Ultrasound Guided Parasternal Block Combined With Rectus Sheath Block for Cardiac Surgery Under Sternotomy: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 58
- 试验地点
- 1
- 主要终点
- Static Pain Score
研究概览
简要总结
The aim of this randomized controlled trial is to examine the effect of ultrasound guided bilateral Parasternal Nerve Block combined with rectus sheath block on preoperative analgesia, opioid consumption and respiratory function in patients undergoing cardiac surgery via sternotomy. Half of participants will receive General Anesthesia combined with bilateral parasternal block and rectus sheath block while the other half receive General Anesthesia combined with bilateral parasternal block and infiltration of drainage exits sites with local anesthetic (without performing rectus sheath block)
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 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients undergoing elective cardiac surgery under median sternotomy
- •Age >= 18 years
- •American Society of Anesthesiologists (ASA) Status I-IV
- •Approval and sign of the informed consent
排除标准
- •Allergy to local anesthetics
- •Puncture site infection
- •Lack of signing of informed consent
- •Age <18 years
- •Emergency surgery
- •ASA > IV
- •preoperative acute respiratory failure
结局指标
主要结局
Static Pain Score
时间窗: 24 hours
A numerical rating scale (NRS) from 0 (no pain) to 10 (worst imaginable pain) will be used to evaluate pain at rest during 24 hours after surgery
Dynamic Pain Score
时间窗: 24 hours
A numerical rating scale (NRS) from 0 (no pain) to 10 (worst imaginable pain) during movement will be used to evaluate pain at rest during 24 hours after surgery
次要结局
- Time of Extubation(48 hours)
- Intensive Care Unit (ICU) Discharge Time(120 hours)
- Hospitalization Length of Stay(30 days)
- Incidence of adverse events(24 hours)
- Morphine Consumption(24 hours)
- Respiratory performance at incentive spirometry(48 hours)
- Intraoperative Fentanyl Consumption(4 hours)
研究者
Giuseppe Pascarella
Principal Investigator
Campus Bio-Medico University