Evaluation of postoperative pain in heart surgery: Comparison between Erector spinae plane block and morphine

Not Applicable

• Conditions: Postoperative Pain; D000760; E03.155.403

• Registration Number: RBR-3npxs32
• Lead Sponsor: Hospital Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Completion: 2021-08-30
• Study Start: 2022-04-20
• Last Update Posted: 29 May 2023

Recruitment & Eligibility

• Status: Recruitment completed
• Sex: Not specified
• Target Recruitment: Not specified

Inclusion Criteria

Patients undergoing elective open heart surgery; age between 18 and 70 years; American Society of Anesthesiologists (ASA) classification classes I to III; Cardiac Anesthesia Risk Evaluation (CARE) score 1 and 2; and who sign the consent term.

Exclusion Criteria

Patients with liver failure; ropivacaine and dipyrone allergy; Body Mass Index (BMI) greater than 40 kg/m²; left ventricular ejection fraction less than 40 percent; emergency surgery; hemodynamic instability; chronic use of opioids (use of opioids for more than 3 months or daily dose of morphine greater than 5mg/day for 1 month); post-operative reintubation; need for surgical re-approach in the postoperative period.

Study & Design

• Study Type: Intervention
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Assess postoperative analgesia using bilateral ESPB in a single preoperative injection in adult patients undergoing open heart surgery (sternotomy) compared to analgesia usually used with morphine in a continuous infusion pump, verified by pain assessment using the visual numeric scale and measurement of the amount of rescue morphine used postoperatively.

Secondary Outcome Measures

Name	Time	Method
Evaluate the amount of fentanyl used intraoperatively by measuring the anesthesia record sheet in both groups.