Intercostal Nerve Cryoanalgesia vs BRILMA Block for Minithoracotomy on Cardiac Surgery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 63
- 试验地点
- 1
- 主要终点
- Postoperative analgesia
研究概览
简要总结
Patients undergoing cardiac surgery by minithoracomy present severe acute postoperative pain. Cryoanalgesia of the intercostal nerves and BRILMA block can provide a solution for this postoperative pain. The main aim of this study is to compare the postoperative analgesia provided by BRILMA block and intercostal nerve cryoanalgesia in patients undergoing cardiac surgery by minitoractomia.
详细描述
Patients undegoing cardiac surgery by minithoracotomy present severe acute postoperative pain. Cryoanalgesia of the intercostal nerves and BRILMA block are performed as techniques of postoperative analgesia of the chest wall, and can provide a solution for this postoperative pain. Both nerve block techniques could have similar effects on postoperative pain control during the first postoperative hours. However, cryoanalgesia of the intercostal nerves may provide a longer duration than that provided by BRILMA block.
Outcomes:
- Compare the postoperative analgesia provided by BRILMA block and intercostal nerve cryoanalgesia in patients undergoing cardiac surgery by minithoracotomy.
- Determine the percentage of patients with neuropathic pain at hospital discharge and 30 days after surgery.
Methods:
Prospective observational study using two analgesic techniques (BRILMA block vs intercostal nerve cryoanalgesia).
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
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 > 18 years of age, underwent cardiac surgery by minithoracotomy
- •Cardiac surgery
- •Minithoracotomy
排除标准
- •<18 years old
- •Patients undergoing cardiac surgery by sternotomy
- •Patients with regular consumption of analgesics,
- •Patients with neurological diseases with altered level of consciousness
- •Patients with previous neuropathic pain.
结局指标
主要结局
Postoperative analgesia
时间窗: From day of surgery until 30 days after surgery
Compare the postoperative analgesia provided by BRILMA block and intercostal nerve cryoanalgesia in patients undergoing cardiac surgery by minitoractomia: Compare postoperative analgesia provided by BRILMA block and intercostal nerve cryoanalgesia in patients undergoing minithoractomy cardiac surgery: 1. Determine the location of postoperative pain: in the surgical incision, shoulder, back 2. Determine the intensity of postoperative pain. Evaluation using simple verbal scale (SVS) of pain: 0 (no pain), 10 (maximum pain) after orotracheal extubation, 24 and 48 hours after surgery and at hospital discharge
次要结局
- Neuropathic pain(30 days after surgery)