-III
- •Elective off-pump cardiac surgery
Exclusion Criteria
- •Cognitive impairment
- •Allergy to local anaesthetics
- •Renal and/or hepatic dysfunction
- •Ejection fraction\< 45%
Outcomes
Primary Outcomes
Total opioid consumption
Time Frame: Perioperative.
µg and mg
Secondary Outcomes
- Duration of hospital stay(Postoperative up to 4 weeks)
- Postoperative vomiting(Perioperative)
- Extubation time(Perioperative)
- Pain intensity at rest and exercise(Perioperative.)
- Duration of post anaesthesia care unit stay(Perioperative)
- Postoperative nausea(Perioperative)