Erector Spinae Plane Block for Minimally Invasive Mitral Surgery
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Mitral Regurgitation
- Sponsor
- University of California, San Francisco
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Total opiate consumption
- Last Updated
- 5 years ago
Overview
Brief Summary
The goal of this project is to study whether local anesthetic via the erector spinae plane (ESP) block may be beneficial in minimally invasive mitral valve surgery (MIMVS).
Detailed Description
This is a double blinded randomized controlled trial comparing a control group receiving cryoablation and sham block with an intervention group receiving cryoablation and ESP catheter. The primary outcome is total oral morphine equivalent (OME) consumption within the first 48 hours of recovery including intra-operative usage. Secondary outcomes to be evaluated would include pain scores, functional milestones like time to extubation, time to first PO intake, time to ambulation, time to chest tube removal, length of ICU and total hospital stay, complications, and patient satisfaction.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Elective mitral valve repair or replacement
- •Planned minimally invasive approach
Exclusion Criteria
- •Non-English speaking
- •Emergency surgery
- •Planned or unplanned sternotomy
- •Previous history of sternotomy and cardiac surgery
- •Allergy to ropivacaine
- •Patients taking more than 60 OMEs per day
- •Patients with coagulopathy or taking anticoagulant with laboratory findings contraindicated for ESP catheter
Outcomes
Primary Outcomes
Total opiate consumption
Time Frame: 48 hours.
Total oral morphine equivalent (milligram) consumption within the first 48 hours of recovery including intra-operative usage, extracted from electronic medical record.
Secondary Outcomes
- Length of hospital stay(Within 30 days from end of operation.)
- Pain score(48 hours)
- Time to extubation.(Within 30 days from end of operation.)
- Length of intensive care stay(Within 30 days from end of operation.)
- Time to chest tube removal(Within 30 days from end of operation.)
- Time to first oral intake(Within 30 days from end of operation.)
- Time to ambulation(Within 30 days from end of operation.)
- Patient self-reported experience with surgery and postoperative recovery(30 days after hospital discharge.)